Multidisciplinary collaborative care for depressive disorder in the occupational health setting: Design of a randomised controlled trial and cost-effectiveness study | Knowledge Translation for Employment Research Center

Authors:	Vocational rehabilitation of participants with severe substance use disorders in a VA Veterans Industries Program
Year Published	2008
Publication	BMC Health Services Research
Volume	8
Number	99
Pages	63-72
Publisher	BioMed Central
Background	Major depressive disorder (MDD) has major consequences for both patients and society, particularly in terms of needlessly long sick leave and reduced functioning. Although evidence-based treatments for MDD are available, they show disappointing results when implemented in daily practice. A focus on work is also lacking in the treatment of depressive disorder as well as communication of general practitioners (GPs) and other healthcare professionals with occupational physicians (OPs). The OP may play a more important role in the recovery of patients with MDD.
Purpose	The purpose of the study was to apply a collaborative care model, which has proven to be effective in the USA, with a focus on return to work (RTW). From a societal perspective, the (cost) effectiveness of this collaborative care treatment, as a way of transmural care, will be evaluated in depressed patients on sick leave in the occupational health setting.
Setting	The setting is an occupational health program in the Netherlands.
Sample	The study sample includes 126 patients with major depressive disorder.
Data Collection	Data will be collected by means of questionnaires at baseline and at 3, 6, 9 and 12 months after baseline. Primary outcome measure is reduction of depressive symptoms, secondary outcome measure is time to RTW, tertiary outcome measure is the cost effectiveness.
Control	There was no comparison or control group.
Findings	The study is 4 years and ongoing.
Conclusions	The high prevalence and burden of MDD, the high level of sickness absence among people with MDD and the negative consequences of prolonged sickness absence for patients as well as society contribute to the relevance of this study. Purpose of this study is to not only reduce depressive symptoms, but also to achieve an earlier, long-lasting RTW.
URL	http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2390533/
Disabilities	Emotional disturbance
Populations	Male & Female
Outcomes	Return to work
NIDILRR Funded	No
Research Design	Randomized Controlled Trials (RCTs)
Peer Reviewed	Yes

Year Published

2008

Publication

BMC Health Services Research

Volume

8

Number

99

Pages

63-72

Publisher

BioMed Central

Background

Major depressive disorder (MDD) has major consequences for both patients and society, particularly in terms of needlessly long sick leave and reduced functioning. Although evidence-based treatments for MDD are available, they show disappointing results when implemented in daily practice. A focus on work is also lacking in the treatment of depressive disorder as well as communication of general practitioners (GPs) and other healthcare professionals with occupational physicians (OPs). The OP may play a more important role in the recovery of patients with MDD.

Purpose

The purpose of the study was to apply a collaborative care model, which has proven to be effective in the USA, with a focus on return to work (RTW). From a societal perspective, the (cost) effectiveness of this collaborative care treatment, as a way of transmural care, will be evaluated in depressed patients on sick leave in the occupational health setting.

Setting

The setting is an occupational health program in the Netherlands.

Sample

The study sample includes 126 patients with major depressive disorder.

Data Collection

Data will be collected by means of questionnaires at baseline and at 3, 6, 9 and 12 months after baseline. Primary outcome measure is reduction of depressive symptoms, secondary outcome measure is time to RTW, tertiary outcome measure is the cost effectiveness.

Control

There was no comparison or control group.

Findings

The study is 4 years and ongoing.

Conclusions

The high prevalence and burden of MDD, the high level of sickness absence among people with MDD and the negative consequences of prolonged sickness absence for patients as well as society contribute to the relevance of this study. Purpose of this study is to not only reduce depressive symptoms, but also to achieve an earlier, long-lasting RTW.

URL

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2390533/

Disabilities

Emotional disturbance

Populations

Male & Female

Outcomes

Return to work

NIDILRR Funded

No

Research Design

Randomized Controlled Trials (RCTs)

Peer Reviewed

Yes