We found a match
Your institution may have rights to this item. Sign in to continue.
- Title
Strengthened General Self-Efficacy with Multidisciplinary Vocational Rehabilitation in Women on Long-Term Sick Leave: A Randomised Controlled Trial.
- Authors
Andersén, Åsa; Larsson, Kjerstin; Lytsy, Per; Berglund, Erik; Kristiansson, Per; Anderzén, Ingrid
- Abstract
Purpose To investigate the effects of two vocational rehabilitation interventions on self-efficacy, for women on long-term sick leave ≥ 1 year due to chronic pain and/or mental illness. Methods This study uses data from a randomised controlled trial consisting of two phases and comprising 401 women on long-term sick leave. They were allocated to either (1) a multidisciplinary team assessment and multimodal intervention (TEAM), (2) acceptance and commitment therapy (ACT), or (3) control group. Data were collected through repeated measurements from self-reported questionnaires before intervention, 6 and 12 months later and registry data. Data from measurements of general self-efficacy, sociodemographics, anxiety and depression were analysed with linear regression analyses. Results During the intervention period, the women in the TEAM group’s self-efficacy mean increased from 2.29 to 2.74. The adjusted linear regression model, which included group allocation, sociodemographics, self-efficacy pre-treatment, anxiety and depression showed increased self-efficacy for those in the TEAM intervention at 12 months (B = 0.25, 95% CI 0.10-0.41). ACT intervention had no effect on self-efficacy at 12 months (B = 0.02, 95% CI − 0.16 to 0.19). The results in the adjusted model also showed that higher self-efficacy at pre-treatment was associated with a higher level of self-efficacy at 12 months (B = 0.68, 95% CI 0.54-0.81). Conclusion A multidisciplinary team assessment and multimodal intervention increased self-efficacy in women on sick leave for an extremely long time (mean 7.8 years) who had a low mean level of self-efficacy prior to inclusion. Thus, self-efficacy needs to be addressed in vocational rehabilitation.
- Subjects
CHRONIC pain; CONFIDENCE intervals; REHABILITATION of people with mental illness; QUESTIONNAIRES; REGRESSION analysis; RESEARCH funding; STATISTICAL sampling; SELF-efficacy; SICK leave; VOCATIONAL rehabilitation; WOMEN'S health; RANDOMIZED controlled trials; TREATMENT effectiveness; PRE-tests &; post-tests; REPEATED measures design; DATA analysis software; DESCRIPTIVE statistics; ONE-way analysis of variance
- Publication
Journal of Occupational Rehabilitation, 2018, Vol 28, Issue 4, p691
- ISSN
1053-0487
- Publication type
Article
- DOI
10.1007/s10926-017-9752-8