Determining what constitutes an effective psychosocial ‘return to work’ intervention: a systematic review and narrative synthesis

Abstract Purpose Work can offer a myriad of social and health benefits. Long-term sick leave can be detrimental to employers, individuals, families, and societies. The burden of long-term sick leave has motivated the development of return to work (RTW) interventions. This study sought to determine w...

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Autores principales:	Anthony Venning, Tassia K. Oswald, Jeremy Stevenson, Nicci Tepper, Leva Azadi, Sharon Lawn, Paula Redpath
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Return to work Intervention Systematic review Psychosocial Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/28ebdb6eada94d9b8a3d7093e671e6c4
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spelling	oai:doaj.org-article:28ebdb6eada94d9b8a3d7093e671e6c42021-11-28T12:12:59ZDetermining what constitutes an effective psychosocial ‘return to work’ intervention: a systematic review and narrative synthesis10.1186/s12889-021-11898-z1471-2458https://doaj.org/article/28ebdb6eada94d9b8a3d7093e671e6c42021-11-01T00:00:00Zhttps://doi.org/10.1186/s12889-021-11898-zhttps://doaj.org/toc/1471-2458Abstract Purpose Work can offer a myriad of social and health benefits. Long-term sick leave can be detrimental to employers, individuals, families, and societies. The burden of long-term sick leave has motivated the development of return to work (RTW) interventions. This study sought to determine what constitutes an effective psychosocial RTW intervention, which included exploring whether the level of intervention intensity and intervention characteristics matter to RTW outcomes. Methods A systematic review and narrative synthesis were undertaken. Studies were identified through six databases (Ovid Medline, CINAHL (EBSCOhost), PsycInfo (Ovid), ProQuest, Scopus, and Google Scholar) between 2011 and 3 September 2019. Randomised controlled trials (RCTs) or reviews published in English were eligible for inclusion if they targeted adults who were on sick leave/unemployed trying to return to full-capacity employment, had at least one structured psychosocial RTW intervention, and assessed RTW. Study quality was assessed using checklists from the Joanna Briggs Institute. Results Database searching yielded 12,311 records. Eighteen RCTs (comprising 42 intervention/comparison groups), seven reviews (comprising 153 studies), and five grey literature documents were included. Included studies were of moderate-to-high quality. Research was primarily conducted in Europe and focused on psychological or musculoskeletal problems. RTW outcomes included RTW status, time until RTW, insurance claims, and sick days. Participating in a RTW program was superior to care-as-usual. RTW outcomes were similar between diverse interventions of low, moderate, and high intensity. Common foundational characteristics seen across effective RTW interventions included a focus on RTW, psychoeducation, and behavioural activation. Conclusions Evidence suggests that a low intensity approach to RTW interventions may be an appropriate first option before investment in high intensity, and arguably more expensive interventions, as the latter appear to provide limited additional benefit. More high-quality RCTs, from diverse countries, are needed to provide stronger evidence.Anthony VenningTassia K. OswaldJeremy StevensonNicci TepperLeva AzadiSharon LawnPaula RedpathBMCarticleReturn to workInterventionSystematic reviewPsychosocialPublic aspects of medicineRA1-1270ENBMC Public Health, Vol 21, Iss 1, Pp 1-25 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Return to work Intervention Systematic review Psychosocial Public aspects of medicine RA1-1270
spellingShingle	Return to work Intervention Systematic review Psychosocial Public aspects of medicine RA1-1270 Anthony Venning Tassia K. Oswald Jeremy Stevenson Nicci Tepper Leva Azadi Sharon Lawn Paula Redpath Determining what constitutes an effective psychosocial ‘return to work’ intervention: a systematic review and narrative synthesis
description	Abstract Purpose Work can offer a myriad of social and health benefits. Long-term sick leave can be detrimental to employers, individuals, families, and societies. The burden of long-term sick leave has motivated the development of return to work (RTW) interventions. This study sought to determine what constitutes an effective psychosocial RTW intervention, which included exploring whether the level of intervention intensity and intervention characteristics matter to RTW outcomes. Methods A systematic review and narrative synthesis were undertaken. Studies were identified through six databases (Ovid Medline, CINAHL (EBSCOhost), PsycInfo (Ovid), ProQuest, Scopus, and Google Scholar) between 2011 and 3 September 2019. Randomised controlled trials (RCTs) or reviews published in English were eligible for inclusion if they targeted adults who were on sick leave/unemployed trying to return to full-capacity employment, had at least one structured psychosocial RTW intervention, and assessed RTW. Study quality was assessed using checklists from the Joanna Briggs Institute. Results Database searching yielded 12,311 records. Eighteen RCTs (comprising 42 intervention/comparison groups), seven reviews (comprising 153 studies), and five grey literature documents were included. Included studies were of moderate-to-high quality. Research was primarily conducted in Europe and focused on psychological or musculoskeletal problems. RTW outcomes included RTW status, time until RTW, insurance claims, and sick days. Participating in a RTW program was superior to care-as-usual. RTW outcomes were similar between diverse interventions of low, moderate, and high intensity. Common foundational characteristics seen across effective RTW interventions included a focus on RTW, psychoeducation, and behavioural activation. Conclusions Evidence suggests that a low intensity approach to RTW interventions may be an appropriate first option before investment in high intensity, and arguably more expensive interventions, as the latter appear to provide limited additional benefit. More high-quality RCTs, from diverse countries, are needed to provide stronger evidence.
format	article
author	Anthony Venning Tassia K. Oswald Jeremy Stevenson Nicci Tepper Leva Azadi Sharon Lawn Paula Redpath
author_facet	Anthony Venning Tassia K. Oswald Jeremy Stevenson Nicci Tepper Leva Azadi Sharon Lawn Paula Redpath
author_sort	Anthony Venning
title	Determining what constitutes an effective psychosocial ‘return to work’ intervention: a systematic review and narrative synthesis
title_short	Determining what constitutes an effective psychosocial ‘return to work’ intervention: a systematic review and narrative synthesis
title_full	Determining what constitutes an effective psychosocial ‘return to work’ intervention: a systematic review and narrative synthesis
title_fullStr	Determining what constitutes an effective psychosocial ‘return to work’ intervention: a systematic review and narrative synthesis
title_full_unstemmed	Determining what constitutes an effective psychosocial ‘return to work’ intervention: a systematic review and narrative synthesis
title_sort	determining what constitutes an effective psychosocial ‘return to work’ intervention: a systematic review and narrative synthesis
publisher	BMC
publishDate	2021
url	https://doaj.org/article/28ebdb6eada94d9b8a3d7093e671e6c4
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Determining what constitutes an effective psychosocial ‘return to work’ intervention: a systematic review and narrative synthesis

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