دورية أكاديمية
أعرض في EDS

Six-month cost-effectiveness of adding motivational interviewing or a stratified vocational advice intervention to usual case management for workers with musculoskeletal disorders: the MI-NAV economic evaluation.

التفاصيل البيبلوغرافية
العنوان: Six-month cost-effectiveness of adding motivational interviewing or a stratified vocational advice intervention to usual case management for workers with musculoskeletal disorders: the MI-NAV economic evaluation.
المؤلفون: Tingulstad A; Department of Rehabilitation and Health Technology, Centre for Intelligent Musculoskeletal Health, Oslo Metropolitan University, St.Olavs Plass, P.O. Box 4, Oslo, 0130, Norway. alting@oslomet.no., Maas ET; Department of Health Sciences, Faculty of Science, Vrije Universiteit Amsterdam, and the Amsterdam Movement Sciences Research Institute, de Boelelaan 1085, Amsterdam, 1081 HV, The Netherlands., Rysstad T; Department of Rehabilitation and Health Technology, Centre for Intelligent Musculoskeletal Health, Oslo Metropolitan University, St.Olavs Plass, P.O. Box 4, Oslo, 0130, Norway., Øiestad BE; Department of Rehabilitation and Health Technology, Centre for Intelligent Musculoskeletal Health, Oslo Metropolitan University, St.Olavs Plass, P.O. Box 4, Oslo, 0130, Norway., Aanesen F; National Institute of Occupational Health, Majorstuen, P.O. Box 5330, Oslo, 0304, Norway., Pripp AH; Department of Rehabilitation and Health Technology, Centre for Intelligent Musculoskeletal Health, Oslo Metropolitan University, St.Olavs Plass, P.O. Box 4, Oslo, 0130, Norway., Van Tulder MW; Faculty Behavioural and Movement Sciences, Vrije Universiteit Amsterdam, Van Der Boechorststraat 7, Amsterdam, 1081 BT, The Netherlands., Grotle M; Department of Rehabilitation and Health Technology, Centre for Intelligent Musculoskeletal Health, Oslo Metropolitan University, St.Olavs Plass, P.O. Box 4, Oslo, 0130, Norway.; Department of Research, Innovation and Education, Division of Clinical Neuroscience, Research and Communication Unit for Musculoskeletal Health (FORMI), Oslo University Hospital, Ullevål, Building 37B, P.O. Box 4956, Oslo, Nydalen, 0424, Norway.
المصدر: Journal of occupational medicine and toxicology (London, England) [J Occup Med Toxicol] 2023 Nov 14; Vol. 18 (1), pp. 25. Date of Electronic Publication: 2023 Nov 14.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: BioMed Central Country of Publication: England NLM ID: 101245790 Publication Model: Electronic Cited Medium: Print ISSN: 1745-6673 (Print) Linking ISSN: 17456673 NLM ISO Abbreviation: J Occup Med Toxicol Subsets: PubMed not MEDLINE
أسماء مطبوعة: Original Publication: [London] : BioMed Central, 2006-
مستخلص: Objectives: This study evaluates the six-month cost-effectiveness and cost-benefits of motivational interviewing (MI) or a stratified vocational advice intervention (SVAI) added to usual case management (UC) for workers on sick leave due to musculoskeletal disorders.
Methods: This study was conducted alongside a three-arm RCT including 514 employed workers on sick leave for at least 50% for ≥ 7 weeks. All participants received UC. The UC + MI group received two MI sessions, and the UC + SVAI group received 1-4 SVAI sessions. Sickness absence days, quality-adjusted life-years (QALYs), and societal costs were measured between baseline and six months.
Results: Adding MI to UC, resulted in incremental cost-reduction of -2580EUR (95%CI -5687;612), and a reduction in QALYs of -0.001 (95%CI -0.02;0.01). Secondly, adding MI to UC resulted in an incremental cost-reduction of -538EUR (95%CI -1358;352), and reduction of 5.08 (95%CI -3.3;13.5) sickness-absence days. Financial return estimates were positive, but not statistically significant. Adding SVAI to UC, resulted in an incremental cost-reduction of -2899 EUR (95% CI -5840;18), and a reduction in QALYs of 0.002 (95% CI -0.02;0.01). Secondly, adding SVAI to UC resulted in an statistically significant incremental cost-reduction of -695 EUR (95% CI -1459;-3), and a reduction of 7.9 (95% CI -0.04;15.9) sickness absence days. Financial return estimates were positive and statistically significant. The probabilities of cost-effectiveness for QALYs were high for adding MI or SVAI (ceiling ratio 0.90).
Conclusions: In comparison to UC only, adding MI to UC tends to be cost-effective. Adding SVAI to UC is cost-effective for workers on sick leave due to musculoskeletal disorders.
Trial Registration: ClinicalTrials.gov (identifier: NCT03871712).
(© 2023. The Author(s).)
References: Value Health. 2015 Mar;18(2):161-72. (PMID: 25773551)
BMC Musculoskelet Disord. 2020 Jul 28;21(1):496. (PMID: 32723318)
Stat Med. 2011 Feb 20;30(4):377-99. (PMID: 21225900)
J Occup Rehabil. 2018 Jun;28(2):252-264. (PMID: 28550417)
J Occup Rehabil. 2021 Mar;31(1):26-40. (PMID: 32495150)
Qual Life Res. 2011 Dec;20(10):1727-36. (PMID: 21479777)
J Occup Rehabil. 2023 Sep;33(3):463-472. (PMID: 36949254)
Disabil Rehabil. 2010;32(8):607-21. (PMID: 20205573)
Arch Phys Med Rehabil. 2017 Dec;98(12):2355-2363. (PMID: 28647549)
J Occup Rehabil. 2022 Jun;32(2):306-318. (PMID: 34606049)
Eur J Pain. 2021 Nov;25(10):2081-2093. (PMID: 34101299)
Health Policy. 2017 Jun;121(6):691-698. (PMID: 28461038)
Spine (Phila Pa 1976). 2013 Jun 1;38(13):1059-67. (PMID: 23429675)
Occup Environ Med. 2023 Jan;80(1):42-50. (PMID: 36428098)
Value Health. 2015 Sep;18(6):753-8. (PMID: 26409601)
Int Arch Occup Environ Health. 2006 Sep;79(8):654-64. (PMID: 16506042)
Pain. 2018 Jan;159(1):128-138. (PMID: 28976423)
Int J Environ Res Public Health. 2021 Sep 30;18(19):. (PMID: 34639624)
J Occup Environ Med. 2014 Jun;56(6):563-72. (PMID: 24854249)
J Occup Rehabil. 2021 Dec;31(4):675-698. (PMID: 33881671)
Health Econ. 2004 May;13(5):461-75. (PMID: 15127426)
Scand J Work Environ Health. 2007 Jun;33(3):161-4. (PMID: 17572826)
Lancet. 2020 Oct 17;396(10258):1204-1222. (PMID: 33069326)
Scand J Pain. 2022 Feb 14;22(2):325-335. (PMID: 35148473)
Spine (Phila Pa 1976). 2011 Oct 15;36(22):1891-5. (PMID: 21192286)
Best Pract Res Clin Rheumatol. 2015 Jun;29(3):356-73. (PMID: 26612235)
Value Health. 2019 Dec;22(12):1410-1416. (PMID: 31806198)
معلومات مُعتمدة: grant no. 280431 The Research Council of Norway; grant no. 280431 The Research Council of Norway; grant no. 280431 The Research Council of Norway; grant no. 280431 The Research Council of Norway; grant no. 280431 The Research Council of Norway
فهرسة مساهمة: Keywords: Economic evaluation; Randomized controlled trial; Return to work; Sick leave; Vocational rehabilitation
سلسلة جزيئية: ClinicalTrials.gov NCT03871712
تواريخ الأحداث: Date Created: 20231114 Latest Revision: 20231116
رمز التحديث: 20231116
مُعرف محوري في PubMed: PMC10644648
DOI: 10.1186/s12995-023-00394-2
PMID: 37964240
قاعدة البيانات: MEDLINE
الوصف
تدمد:1745-6673
DOI:10.1186/s12995-023-00394-2