Randomised controlled trial of a brief, activating treatment by social workers and usual general practitioner care for patients with minor mental disorders leading to sickness absence

ISRCTN ISRCTN10342533
DOI https://doi.org/10.1186/ISRCTN10342533
Secondary identifying numbers 2200.0100
Submission date
30/06/2005
Registration date
25/08/2005
Last edited
24/09/2007
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Mental and Behavioural Disorders
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Not provided at time of registration

Contact information

Dr Peter Verhaak
Scientific

PO Box 1568
Utrecht
3513 CR
Netherlands

Phone +31 (0)30 272 9735
Email p.verhaak@nivel.nl

Study information

Study designRandomised controlled trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Not specified
Study typeTreatment
Scientific title
Study objectivesIs a brief, activating treatment by social workers more successful in reducing long term absenteeism and in increasing patient well-being than General Practitioners' (GPs') usual care in patients with minor mental disorders ((e.g. mild depression, generalised anxiety disorder, adjustment disorder) who are on sick leave?
Ethics approval(s)Not provided at time of registration
Health condition(s) or problem(s) studiedMinor mental disorders
InterventionUsual GP care or five sessions in ten weeks with a social worker trained in the technique, including homework assignments and a focus on early work resumption. The main aims of the experimental treatment were:
1. To focus on the most recent and actual problems
2. To regain functionality and control
3. To resume work as early as possible
Intervention typeOther
Primary outcome measureThe groups did not differ at baseline, nor after three, six or 18 months with respect to levels of depression, anxiety, somatisation, distress, functional status or sick leave duration. In both groups, well-being improved significantly in the first months after baseline, regardless of treatment.
Secondary outcome measuresPatients who received the brief activating treatment by social workers reported higher satisfaction than patients who received GPs' usual care.
Overall study start date05/03/2001
Completion date31/10/2005

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
SexBoth
Target number of participants370 primary care patients
Key inclusion criteriaIncluded were primary care patients who:
1. Were suffering from minor mental disorder(s) according to GP and patient
2. Had paid employment
3. Were on sick leave or planning to be directly after visit to GP, but had not been on sick leave for longer than three months
4. Were aged 18 to 60 years
5. Were Dutch speaking
Key exclusion criteriaExcluded were patients who were already receiving psychotherapy, or who, according to the Composite International Diagnostic Interview (CIDI), had a Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) diagnosis of:
1. Moderately severe or severe mood disorder
2. Agoraphobia
3. Panic disorder
4. Social phobia
Date of first enrolment05/03/2001
Date of final enrolment31/10/2005

Locations

Countries of recruitment

  • Netherlands

Study participating centre

PO Box 1568
Utrecht
3513 CR
Netherlands

Sponsor information

The Netherlands Organisation for Health Research and Development (ZonMw) (The Netherlands)
Research organisation

Laan van Nieuw Oost Indië 334
PO Box 93245
The Hague
2509 AE
Netherlands

Phone +31 (0)70 349 5111
Email info@zonmw.nl
Website http://www.zonmw.nl
ROR logo "ROR" https://ror.org/01yaj9a77

Funders

Funder type

Research organisation

The Netherlands Organisation for Health Research and Development (ZonMw) (The Netherlands) (ref: 2200.0100)

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article 01/04/2007 Yes No