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Long-term effect of...
Long-term effect of a care manager on work ability for patients with depression - the PRIM-CARE RCT
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- Petersson, Eva-Lisa (author)
- Univ Gothenburg, Sahlgrenska Acad, Inst Med, Primary Hlth Care,Dept Publ Hlth & Community Med, Gothenburg, Sweden.;Reg Vastra Gotaland, Primary Hlth Care, Res Educ Dev & Innovat, Gothenburg, Sweden.,Sahlgrenska Akademin, Göteborgs universitet; Region Västra Götaland
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- Hange, Dominique (author)
- Univ Gothenburg, Sahlgrenska Acad, Inst Med, Primary Hlth Care,Dept Publ Hlth & Community Med, Gothenburg, Sweden.;Reg Vastra Gotaland, Primary Hlth Care, Res Educ Dev & Innovat, Gothenburg, Sweden.,Sahlgrenska Akademin, Göteborgs universitet; Region Västra Götaland
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- Udo, Camilla (author)
- Högskolan Dalarna,Uppsala universitet,Centrum för klinisk forskning Dalarna,Dalarna Univ, Sch Educ Hlth & Social Studies, Falun, Sweden.,Socialt arbete,Center for Clinical Research Dalarna, Uppsala Universitet
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- Bjorkelund, Cecilia (author)
- Univ Gothenburg, Sahlgrenska Acad, Inst Med, Primary Hlth Care,Dept Publ Hlth & Community Med, Gothenburg, Sweden.;Reg Vastra Gotaland, Primary Hlth Care, Res Educ Dev & Innovat, Gothenburg, Sweden.,Sahlgrenska Akademin, Göteborgs universitet; Region Västra Götaland
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- Svenningsson, Irene (author)
- Univ Gothenburg, Sahlgrenska Acad, Inst Med, Primary Hlth Care,Dept Publ Hlth & Community Med, Gothenburg, Sweden.;Reg Vastra Gotaland, Primary Hlth Care, Res Educ Dev & Innovat, Gothenburg, Sweden.,Sahlgrenska Akademin, Göteborgs universitet; Region Västra Götaland
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Univ Gothenburg, Sahlgrenska Acad, Inst Med, Primary Hlth Care,Dept Publ Hlth & Community Med, Gothenburg, Sweden;Reg Vastra Gotaland, Primary Hlth Care, Res Educ Dev & Innovat, Gothenburg, Sweden. Sahlgrenska Akademin, Göteborgs universitet; Region Västra Götaland (creator_code:org_t)
- IOS Press, 2022
- 2022
- English.
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In: Work. - : IOS Press. - 1051-9815 .- 1875-9270. ; 72:2, s. 601-609
- Related links:
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https://urn.kb.se/re...
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https://doi.org/10.3...
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https://urn.kb.se/re...
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Abstract
Subject headings
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- BACKGROUND: Collaborative care with a care manager in primary care improves care. OBJECTIVE: To study whether care manager support leads to improved work ability, decreased job strain and reduced time of sick leave among primary care patients with depression. METHODS: A clinical effectiveness study of care managers for depression patients seeking care in primary care was conducted in a RCT 2014 - 2016. Patients in the intervention group were assigned a care manager. In the 12-month followup, patients with employment (n = 269; intervention n = 142, control n = 127) were studied concerning work ability, job strain and sick leave. RESULTS: An association was shown between reduction of depressive symptoms and improved work ability for the entire group. At 12-month follow-up a statistically significant difference of reduction of depressive symptoms was seen between the groups (MADRS-S: intervention 10.8 vs control 13.1, p = 0.05) as well as increased quality of life (EQ-5D: intervention 0.77 vs control 0.70, p = 0.04). In the intervention group, a concordance was found between the patient's prediction of return to work and the actual return to work (91% for intervention and 68 % for control group, p = 0.047). CONCLUSIONS: Compared to usual care, the care manager does not seem to further improve perception of work ability, job strain or perception of social support per se among the patients despite a long-term effect on depression symptoms. The lack of a long-term effect regarding these aspects may be due to the fact that care manager support was only provided during the first three months.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Allmänmedicin (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- General Practice (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Omvårdnad (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Nursing (hsv//eng)
- SAMHÄLLSVETENSKAP -- Sociologi -- Socialt arbete (hsv//swe)
- SOCIAL SCIENCES -- Sociology -- Social Work (hsv//eng)
Keyword
- Primary health care
- job strain
- work ability index
- return to work
- depression
Publication and Content Type
- ref (subject category)
- art (subject category)
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