Re-work Program in Japan—Overview and Outcome of the Program
Background: The objective of this study was to examine the effect of the Japanese re-work program (RP) to aid in recurrent sick leave prevention.Methods: A multicenter retrospective cohort research was conducted for workers who returned to work (RTW) after sick leave due to mood disorder. Work conti...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2021-01-01
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| Series: | Frontiers in Psychiatry |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpsyt.2020.616223/full |
| _version_ | 1818668052502282240 |
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| author | Yoko Ohki Yoko Ohki Yoshio Igarashi Yoshio Igarashi Yoshio Igarashi Keita Yamauchi |
| author_facet | Yoko Ohki Yoko Ohki Yoshio Igarashi Yoshio Igarashi Yoshio Igarashi Keita Yamauchi |
| author_sort | Yoko Ohki |
| collection | DOAJ |
| description | Background: The objective of this study was to examine the effect of the Japanese re-work program (RP) to aid in recurrent sick leave prevention.Methods: A multicenter retrospective cohort research was conducted for workers who returned to work (RTW) after sick leave due to mood disorder. Work continuation for subjects who RTW after RP participation and treatment as usual (TAU) and subjects who received TAU only were compared. The Kaplan–Meier method and Cox proportional hazard models were utilized. Additionally, propensity score matching was conducted to control for possible confounds.Results: Log-rank test of overall cohort (n = 323) showed that work continuation of RP + TAU subjects was significantly better compared to that of TAU-only subjects (p = 0.001). Multivariate analysis found a hazard rate of recurrent sick leave for TAU-only subjects of 2.121 (p = 0.001, 95% CI: 1.360–3.309). Additionally, the propensity score-matched cohort (n = 100) had similar differences (p = 0.008), with a hazard ratio of recurrent sick leave of 2.871 (p = 0.009, 95% CI: 1.302–6.331) for TAU-only subjects.Limitations: Only workers who RTW after sick leave were targeted, and no examination was made considering cases who dropped out from RP or TAU. Moreover, the sample was a non-randomized controlled trial, with propensity score matching performed. However, there was an inability to retrieve and adjust for working environment background factors after RTW.Conclusions: Work continuation of subjects with RP was observed to be significantly better, suggesting that the RP was effective for recurrent sick leave prevention. |
| first_indexed | 2024-12-17T06:30:11Z |
| format | Article |
| id | doaj.art-97b43153320442b8b2f6e137bbe7979f |
| institution | Directory Open Access Journal |
| issn | 1664-0640 |
| language | English |
| last_indexed | 2024-12-17T06:30:11Z |
| publishDate | 2021-01-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Psychiatry |
| spelling | doaj.art-97b43153320442b8b2f6e137bbe7979f2022-12-21T22:00:10ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402021-01-011110.3389/fpsyt.2020.616223616223Re-work Program in Japan—Overview and Outcome of the ProgramYoko Ohki0Yoko Ohki1Yoshio Igarashi2Yoshio Igarashi3Yoshio Igarashi4Keita Yamauchi5Keio Research Institute at SFC, Fujisawa, JapanTokyo Institute of Rework for Depression, Tokyo, JapanTokyo Institute of Rework for Depression, Tokyo, JapanMedical Care Ohtemachi Clinic, Tokyo, JapanJapanese Association of Rework for Depression, Tokyo, JapanGraduate School of Health Management, Keio University, Tokyo, JapanBackground: The objective of this study was to examine the effect of the Japanese re-work program (RP) to aid in recurrent sick leave prevention.Methods: A multicenter retrospective cohort research was conducted for workers who returned to work (RTW) after sick leave due to mood disorder. Work continuation for subjects who RTW after RP participation and treatment as usual (TAU) and subjects who received TAU only were compared. The Kaplan–Meier method and Cox proportional hazard models were utilized. Additionally, propensity score matching was conducted to control for possible confounds.Results: Log-rank test of overall cohort (n = 323) showed that work continuation of RP + TAU subjects was significantly better compared to that of TAU-only subjects (p = 0.001). Multivariate analysis found a hazard rate of recurrent sick leave for TAU-only subjects of 2.121 (p = 0.001, 95% CI: 1.360–3.309). Additionally, the propensity score-matched cohort (n = 100) had similar differences (p = 0.008), with a hazard ratio of recurrent sick leave of 2.871 (p = 0.009, 95% CI: 1.302–6.331) for TAU-only subjects.Limitations: Only workers who RTW after sick leave were targeted, and no examination was made considering cases who dropped out from RP or TAU. Moreover, the sample was a non-randomized controlled trial, with propensity score matching performed. However, there was an inability to retrieve and adjust for working environment background factors after RTW.Conclusions: Work continuation of subjects with RP was observed to be significantly better, suggesting that the RP was effective for recurrent sick leave prevention.https://www.frontiersin.org/articles/10.3389/fpsyt.2020.616223/fullreturn to worksick leavemood disordertreatment outcomeoccupational health |
| spellingShingle | Yoko Ohki Yoko Ohki Yoshio Igarashi Yoshio Igarashi Yoshio Igarashi Keita Yamauchi Re-work Program in Japan—Overview and Outcome of the Program Frontiers in Psychiatry return to work sick leave mood disorder treatment outcome occupational health |
| title | Re-work Program in Japan—Overview and Outcome of the Program |
| title_full | Re-work Program in Japan—Overview and Outcome of the Program |
| title_fullStr | Re-work Program in Japan—Overview and Outcome of the Program |
| title_full_unstemmed | Re-work Program in Japan—Overview and Outcome of the Program |
| title_short | Re-work Program in Japan—Overview and Outcome of the Program |
| title_sort | re work program in japan overview and outcome of the program |
| topic | return to work sick leave mood disorder treatment outcome occupational health |
| url | https://www.frontiersin.org/articles/10.3389/fpsyt.2020.616223/full |
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