Evaluating the Effectiveness of Return-to-Work Interventions for Individuals with Work-Related Mental Health Conditions: A Systematic Review and Meta-Analysis

<span>The workplace is a vital setting to support positive mental health. Mental health conditions in the workforce contribute to decreased work engagement and participation. There is existing literature on return-to-work (RTW) interventions for individuals with work-related mental health cond...

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Main Authors: Behdin Nowrouzi-Kia, Pablo Garrido, Basem Gohar, Amin Yazdani, Vijay Kumar Chattu, Ali Bani-Fatemi, Aaron Howe, Andrea Duncan, Maria Paz Riquelme, Faizah Abdullah, Sharan Jaswal, Joyce Lo, Yusra Fayyaz, Bushra Alam
Format: Article
Language:English
Published: MDPI AG 2023-05-01
Series:Healthcare
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Online Access:https://www.mdpi.com/2227-9032/11/10/1403
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author Behdin Nowrouzi-Kia
Pablo Garrido
Basem Gohar
Amin Yazdani
Vijay Kumar Chattu
Ali Bani-Fatemi
Aaron Howe
Andrea Duncan
Maria Paz Riquelme
Faizah Abdullah
Sharan Jaswal
Joyce Lo
Yusra Fayyaz
Bushra Alam
author_facet Behdin Nowrouzi-Kia
Pablo Garrido
Basem Gohar
Amin Yazdani
Vijay Kumar Chattu
Ali Bani-Fatemi
Aaron Howe
Andrea Duncan
Maria Paz Riquelme
Faizah Abdullah
Sharan Jaswal
Joyce Lo
Yusra Fayyaz
Bushra Alam
author_sort Behdin Nowrouzi-Kia
collection DOAJ
description <span>The workplace is a vital setting to support positive mental health. Mental health conditions in the workforce contribute to decreased work engagement and participation. There is existing literature on return-to-work (RTW) interventions for individuals with work-related mental health conditions, however, there lacks consensus on their effectiveness.</span> <span>Therefore, the primary aim of this systematic review was to synthesize the literature and evaluate the effectiveness of return-to-work interventions on return-to-work rates, quality of life, and psychological wellbeing for individuals with work-related mental health conditions. Selected articles were organized and identified using the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines and the Population/Intervention/Comparison/Outcome (PICO) framework. Quality assessment of the included studies was completed using the Critical Appraisal Skills Programme randomized controlled trials checklist and the Joanna Briggs Institute quasi-experimental studies checklist. A random effects meta-analysis model was performed using DerSimonian-Laird weighting to calculate standard mean difference and risk ratios to assess the impact of RTW interventions on return-to-work rates, absenteeism, stress symptoms, depression symptoms, and quality of life. A total of 28 out of 26,153 articles met the inclusion criteria. Diagnoses for participants in the studies ranged from work-related stress to work-related PTSD following exposure to a psychologically traumatizing event in the workplace. No significant differences were found for the meta-analyses examining return-to-work rates, absenteeism, depression, stress, and quality of life. The most effective interventions were found to be a multi-domain intervention (67% of participants RTW full time) and a health-focused intervention (85% RTW rate). Future research may consider establishing effective interventions to develop programs or policies supporting the RTW of employees and promote mental well-being among employees experiencing work-related mental health conditions.</span>
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spelling doaj.art-44007337601545db838df149278cf8c22023-11-18T01:31:51ZengMDPI AGHealthcare2227-90322023-05-011110140310.3390/healthcare11101403Evaluating the Effectiveness of Return-to-Work Interventions for Individuals with Work-Related Mental Health Conditions: A Systematic Review and Meta-AnalysisBehdin Nowrouzi-Kia0Pablo Garrido1Basem Gohar2Amin Yazdani3Vijay Kumar Chattu4Ali Bani-Fatemi5Aaron Howe6Andrea Duncan7Maria Paz Riquelme8Faizah Abdullah9Sharan Jaswal10Joyce Lo11Yusra Fayyaz12Bushra Alam13Department of Occupational Science and Occupational Therapy, Temerty Faculty of Medicine, University of Toronto, 500 University Avenue, Toronto, ON M5G 1V7, CanadaEscuela de Psicología, Universidad de Valparaíso, Hontaneda 2653, Valparaíso 2341369, ChileCentre for Research in Occupational Safety & Health, Laurentian University, 935 Ramsey Lake Rd, Sudbury, ON P3E 2C6, CanadaCanadian Institute for Safety, Wellness, and Performance, School of Business, Conestoga College Institute of Technology and Advanced Learning, 299 Doon Valley Drive, Kitchener, ON N2G 4M4, CanadaDepartment of Occupational Science and Occupational Therapy, Temerty Faculty of Medicine, University of Toronto, 500 University Avenue, Toronto, ON M5G 1V7, CanadaDepartment of Occupational Science and Occupational Therapy, Temerty Faculty of Medicine, University of Toronto, 500 University Avenue, Toronto, ON M5G 1V7, CanadaDepartment of Occupational Science and Occupational Therapy, Temerty Faculty of Medicine, University of Toronto, 500 University Avenue, Toronto, ON M5G 1V7, CanadaDepartment of Occupational Science and Occupational Therapy, Temerty Faculty of Medicine, University of Toronto, 500 University Avenue, Toronto, ON M5G 1V7, CanadaEscuela de Psicología, Universidad de Valparaíso, Hontaneda 2653, Valparaíso 2341369, ChileDepartment of Occupational Science and Occupational Therapy, Temerty Faculty of Medicine, University of Toronto, 500 University Avenue, Toronto, ON M5G 1V7, CanadaDepartment of Occupational Science and Occupational Therapy, Temerty Faculty of Medicine, University of Toronto, 500 University Avenue, Toronto, ON M5G 1V7, CanadaDepartment of Occupational Science and Occupational Therapy, Temerty Faculty of Medicine, University of Toronto, 500 University Avenue, Toronto, ON M5G 1V7, CanadaDepartment of Occupational Science and Occupational Therapy, Temerty Faculty of Medicine, University of Toronto, 500 University Avenue, Toronto, ON M5G 1V7, CanadaDepartment of Occupational Science and Occupational Therapy, Temerty Faculty of Medicine, University of Toronto, 500 University Avenue, Toronto, ON M5G 1V7, Canada<span>The workplace is a vital setting to support positive mental health. Mental health conditions in the workforce contribute to decreased work engagement and participation. There is existing literature on return-to-work (RTW) interventions for individuals with work-related mental health conditions, however, there lacks consensus on their effectiveness.</span> <span>Therefore, the primary aim of this systematic review was to synthesize the literature and evaluate the effectiveness of return-to-work interventions on return-to-work rates, quality of life, and psychological wellbeing for individuals with work-related mental health conditions. Selected articles were organized and identified using the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines and the Population/Intervention/Comparison/Outcome (PICO) framework. Quality assessment of the included studies was completed using the Critical Appraisal Skills Programme randomized controlled trials checklist and the Joanna Briggs Institute quasi-experimental studies checklist. A random effects meta-analysis model was performed using DerSimonian-Laird weighting to calculate standard mean difference and risk ratios to assess the impact of RTW interventions on return-to-work rates, absenteeism, stress symptoms, depression symptoms, and quality of life. A total of 28 out of 26,153 articles met the inclusion criteria. Diagnoses for participants in the studies ranged from work-related stress to work-related PTSD following exposure to a psychologically traumatizing event in the workplace. No significant differences were found for the meta-analyses examining return-to-work rates, absenteeism, depression, stress, and quality of life. The most effective interventions were found to be a multi-domain intervention (67% of participants RTW full time) and a health-focused intervention (85% RTW rate). Future research may consider establishing effective interventions to develop programs or policies supporting the RTW of employees and promote mental well-being among employees experiencing work-related mental health conditions.</span>https://www.mdpi.com/2227-9032/11/10/1403workplacemental healthreturn to workinterventionsystematic reviewmeta-analysis
spellingShingle Behdin Nowrouzi-Kia
Pablo Garrido
Basem Gohar
Amin Yazdani
Vijay Kumar Chattu
Ali Bani-Fatemi
Aaron Howe
Andrea Duncan
Maria Paz Riquelme
Faizah Abdullah
Sharan Jaswal
Joyce Lo
Yusra Fayyaz
Bushra Alam
Evaluating the Effectiveness of Return-to-Work Interventions for Individuals with Work-Related Mental Health Conditions: A Systematic Review and Meta-Analysis
Healthcare
workplace
mental health
return to work
intervention
systematic review
meta-analysis
title Evaluating the Effectiveness of Return-to-Work Interventions for Individuals with Work-Related Mental Health Conditions: A Systematic Review and Meta-Analysis
title_full Evaluating the Effectiveness of Return-to-Work Interventions for Individuals with Work-Related Mental Health Conditions: A Systematic Review and Meta-Analysis
title_fullStr Evaluating the Effectiveness of Return-to-Work Interventions for Individuals with Work-Related Mental Health Conditions: A Systematic Review and Meta-Analysis
title_full_unstemmed Evaluating the Effectiveness of Return-to-Work Interventions for Individuals with Work-Related Mental Health Conditions: A Systematic Review and Meta-Analysis
title_short Evaluating the Effectiveness of Return-to-Work Interventions for Individuals with Work-Related Mental Health Conditions: A Systematic Review and Meta-Analysis
title_sort evaluating the effectiveness of return to work interventions for individuals with work related mental health conditions a systematic review and meta analysis
topic workplace
mental health
return to work
intervention
systematic review
meta-analysis
url https://www.mdpi.com/2227-9032/11/10/1403
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