Article

OBJECTIVE: To assess the predictive effect of a multidisciplinary intervention
programme, pain, work-related factors and health, including anxiety/depression
and beliefs, on return-to-work for patients sick-listed due to musculoskeletal
pain. DESIGN: A randomized clinical study. METHODS:
A total of 284 patients were
randomized to either a multidisciplinary intervention programme (n = 141) or to a
less resource-demanding brief intervention (n = 143). Work participation was
estimated monthly from register data for 12 months. Return-to-work was defined as
increased work participation in 3 consecutive months. RESULTS: In the adjusted
model, return-to-work by 3 months was associated with a multidisciplinary
intervention programme (odds ratio (OR) = 2.7, 95% confidence interval (95% CI) =
1.1-6.9), the factor "belief that work was cause of the pain" (OR = 2.2, 95% CI =
1.1-4.3), anxiety and depression (OR = 0.5, 95% CI = 0.2-0.98), and by an
interaction between the multidisciplinary intervention and perceived support at
work (OR = 0.3, 95% CI = 0.1-0.9). At 12 months, only duration of sick leave was
associated with return-to-work (OR = 0.6, 95% CI = 0.5-0.8). CONCLUSION:
Multidisciplinary intervention may hasten return-to-work and benefit those who
perceive low support at work, but at 12 months only duration of sick leave at
baseline was associated with return-to-work.

Langue : ANGLAIS