This trial is active, not recruiting.

Conditions mental disorders, back pain, anxiety, depression
Treatments the new atwork intervention, the original atwork intervention
Sponsor Uni Research
Collaborator The Hospital of Vestfold
Start date January 2015
End date December 2016
Trial size 1000 participants
Trial identifier NCT02396797, 9747


Mental disorders is one of the most frequent causes of long-term sick leave and disability pensions in Norway, and there is a need for a comprehensive, coordinated response from health and social sectors at the country level to address the burden of mental disorders. The aim of this project is to investigate if a workplace intervention with the aim to increase coping of common mental health complaints and social support can reduce sick leave and improve health.

United States No locations recruiting
Other countries No locations recruiting

Study Design

Allocation randomized
Intervention model parallel assignment
Masking open label
Primary purpose prevention
The intervention group will receive the new atWork intervention, which include a management course and workplace courses for all employees targeting mental health complaints and musculoskeletal complaints.
the new atwork intervention
atWork is a cognitive intervention, and uses a nondirective delivery approach. It does not prescribe any change in lifestyle, but aims at establishing an understanding of common complaints and what to do when pain and health complaints occur. All information is based on the non-injury model, where pain and complaints are not signs of injury caused by wrongdoing or "inappropriate" behavior. The consistent take home message from all parts of the intervention is that keeping up usual activities, including going to work, is beneficial for health and recovery. This group will receive one management course, two workplace courses for all employees targeting mild mental disorders and nonspecific musculoskeletal complaints, and one reflection and review meeting.
(Active Comparator)
The control group will receive the original atWork intervention, targeting musculoskeletal complaint, and peer support.
the original atwork intervention
This group will receive three workplace courses for all employees targeting nonspecific musculoskeletal complaints, and peer support. Peer support involves selecting a peer advisor at the workplace. A peer advisor is a fellow worker without former medical training who as part of the atWork intervention receive more in-depth medical knowledge and training about nonspecific musculoskeletal complaints. The peer advisors role is to give social support and to use their local knowledge of the work place to facilitate staying at work for colleagues with health complaints.

Primary Outcomes

Sick leave, unit level
time frame: 1 year

Secondary Outcomes

Coping Expectancies; Theoretically Originated Measure of the Cognitive Activation Theory of Stress, TOMCATS
time frame: 1 year
Health; self-rated health, Subjective Health Complaints Inventory, SHC, Hopkins Symptom Checklist, HSCL-10
time frame: 1 year
Job Satisfaction; Global Job Satisfaction, GJO, Demand-Control-Support-Questionnaire, short Swedish version
time frame: 1 year
Social Support; Non directive and Directive Support Survey, NDSS-16.
time frame: 1 year

Eligibility Criteria

Male or female participants from 18 years up to 67 years old.

Inclusion Criteria: - Norwegian primary education unit. - Participants must be employed in one of the Norwegian primary education units participating in the study. - Participants must have sufficient Norwegian reading and writing skills. Exclusion Criteria: - The organization has received the atWork intervention at an earlier time. - Participants are not employed in one of the participating organizations. - Participants do not have sufficient Norwegian reading and writing skills.

Additional Information

Official title Effect Evaluation of a Workplace Intervention Targeting Subjective Health Complaints on Sick Leave, Coping, Health, Job Satisfaction and Social Support
Principal investigator Torill H Tveito, PhD
Description The atWork intervention was established in 2007 as a new stepped-care approach to musculoskeletal complaints. The intervention consisted of workplace information meetings about musculoskeletal complaint to all employees and peer support. The atWork intervention targeting musculoskeletal complaints reduced sick leave and improved health in a randomized controlled trial. The atWork intervention has now been further developed with the aim to increase effect on sick leave and health. The intervention is now extended to include information about mental health complaints, in addition to a management course. The major societal costs and the negative consequences common mental health complaints induce underline the importance of testing if atWork is an effective way of reducing these consequences.
Trial information was received from ClinicalTrials.gov and was last updated in August 2016.
Information provided to ClinicalTrials.gov by Uni Research.