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Cost-Effectiveness of Acceptance and Commitment Therapy and a Workplace Intervention for Employees on Sickness Absence due to Mental Disorders.

Finnes, Anna (author)
Karolinska Institutet
Enebrink, Pia (author)
Karolinska Institutet
Sampaio, Filipa, PhD, 1985- (author)
Uppsala universitet,Socialmedicin/CHAP,Social medicine/CHAP
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Sorjonen, Kimmo (author)
Karolinska Institutet
Dahl, JoAnne (author)
Uppsala universitet,Institutionen för psykologi
Ghaderi, Ata (author)
Karolinska Institutet
Nager, Anna (author)
Karolinska Institutet
Feldman, Inna, 1951- (author)
Uppsala universitet,Socialmedicin/CHAP,Social medicine/CHAP
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 (creator_code:org_t)
2017
2017
English.
In: Journal of Occupational and Environmental Medicine. - 1076-2752 .- 1536-5948. ; 59:12, s. 1211-1220
  • Journal article (peer-reviewed)
Abstract Subject headings
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  • OBJECTIVE: The aim of this study was to evaluate cost-effectiveness of Acceptance and Commitment Therapy (ACT) and workplace dialogue intervention (WDI), both as stand-alone interventions and in combination, compared with treatment as usual (TAU), for employees on sickness absence with mental disorders.METHODS: Employees (n = 352, 78.4% females) on sickness absence were randomized to one of four groups. Cost-utility analyses were conducted from a health care perspective and a limited societal perspective.RESULTS: All groups reported significant improvements in health-related quality-of-life (HRQoL) and there were no significant differences in HRQoL or costs between groups. The probability of cost-effectiveness for ACT+WDI was 50% compared with ACT, indicating that both treatment alternatives could be considered equally favorable for decision-makers. TAU and WDI were rejected due to less economic efficiency.CONCLUSION: Adding WDI to ACT cannot be recommended on the basis of our study results.

Subject headings

SAMHÄLLSVETENSKAP  -- Psykologi (hsv//swe)
SOCIAL SCIENCES  -- Psychology (hsv//eng)

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