Collaborative care for sick-listed workers with major depressive disorder

A randomised controlled trial from the Netherlands Depression Initiative aimed at return to work and depressive symptoms

M.C. Vlasveld, C.M. van der Feltz-Cornelis, H.J. Adèr, J.R. Anema, R. Hoedeman, W. van Mechelen, A.T.F. Beekman

Research output: Contribution to journalArticleScientificpeer-review

Abstract

Objectives
Major depressive disorder (MDD) is associated with absenteeism. In this study, the effectiveness of collaborative care, with a focus on return to work (RTW), was evaluated in its effect on depressive symptoms and the duration until RTW in sick-listed workers with MDD in the occupational health setting.
Methods
In this randomised controlled trial, 126 sick-listed workers with MDD were randomised to usual care (N=61) or collaborative care (N=65). Collaborative care was applied by the occupational physician care manager, supported by a web-based tracking system and a consultant psychiatrist. Primary outcome measure was time to response. Secondary outcome measures were time to remission, depressive symptoms as continuous measure and the duration until full RTW.
Results
Collaborative care participants had a shorter time to response, with a difference of 2.8 months. However, no difference was found on time to remission or depressive symptoms as continuous measure. With a mean of 190 days in the collaborative care group, and 210 days in the usual care group, the groups did not differ significantly from each other in the duration until full RTW. Adherence to the collaborative care intervention was low.
Conclusions
These results do not justify a widespread implementation of collaborative care in occupational healthcare, as it was operationalised in this study. However, since the study might have been underpowered for RTW and because treatment integrity was low, further research, with larger sample sizes, is needed to develop the best fitting (collaborative care) model for addressing RTW in depressed sick-listed workers.
Original languageEnglish
Pages (from-to)223-230
JournalJournal of Occupational and Environmental Medicine
Volume70
Issue number4
DOIs
Publication statusPublished - 2013

Fingerprint

Major Depressive Disorder
Netherlands
Depression
Absenteeism
Occupational Health
Consultants
Delivery of Health Care
Physicians

Cite this

@article{c855335794c649c1b5cfa1638ac78dde,
title = "Collaborative care for sick-listed workers with major depressive disorder: A randomised controlled trial from the Netherlands Depression Initiative aimed at return to work and depressive symptoms",
abstract = "Objectives Major depressive disorder (MDD) is associated with absenteeism. In this study, the effectiveness of collaborative care, with a focus on return to work (RTW), was evaluated in its effect on depressive symptoms and the duration until RTW in sick-listed workers with MDD in the occupational health setting.Methods In this randomised controlled trial, 126 sick-listed workers with MDD were randomised to usual care (N=61) or collaborative care (N=65). Collaborative care was applied by the occupational physician care manager, supported by a web-based tracking system and a consultant psychiatrist. Primary outcome measure was time to response. Secondary outcome measures were time to remission, depressive symptoms as continuous measure and the duration until full RTW.Results Collaborative care participants had a shorter time to response, with a difference of 2.8 months. However, no difference was found on time to remission or depressive symptoms as continuous measure. With a mean of 190 days in the collaborative care group, and 210 days in the usual care group, the groups did not differ significantly from each other in the duration until full RTW. Adherence to the collaborative care intervention was low.Conclusions These results do not justify a widespread implementation of collaborative care in occupational healthcare, as it was operationalised in this study. However, since the study might have been underpowered for RTW and because treatment integrity was low, further research, with larger sample sizes, is needed to develop the best fitting (collaborative care) model for addressing RTW in depressed sick-listed workers.",
author = "M.C. Vlasveld and {van der Feltz-Cornelis}, C.M. and H.J. Ad{\`e}r and J.R. Anema and R. Hoedeman and {van Mechelen}, W. and A.T.F. Beekman",
year = "2013",
doi = "10.1136/oemed-2012-100793",
language = "English",
volume = "70",
pages = "223--230",
journal = "Journal of Occupational and Environmental Medicine",
issn = "1076-2752",
publisher = "Lippincott Williams and Wilkins",
number = "4",

}

Collaborative care for sick-listed workers with major depressive disorder : A randomised controlled trial from the Netherlands Depression Initiative aimed at return to work and depressive symptoms. / Vlasveld, M.C.; van der Feltz-Cornelis, C.M.; Adèr, H.J.; Anema, J.R.; Hoedeman, R.; van Mechelen, W.; Beekman, A.T.F.

In: Journal of Occupational and Environmental Medicine, Vol. 70, No. 4, 2013, p. 223-230.

Research output: Contribution to journalArticleScientificpeer-review

TY - JOUR

T1 - Collaborative care for sick-listed workers with major depressive disorder

T2 - A randomised controlled trial from the Netherlands Depression Initiative aimed at return to work and depressive symptoms

AU - Vlasveld, M.C.

AU - van der Feltz-Cornelis, C.M.

AU - Adèr, H.J.

AU - Anema, J.R.

AU - Hoedeman, R.

AU - van Mechelen, W.

AU - Beekman, A.T.F.

PY - 2013

Y1 - 2013

N2 - Objectives Major depressive disorder (MDD) is associated with absenteeism. In this study, the effectiveness of collaborative care, with a focus on return to work (RTW), was evaluated in its effect on depressive symptoms and the duration until RTW in sick-listed workers with MDD in the occupational health setting.Methods In this randomised controlled trial, 126 sick-listed workers with MDD were randomised to usual care (N=61) or collaborative care (N=65). Collaborative care was applied by the occupational physician care manager, supported by a web-based tracking system and a consultant psychiatrist. Primary outcome measure was time to response. Secondary outcome measures were time to remission, depressive symptoms as continuous measure and the duration until full RTW.Results Collaborative care participants had a shorter time to response, with a difference of 2.8 months. However, no difference was found on time to remission or depressive symptoms as continuous measure. With a mean of 190 days in the collaborative care group, and 210 days in the usual care group, the groups did not differ significantly from each other in the duration until full RTW. Adherence to the collaborative care intervention was low.Conclusions These results do not justify a widespread implementation of collaborative care in occupational healthcare, as it was operationalised in this study. However, since the study might have been underpowered for RTW and because treatment integrity was low, further research, with larger sample sizes, is needed to develop the best fitting (collaborative care) model for addressing RTW in depressed sick-listed workers.

AB - Objectives Major depressive disorder (MDD) is associated with absenteeism. In this study, the effectiveness of collaborative care, with a focus on return to work (RTW), was evaluated in its effect on depressive symptoms and the duration until RTW in sick-listed workers with MDD in the occupational health setting.Methods In this randomised controlled trial, 126 sick-listed workers with MDD were randomised to usual care (N=61) or collaborative care (N=65). Collaborative care was applied by the occupational physician care manager, supported by a web-based tracking system and a consultant psychiatrist. Primary outcome measure was time to response. Secondary outcome measures were time to remission, depressive symptoms as continuous measure and the duration until full RTW.Results Collaborative care participants had a shorter time to response, with a difference of 2.8 months. However, no difference was found on time to remission or depressive symptoms as continuous measure. With a mean of 190 days in the collaborative care group, and 210 days in the usual care group, the groups did not differ significantly from each other in the duration until full RTW. Adherence to the collaborative care intervention was low.Conclusions These results do not justify a widespread implementation of collaborative care in occupational healthcare, as it was operationalised in this study. However, since the study might have been underpowered for RTW and because treatment integrity was low, further research, with larger sample sizes, is needed to develop the best fitting (collaborative care) model for addressing RTW in depressed sick-listed workers.

U2 - 10.1136/oemed-2012-100793

DO - 10.1136/oemed-2012-100793

M3 - Article

VL - 70

SP - 223

EP - 230

JO - Journal of Occupational and Environmental Medicine

JF - Journal of Occupational and Environmental Medicine

SN - 1076-2752

IS - 4

ER -