评估多模式,临床和以工作为导向的干预措施 (RTW-PIA),以支持精神障碍员工可持续返回工作:多中心随机对照试验的研究方案
Fiona Starke1,2, Alexandra Sikora3, Ralf Stegmann3
1Division 3 Work and Health, Unit 3.5 Evidence-based Occupational Health, Workplace Health Management, Federal Institute for Occupational Safety and Health (BAuA), Nöldnerstr. 40-42, Berlin, 10317, Germany. Starke.Fiona@baua.bund.de.
BMC psychiatry
|May 30, 2023
概括
本研究评估了RTW-PIA,这是一项针对患有精神障碍 (MDs) 的员工的多式干预措施,旨在促进可持续的返回工作 (RTW). 该干预措施结合了临床和以工作为导向的支持,旨在减少因病缺勤和改善长期就业结果.
科学领域:
- 职业健康 职业健康 职业健康
- 精神病学是一个精神病学.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 精神疾病 (MDs) 是全球劳动力病缺和残疾的主要原因.
- 现有的干预措施很少将医疗-心理治疗护理与以工作为中心的可持续回归工作 (RTW) 策略相结合.
- 由于MD的高复发风险和慢性性质,需要新的持续就业方法.
研究的目的:
- 评估多式联运RTW-PIA干预对MD的员工的 (成本) 效益.
- 评估RTW-PIA在德国精神病诊所的实施过程.
- 确定RTW-PIA是否有助于可持续恢复工作并减少因病缺席.
主要方法:
- 一个双臂,多中心,随机对照试验,涉及有病名单的员工和MDs.
- 干预组接受18个月的RTW-PIA (个人支持,小组会议,基于网络的后续护理) 加上通常的护理;对照组接受通常的护理.
- 主要结果:可持续的RTW (在RTW后的12个月内病假少于6周). 二次结果包括生活质量,精神功能和工作能力.
主要成果:
- 该研究旨在测量持续恢复工作 (RTW) 在干预后12个月的首要结果.
- 二次结果将评估生活质量,心理功能,自我效能,工作满意度和工作能力的改善.
- 卫生经济评估将从社会,医疗保健和雇主角度分析成本和收益.
结论:
- 本研究采用了全面的多方法设计来评估RTW-PIA干预.
- 有希望的结果可能会导致RTW-PIA被纳入德国精神病诊所的标准护理.
- 这些发现旨在提供有效干预措施的证据,以支持精神障碍患者的可持续RTW.
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