The Danish national return-to-work program – aims, content, and design of the process and effect evaluation

The Danish national return-to-work (RTW) program aims to improve the management of municipal sickness benefit in Denmark. A study is currently ongoing to evaluate the RTW program. The purpose of this article is to describe the study protocol. The program includes 21 municipalities encompassing appro...

Full description

Bibliographic Details
Main Authors: Birgit Aust, Trine Helverskov, Maj Britt D Nielsen, Jakob Bue Bjorner, Reiner Rugulies, Karina Nielsen, Ole Henning Sørensen, Gry Grundtvig, Malene F Andersen, Jørgen V Hansen, Helle L Buchardt, Lisbeth Nielsen, Trine L Lund, Irene Andersen, Mogens H Andersen, Aksel S Clausen, Eskil Heinesen, Ole Steen Mortensen, John Ektor-Andersen, Palle Ørbæk, Glen Winzor, Ute Bültmann, Otto Melchior Poulsen
Format: Article
Language:English
Published: Nordic Association of Occupational Safety and Health (NOROSH) 2012-03-01
Series:Scandinavian Journal of Work, Environment & Health
Subjects:
Online Access: https://www.sjweh.fi/show_abstract.php?abstract_id=3272
_version_ 1818925099851448320
author Birgit Aust
Trine Helverskov
Maj Britt D Nielsen
Jakob Bue Bjorner
Reiner Rugulies
Karina Nielsen
Ole Henning Sørensen
Gry Grundtvig
Malene F Andersen
Jørgen V Hansen
Helle L Buchardt
Lisbeth Nielsen
Trine L Lund
Irene Andersen
Mogens H Andersen
Aksel S Clausen
Eskil Heinesen
Ole Steen Mortensen
John Ektor-Andersen
Palle Ørbæk
Glen Winzor
Ute Bültmann
Otto Melchior Poulsen
author_facet Birgit Aust
Trine Helverskov
Maj Britt D Nielsen
Jakob Bue Bjorner
Reiner Rugulies
Karina Nielsen
Ole Henning Sørensen
Gry Grundtvig
Malene F Andersen
Jørgen V Hansen
Helle L Buchardt
Lisbeth Nielsen
Trine L Lund
Irene Andersen
Mogens H Andersen
Aksel S Clausen
Eskil Heinesen
Ole Steen Mortensen
John Ektor-Andersen
Palle Ørbæk
Glen Winzor
Ute Bültmann
Otto Melchior Poulsen
author_sort Birgit Aust
collection DOAJ
description The Danish national return-to-work (RTW) program aims to improve the management of municipal sickness benefit in Denmark. A study is currently ongoing to evaluate the RTW program. The purpose of this article is to describe the study protocol. The program includes 21 municipalities encompassing approximately 19 500 working-age adults on long-term sickness absence, regardless of reason for sickness absence or employment status. It consists of three core elements: (i) establishment of multidisciplinary RTW teams, (ii) introduction of standardized workability assessments and sickness absence management procedures, and (iii) a comprehensive training course for the RTW teams. The effect evaluation is based on a parallel group randomized trial and a stratified cluster controlled trial and focuses on register-based primary outcomes – duration of sickness absence and RTW – and questionnaire-based secondary outcomes such as health and workability. The process evaluation utilizes questionnaires, interviews, and municipal data. The effect evaluation tests whether participants in the intervention have a (i) shorter duration of full-time sickness absence, (ii) longer time until recurrent long-term sickness absence, (iii) faster full RTW, (iv) more positive development in health, workability, pain, and sleep; it also tests whether the program is cost-effective. The process evaluation investigates: (i) whether the expected target population is reached; (ii) if the program is implemented as intended; (iii) how the beneficiaries, the RTW teams, and the external stakeholders experience the program; and (iv) whether contextual factors influenced the implementation. The program has the potential to contribute markedly to lowering human and economic costs and increasing labor force supply. First results will be available in 2013. The trial registrations are ISRCTN43004323, and ISRCTN51445682.
first_indexed 2024-12-20T02:35:51Z
format Article
id doaj.art-fd5eba56e1c24629bd251181632076a9
institution Directory Open Access Journal
issn 0355-3140
1795-990X
language English
last_indexed 2024-12-20T02:35:51Z
publishDate 2012-03-01
publisher Nordic Association of Occupational Safety and Health (NOROSH)
record_format Article
series Scandinavian Journal of Work, Environment & Health
spelling doaj.art-fd5eba56e1c24629bd251181632076a92022-12-21T19:56:27ZengNordic Association of Occupational Safety and Health (NOROSH)Scandinavian Journal of Work, Environment & Health0355-31401795-990X2012-03-0138212013310.5271/sjweh.32723272The Danish national return-to-work program – aims, content, and design of the process and effect evaluationBirgit Aust0Trine HelverskovMaj Britt D NielsenJakob Bue BjornerReiner RuguliesKarina NielsenOle Henning SørensenGry GrundtvigMalene F AndersenJørgen V HansenHelle L BuchardtLisbeth NielsenTrine L LundIrene AndersenMogens H AndersenAksel S ClausenEskil HeinesenOle Steen MortensenJohn Ektor-AndersenPalle ØrbækGlen WinzorUte BültmannOtto Melchior PoulsenNational Research Centre for the Working Environment, Lersø Parkalle 105, DK-2100 Copenhagen, Denmark.The Danish national return-to-work (RTW) program aims to improve the management of municipal sickness benefit in Denmark. A study is currently ongoing to evaluate the RTW program. The purpose of this article is to describe the study protocol. The program includes 21 municipalities encompassing approximately 19 500 working-age adults on long-term sickness absence, regardless of reason for sickness absence or employment status. It consists of three core elements: (i) establishment of multidisciplinary RTW teams, (ii) introduction of standardized workability assessments and sickness absence management procedures, and (iii) a comprehensive training course for the RTW teams. The effect evaluation is based on a parallel group randomized trial and a stratified cluster controlled trial and focuses on register-based primary outcomes – duration of sickness absence and RTW – and questionnaire-based secondary outcomes such as health and workability. The process evaluation utilizes questionnaires, interviews, and municipal data. The effect evaluation tests whether participants in the intervention have a (i) shorter duration of full-time sickness absence, (ii) longer time until recurrent long-term sickness absence, (iii) faster full RTW, (iv) more positive development in health, workability, pain, and sleep; it also tests whether the program is cost-effective. The process evaluation investigates: (i) whether the expected target population is reached; (ii) if the program is implemented as intended; (iii) how the beneficiaries, the RTW teams, and the external stakeholders experience the program; and (iv) whether contextual factors influenced the implementation. The program has the potential to contribute markedly to lowering human and economic costs and increasing labor force supply. First results will be available in 2013. The trial registrations are ISRCTN43004323, and ISRCTN51445682. https://www.sjweh.fi/show_abstract.php?abstract_id=3272 evaluationorganizational changeeconomic evaluationwork resumptiondesignlong-term sickness absencesickness absencereturn-to-workprocess evaluationrtweffect evaluationsickness absencereturn to workdenmarkintervention
spellingShingle Birgit Aust
Trine Helverskov
Maj Britt D Nielsen
Jakob Bue Bjorner
Reiner Rugulies
Karina Nielsen
Ole Henning Sørensen
Gry Grundtvig
Malene F Andersen
Jørgen V Hansen
Helle L Buchardt
Lisbeth Nielsen
Trine L Lund
Irene Andersen
Mogens H Andersen
Aksel S Clausen
Eskil Heinesen
Ole Steen Mortensen
John Ektor-Andersen
Palle Ørbæk
Glen Winzor
Ute Bültmann
Otto Melchior Poulsen
The Danish national return-to-work program – aims, content, and design of the process and effect evaluation
Scandinavian Journal of Work, Environment & Health
evaluation
organizational change
economic evaluation
work resumption
design
long-term sickness absence
sickness absence
return-to-work
process evaluation
rtw
effect evaluation
sickness absence
return to work
denmark
intervention
title The Danish national return-to-work program – aims, content, and design of the process and effect evaluation
title_full The Danish national return-to-work program – aims, content, and design of the process and effect evaluation
title_fullStr The Danish national return-to-work program – aims, content, and design of the process and effect evaluation
title_full_unstemmed The Danish national return-to-work program – aims, content, and design of the process and effect evaluation
title_short The Danish national return-to-work program – aims, content, and design of the process and effect evaluation
title_sort danish national return to work program aims content and design of the process and effect evaluation
topic evaluation
organizational change
economic evaluation
work resumption
design
long-term sickness absence
sickness absence
return-to-work
process evaluation
rtw
effect evaluation
sickness absence
return to work
denmark
intervention
url https://www.sjweh.fi/show_abstract.php?abstract_id=3272
work_keys_str_mv AT birgitaust thedanishnationalreturntoworkprogramaimscontentanddesignoftheprocessandeffectevaluation
AT trinehelverskov thedanishnationalreturntoworkprogramaimscontentanddesignoftheprocessandeffectevaluation
AT majbrittdnielsen thedanishnationalreturntoworkprogramaimscontentanddesignoftheprocessandeffectevaluation
AT jakobbuebjorner thedanishnationalreturntoworkprogramaimscontentanddesignoftheprocessandeffectevaluation
AT reinerrugulies thedanishnationalreturntoworkprogramaimscontentanddesignoftheprocessandeffectevaluation
AT karinanielsen thedanishnationalreturntoworkprogramaimscontentanddesignoftheprocessandeffectevaluation
AT olehenningsørensen thedanishnationalreturntoworkprogramaimscontentanddesignoftheprocessandeffectevaluation
AT grygrundtvig thedanishnationalreturntoworkprogramaimscontentanddesignoftheprocessandeffectevaluation
AT malenefandersen thedanishnationalreturntoworkprogramaimscontentanddesignoftheprocessandeffectevaluation
AT jørgenvhansen thedanishnationalreturntoworkprogramaimscontentanddesignoftheprocessandeffectevaluation
AT hellelbuchardt thedanishnationalreturntoworkprogramaimscontentanddesignoftheprocessandeffectevaluation
AT lisbethnielsen thedanishnationalreturntoworkprogramaimscontentanddesignoftheprocessandeffectevaluation
AT trinellund thedanishnationalreturntoworkprogramaimscontentanddesignoftheprocessandeffectevaluation
AT ireneandersen thedanishnationalreturntoworkprogramaimscontentanddesignoftheprocessandeffectevaluation
AT mogenshandersen thedanishnationalreturntoworkprogramaimscontentanddesignoftheprocessandeffectevaluation
AT akselsclausen thedanishnationalreturntoworkprogramaimscontentanddesignoftheprocessandeffectevaluation
AT eskilheinesen thedanishnationalreturntoworkprogramaimscontentanddesignoftheprocessandeffectevaluation
AT olesteenmortensen thedanishnationalreturntoworkprogramaimscontentanddesignoftheprocessandeffectevaluation
AT johnektorandersen thedanishnationalreturntoworkprogramaimscontentanddesignoftheprocessandeffectevaluation
AT palleørbæk thedanishnationalreturntoworkprogramaimscontentanddesignoftheprocessandeffectevaluation
AT glenwinzor thedanishnationalreturntoworkprogramaimscontentanddesignoftheprocessandeffectevaluation
AT utebultmann thedanishnationalreturntoworkprogramaimscontentanddesignoftheprocessandeffectevaluation
AT ottomelchiorpoulsen thedanishnationalreturntoworkprogramaimscontentanddesignoftheprocessandeffectevaluation
AT birgitaust danishnationalreturntoworkprogramaimscontentanddesignoftheprocessandeffectevaluation
AT trinehelverskov danishnationalreturntoworkprogramaimscontentanddesignoftheprocessandeffectevaluation
AT majbrittdnielsen danishnationalreturntoworkprogramaimscontentanddesignoftheprocessandeffectevaluation
AT jakobbuebjorner danishnationalreturntoworkprogramaimscontentanddesignoftheprocessandeffectevaluation
AT reinerrugulies danishnationalreturntoworkprogramaimscontentanddesignoftheprocessandeffectevaluation
AT karinanielsen danishnationalreturntoworkprogramaimscontentanddesignoftheprocessandeffectevaluation
AT olehenningsørensen danishnationalreturntoworkprogramaimscontentanddesignoftheprocessandeffectevaluation
AT grygrundtvig danishnationalreturntoworkprogramaimscontentanddesignoftheprocessandeffectevaluation
AT malenefandersen danishnationalreturntoworkprogramaimscontentanddesignoftheprocessandeffectevaluation
AT jørgenvhansen danishnationalreturntoworkprogramaimscontentanddesignoftheprocessandeffectevaluation
AT hellelbuchardt danishnationalreturntoworkprogramaimscontentanddesignoftheprocessandeffectevaluation
AT lisbethnielsen danishnationalreturntoworkprogramaimscontentanddesignoftheprocessandeffectevaluation
AT trinellund danishnationalreturntoworkprogramaimscontentanddesignoftheprocessandeffectevaluation
AT ireneandersen danishnationalreturntoworkprogramaimscontentanddesignoftheprocessandeffectevaluation
AT mogenshandersen danishnationalreturntoworkprogramaimscontentanddesignoftheprocessandeffectevaluation
AT akselsclausen danishnationalreturntoworkprogramaimscontentanddesignoftheprocessandeffectevaluation
AT eskilheinesen danishnationalreturntoworkprogramaimscontentanddesignoftheprocessandeffectevaluation
AT olesteenmortensen danishnationalreturntoworkprogramaimscontentanddesignoftheprocessandeffectevaluation
AT johnektorandersen danishnationalreturntoworkprogramaimscontentanddesignoftheprocessandeffectevaluation
AT palleørbæk danishnationalreturntoworkprogramaimscontentanddesignoftheprocessandeffectevaluation
AT glenwinzor danishnationalreturntoworkprogramaimscontentanddesignoftheprocessandeffectevaluation
AT utebultmann danishnationalreturntoworkprogramaimscontentanddesignoftheprocessandeffectevaluation
AT ottomelchiorpoulsen danishnationalreturntoworkprogramaimscontentanddesignoftheprocessandeffectevaluation