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Protocol for a feasibility randomised controlled study of a multicomponent intervention to promote a sustainable return to work of workers on long-term sick leave — PROWORK : PROmoting a Sustainable and Healthy Return to WORK

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Varela-Mato, Veronica, Godfree, Kate, Adem, Anwar, Blake, Holly, Bartle, Craig, Daly, Guy, Hassard, Juliet, Kneller, Richard, Meyer, Caroline, Russell, Sean, Marwaha, Steven, Kershaw, Charlotte, Newman, Kristina, Yarker, Joanna, Thomson, Louise and Munir, Fehmidah (2022) Protocol for a feasibility randomised controlled study of a multicomponent intervention to promote a sustainable return to work of workers on long-term sick leave — PROWORK : PROmoting a Sustainable and Healthy Return to WORK. Pilot and Feasibility Studies, 8 (1). 188. doi:10.1186/s40814-022-01143-8 ISSN 2055-5784.

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Official URL: https://doi.org/10.1186/s40814-022-01143-8

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Abstract

Background: The cost of sickness absence has major social, psychological and financial implications for individuals and organisations. Return-to-work (RTW) interventions that support good quality communication and contact with the workplace can reduce the length of sickness absence by between 15 and 30 days. However, initiatives promoting a sustainable return to work for workers with poor mental health on long-term sickness absence across small, medium and large enterprises (SMEs and LEs) are limited. This paper describes the protocol of a pilot randomised controlled trial (RCT) to test the feasibility of implementing a RTW intervention across SMEs and LEs across all sectors. Methods and design: A two-arm feasibility RCT with a 4-month intervention will be conducted in SMEs and LE enterprises from the Midlands region, UK. At least 8 organisations (4 controls and interventions), and at least 60 workers and/or managers, will be recruited and randomised into the intervention and control group (30 interventions, 30 controls). Workers on long-term sickness absence (LTSA) (between 8 and 50 days) and managers with a worker on LTSA will be eligible to participate. The intervention is a behavioural change programme, including a managers and workers RTW toolkit, focused on supporting sickness absence and RTW through the provision of knowledge, problem-solving, action planning, goal setting and positive communication that leads to a sustainable RTW. Organisations assigned to the control group will continue with their usual practice. Measurements of mental health, RTW, work outcomes, quality-of-life, workplace support and communication and other demographic data will be taken at baseline, 2 months and 4 months. Feasibility will be assessed based on recruitment, retention, attrition, completion of measures and intervention compliance for which specific process and research outcomes have been established. A process evaluation will explore the experiences and acceptability of the intervention components and evaluation measures. Exploratory economic evaluation will be conducted to further inform a definitive trial. Discussion: This is a novel intervention using a worker-manager approach to promote a sustainable return to work of workers on long-term sick leave due to poor mental wellbeing. If this intervention is shown to be feasible, the outcomes will inform a larger scale randomised control trial. Trial registration: ISRCTN90032009 (retrospectively registered, date registered 15th December 2020)

Item Type: Journal Article
Divisions: Administration > University Executive Office
Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School
SWORD Depositor: Library Publications Router
Journal or Publication Title: Pilot and Feasibility Studies
Publisher: BioMed Central
ISSN: 2055-5784
Official Date: 19 August 2022
Dates:
DateEvent
19 August 2022Published
1 August 2022Accepted
Volume: 8
Number: 1
Article Number: 188
DOI: 10.1186/s40814-022-01143-8
Status: Peer Reviewed
Publication Status: Published
Access rights to Published version: Open Access (Creative Commons)
Date of first compliant deposit: 21 September 2022
Date of first compliant Open Access: 21 September 2022
Related URLs:
  • http://creativecommons.org/licenses/by/4...

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