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Anderzén, I, Associate professor
Alternative names
Publications (10 of 47) Show all publications
Andersén, Å., Larsson, K., Lytsy, P., Berglund, E., Kristiansson, P. & Anderzén, I. (2018). Strengthened General Self-Efficacy with Multidisciplinary Vocational Rehabilitation in Women on Long-Term Sick Leave: A Randomised Controlled Trial. Journal of occupational rehabilitation
Open this publication in new window or tab >>Strengthened General Self-Efficacy with Multidisciplinary Vocational Rehabilitation in Women on Long-Term Sick Leave: A Randomised Controlled Trial
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2018 (English)In: Journal of occupational rehabilitation, ISSN 1053-0487, E-ISSN 1573-3688Article in journal (Refereed) Epub ahead of print
Abstract [en]

Purpose To investigate the effects of two vocational rehabilitation interventions on self-efficacy, for women on long-term sick leave ≥ 1 year due to chronic pain and/or mental illness. Methods This study uses data from a randomised controlled trial consisting of two phases and comprising 401 women on long-term sick leave. They were allocated to either (1) a multidisciplinary team assessment and multimodal intervention (TEAM), (2) acceptance and commitment therapy (ACT), or (3) control group. Data were collected through repeated measurements from self-reported questionnaires before intervention, 6 and 12 months later and registry data. Data from measurements of general self-efficacy, sociodemographics, anxiety and depression were analysed with linear regression analyses. Results During the intervention period, the women in the TEAM group’s self-efficacy mean increased from 2.29 to 2.74. The adjusted linear regression model, which included group allocation, sociodemographics, self-efficacy pre-treatment, anxiety and depression showed increased self-efficacy for those in the TEAM intervention at 12 months (B = 0.25, 95% CI 0.10–0.41). ACT intervention had no effect on self-efficacy at 12 months (B = 0.02, 95% CI − 0.16 to 0.19). The results in the adjusted model also showed that higher self-efficacy at pre-treatment was associated with a higher level of self-efficacy at 12 months (B = 0.68, 95% CI 0.54–0.81). Conclusion A multidisciplinary team assessment and multimodal intervention increased self-efficacy in women on sick leave for an extremely long time (mean 7.8 years) who had a low mean level of self-efficacy prior to inclusion. Thus, self-efficacy needs to be addressed in vocational rehabilitation.

Keywords
Chronic pain, Mental illness, Multidisciplinary rehabilitation, Self-efficacy, Sick leave, Vocational rehabilitation, Women
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:uu:diva-339109 (URN)10.1007/s10926-017-9752-8 (DOI)29318421 (PubMedID)
Available from: 2018-01-16 Created: 2018-01-16 Last updated: 2018-01-19Bibliographically approved
Andersén, Å., Larsson, K., Pingel, R., Kristiansson, P. & Anderzén, I. (2018). The relationship between self-efficacy and transition to work or studies in young adults with disabilities. Scandinavian Journal of Public Health, 46(2), 272-278
Open this publication in new window or tab >>The relationship between self-efficacy and transition to work or studies in young adults with disabilities
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2018 (English)In: Scandinavian Journal of Public Health, ISSN 1403-4948, E-ISSN 1651-1905, Vol. 46, no 2, p. 272-278Article in journal (Refereed) Published
Abstract [en]

Aim: To investigate perceived self-efficacy in unemployed young adults with disabilities and the association between self-efficacy and transition to work or studies.

Methods: This prospective cohort study collected data through self-report questionnaires and registry data from a vocational rehabilitation project with young adults, aged 19-29 years. The Swedish Social Insurance Agency, the Swedish Public Employment Service and the participating municipalities identified potential participants to the study. A total of 531 participants were included in the study, of which 249 (47%) were available for analysis. Multinomial logistic regression models were carried out to estimate the associations between self-efficacy, demographic, health and employment status. The latter was coded as: “no transition to work or studies”, “transition to studies”, and “transition to work”.

Results: A higher level of self-efficacy was associated with increased odds for “transition to work” (OR=2.37, p<0.05). This finding remained consistent when adjusting for possible confounders. The mean value of self-efficacy was low, and participants with lower self-efficacy reported worse self-rated health (p<0.001) compared with participants with higher self-efficacy.

Conclusions: The results from this study suggest that self-efficacy should be addressed in vocational rehabilitation of young adults with disabilities in order to support their transition and integration into the labour market.

Place, publisher, year, edition, pages
Sage Publications, 2018
Keywords
self-efficacy, young adults, disability, employment
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Research subject
Social Medicine
Identifiers
urn:nbn:se:uu:diva-328794 (URN)10.1177/1403494817717556 (DOI)000429934600015 ()29569532 (PubMedID)
Funder
European Social Fund (ESF)Swedish Social Insurance Agency
Available from: 2017-08-31 Created: 2017-08-31 Last updated: 2018-06-19Bibliographically approved
Lytsy, P., Carlsson, L. & Anderzén, I. (2017). Effectiveness of two vocational rehabilitation programmes in women with long-term sick leave due to pain syndrome or mental illness: 1-year follow-up of a randomized controlled trial. Journal of Rehabilitation Medicine, 49(2), 170-177
Open this publication in new window or tab >>Effectiveness of two vocational rehabilitation programmes in women with long-term sick leave due to pain syndrome or mental illness: 1-year follow-up of a randomized controlled trial
2017 (English)In: Journal of Rehabilitation Medicine, ISSN 1650-1977, E-ISSN 1651-2081, Vol. 49, no 2, p. 170-177Article in journal (Refereed) Published
Abstract [en]

Objective: Mental illness and chronic pain are common reasons for long-term sick leave, typically more so for women. This study investigated the effects on return to work of 2 vocational rehabilitation programmes. Methods: In this randomized controlled study, 308 women were allocated to treatment with acceptance and commitment therapy, to multidisciplinary assessment and individualized rehabilitation interventions, or to a control group. Return-to-work at 12 months was assessed as: (i) returning to health insurance; (ii) number of reimbursed health insurance days during follow-up; (iii) self-reported change in working hours; (iv) a composite measure of self-reported change in work-related engagement. Results: The mean age of the Swedish study population was 48.5 years (standard deviation (SD) 6.3 years) and the mean time on sick leave 7.5 years (SD 3.2 years). There were no significant differences in reimbursed days or returning to the health insurance at 12 months. The multidisciplinary assessment and individualized rehabilitation interventions group, compared with control, reported a significant increase in working hours per week, as well as a significant increase in work-related engagement. Conclusion: Multidisciplinary assessments and individual rehabilitation interventions may improve the chance of return-to-work in women with long-term sick leave due to pain condition or mental illness.

Keywords
return to work, vocational rehabilitation, multidisciplinary rehabilitation, acceptance and commitment therapy, chronic pain
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:uu:diva-317212 (URN)10.2340/16501977-2188 (DOI)000396799000010 ()28101560 (PubMedID)
Funder
Swedish Social Insurance Agency
Available from: 2017-03-11 Created: 2017-03-11 Last updated: 2018-09-06Bibliographically approved
Andersén, Å., Christian, S., Anderzén, I., Kristiansson, P. & Larsson, K. (2017). Positive experiences of a vocational rehabilitation intervention for individuals on long-term sick leave, the Dirigo project: a qualitative study. BMC Public Health, 17, Article ID 790.
Open this publication in new window or tab >>Positive experiences of a vocational rehabilitation intervention for individuals on long-term sick leave, the Dirigo project: a qualitative study
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2017 (English)In: BMC Public Health, ISSN 1471-2458, E-ISSN 1471-2458, Vol. 17, article id 790Article in journal (Refereed) Published
Abstract [en]

Background: The process of returning to work after long-term sick leave can sometimes be complex. Many factors, (e.g. cooperation between different authorities and the individual as well as individual factors such as health, emotional well-being and self-efficacy) may have an impact on an individual’s ability to work. The aim of this study was to investigate clients’ experiences with an individually tailored vocational rehabilitation, the Dirigo project, and encounters with professionals working on it. The Dirigo project was based on collaboration between rehabilitation authorities, individually tailored interventions and a motivational interviewing approach. 

Methods: A descriptive qualitative design was used with data collected through interviews. Fourteen individuals on long-term sick leave took part in individual semi-structured interviews. The interviews were analysed using content analysis.

Results: The analysis showed overall positive experience of methods and encounters with professionals in a vocational rehabilitation project. The positive experiences were based on four key factors: 1. Opportunities for receiving various dimensions of support.  2. Good overall treatment by the professionals. 3. Satisfaction with the working methods of the project, and 4. Opportunities for personal development.

Conclusions: The main result showed that the clients had an overall positive experience of a vocational rehabilitation project and encounters with professionals who used motivational interviewing as a communication method. The overall positive experience indicated that their interactions with the different professionals may have affected their self-efficacy in general and in relation to transition to work. The knowledge is essential for the professionals working in the area of vocational rehabilitation. However, vocational rehabilitation interventions also need a societal approach to be able to offer clients opportunities for job training and real jobs.

Keywords
Sick leave, vocational rehabilitation, motivational interviewing, cooperation, return-to-work, qualitative study
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Research subject
Social Medicine
Identifiers
urn:nbn:se:uu:diva-328791 (URN)10.1186/s12889-017-4804-8 (DOI)000412684800001 ()29017504 (PubMedID)
Available from: 2017-08-31 Created: 2017-08-31 Last updated: 2018-01-19Bibliographically approved
Ståhl, C., Andersén, Å., Anderzén, I. & Larsson, K. (2017). Process evaluation of an interorganizational cooperation initiative in vocational rehabilitation: the Dirigo project. BMC Public Health, 17, Article ID 431.
Open this publication in new window or tab >>Process evaluation of an interorganizational cooperation initiative in vocational rehabilitation: the Dirigo project
2017 (English)In: BMC Public Health, ISSN 1471-2458, E-ISSN 1471-2458, Vol. 17, article id 431Article in journal (Refereed) Published
Abstract [en]

Background: This study analyzes the process of establishing and developing a cooperative vocational rehabilitation project with special focus on organizational and professional aspects. In the project, officials from the Swedish Social Insurance Agency and the Swedish Public Employment Service worked cooperatively with participants on long-term sick leave, youths with disability benefits, and people receiving social allowances. The officials used Motivational Interviewing (MI) as a method when meeting participants, and were able to offer flexible and tailored case management. The goal was to improve work ability and promote self-sufficiency.

Methods: The process evaluation was carried out through continuous data collection throughout the project (2012-2014), resulting in a total of 28 individual interviews and 17 focus groups with officials and managers. The material was categorized through an inductive content analysis, and analyzed using social capital as a theoretical frame.

Results: The evaluation points to how issues related to design, organization and management contributed to the project not reaching its goals, e.g. problems with recruitment of participants, the funding structure, and staffing problems on the managerial level. Still, officials reported positive effects of close cooperation, which was perceived as facilitating the case management by fostering a mutual understanding and access to resources and rehabilitation measures from more than one authority.

Conclusions: Cooperative work combined with the use of MI and flexible case management seem to promote an increased trust between officials from different authorities and participants, which in the study is conceptualized as bonding and bridging social capital (between officials) and linking social capital (between officials and participants). The organizational problems combined with the relatively large differences in approaches between the project and regular practice obstructed implementation, where the authorities involved did not appear to be ready for implementing methodologies that require organizational restructuring.

National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:uu:diva-322288 (URN)10.1186/s 12889-017-4357-x (DOI)000401863200003 ()28490328 (PubMedID)28490328 (Scopus ID)
Funder
European Social Fund (ESF)
Available from: 2017-05-18 Created: 2017-05-18 Last updated: 2018-04-04Bibliographically approved
Anderzén, I., Lindberg, P. & Gustavsson, S. (2016). Predictors of Wellbeing at Work. In: : . Paper presented at 4th wellbeing at Work conference Amsterdam 2016.
Open this publication in new window or tab >>Predictors of Wellbeing at Work
2016 (English)Conference paper, Oral presentation with published abstract (Refereed)
National Category
Medical and Health Sciences
Research subject
Social Medicine
Identifiers
urn:nbn:se:uu:diva-295472 (URN)
Conference
4th wellbeing at Work conference Amsterdam 2016
Available from: 2016-06-07 Created: 2016-06-07 Last updated: 2016-06-07
Lindberg, P., Karlsson, T., Strömberg, A., Gustafsson, S. & Anderzen, I. (2015). Can a systematic participative method for processing workplace survey data enhance organizational communication skills?: Experience from the GodA-project for healthy workplaces. In: Proceedings 19thTriennial Congress of the IEA: . Paper presented at 19th Triennial Congress of the International Ergonomics Association, Melbourne, Australia, 9-14 August 2015.
Open this publication in new window or tab >>Can a systematic participative method for processing workplace survey data enhance organizational communication skills?: Experience from the GodA-project for healthy workplaces
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2015 (English)In: Proceedings 19thTriennial Congress of the IEA, 2015Conference paper, Oral presentation with published abstract (Refereed)
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:uu:diva-268516 (URN)
Conference
19th Triennial Congress of the International Ergonomics Association, Melbourne, Australia, 9-14 August 2015
Projects
The GodA-procect
Note

Paper title in proceedings: The GodA-intervention study for healthy workplaces and its influence on organizational communication skills

Available from: 2015-12-07 Created: 2015-12-07 Last updated: 2016-02-19Bibliographically approved
Westerholm, P., Lundberg, I., Anderzén, I., Lytsy, P., Rehfisch, P., Helgesson, M., . . . Palmer, E. (2015). Evidence-based methods for enhancing the labour-force entrance of people with mental disabilities: A systematic literature review. Socialförsäkringsrapport
Open this publication in new window or tab >>Evidence-based methods for enhancing the labour-force entrance of people with mental disabilities: A systematic literature review
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2015 (English)Report (Other academic)
Place, publisher, year, edition, pages
Socialförsäkringsrapport: , 2015
National Category
Occupational Health and Environmental Health
Research subject
Rehabilitation Medicine
Identifiers
urn:nbn:se:uu:diva-268511 (URN)
Available from: 2015-12-07 Created: 2015-12-07 Last updated: 2018-01-10Bibliographically approved
Lytsy, P., Larsson, K. & Anderzén, I. (2015). Health in women on long-term sick leave because of pain or mental illness. International Journal of Rehabilitation Research, 38(1), 27-33
Open this publication in new window or tab >>Health in women on long-term sick leave because of pain or mental illness
2015 (English)In: International Journal of Rehabilitation Research, ISSN 0342-5282, E-ISSN 1473-5660, Vol. 38, no 1, p. 27-33Article in journal (Refereed) Published
Abstract [en]

Mental illness and pain are common causes of long-term sick absence and major difficulties in vocational rehabilitation. The aim of this study was to investigate health in a group of women with pain or mental illness who had exhausted their days of sickness benefit. This cross-sectional study uses baseline data from 355 women on long-term sick leave participating in controlled intervention studies aiming at returning to work. The study population filled in a written questionnaire with questions of self-rated health and sleep quality and validated indexes of mental health, satisfaction with life and general self-efficacy. Clinical psychiatric screening was performed on 230 individuals. The study population had a mean age of 48.8 years (SD 8.4), with an average time on sick leave of 7.8 years (SD 3.2). Self-rated health and sleep quality was poor compared with other populations. In all, 80.1% had at least one psychiatric diagnosis according to the psychiatric screening, and the average numbers of psychiatric diagnoses were 2.2 (SD 1.9). Foreign-born women showed significantly higher levels of mental illness, poorer self-rated health and sleep quality and lower self-efficacy and life satisfaction than native Swedish women. Women with long sick leave because of mental illness and/or pain have poor self-rated health and sleep quality, high prevalence of mental illness and low self-efficacy and life satisfaction. Psychiatric screening suggests more extensive mental illness than what was stated on the sick leave certificates. The health of foreign-born women seems to be worse than that of native Swedish women.

National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:uu:diva-236183 (URN)10.1097/MRR.0000000000000080 (DOI)000349395900003 ()25203749 (PubMedID)
Available from: 2014-11-13 Created: 2014-11-13 Last updated: 2017-12-05Bibliographically approved
Andersén, Å., Larsson, K., Lytsy, P., Kristiansson, P. & Anderzén, I. (2015). Predictors of self-efficacy in women on long-term sick leave. International Journal of Rehabilitation Research, 38(4), 320-326
Open this publication in new window or tab >>Predictors of self-efficacy in women on long-term sick leave
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2015 (English)In: International Journal of Rehabilitation Research, ISSN 0342-5282, E-ISSN 1473-5660, Vol. 38, no 4, p. 320-326Article in journal (Refereed) Published
Abstract [en]

Self-efficacy has been shown to be related to sick leave and to be a predictor of return to work after sickness absence. The aim of this study was to investigate whether factors related to sick leave predict self-efficacy in women on long-term sick leave because of pain and/or mental illness. This cross-sectional study uses baseline data from 337 Swedish women with pain and/or mental illness. All included women took part in vocational rehabilitation. Data were collected through a sick leave register and a baseline questionnaire. General self-efficacy, sociodemographics, self-rated health, anxiety, depression, view of the future, and social support were measured and analyzed by univariate and multivariate linear regression analyses. The full multivariate linear regression model, which included mental health factors together with all measured factors, showed that anxiety and depression were the only predictive factors of lower self-efficacy (adjusted R-2 = 0.46, P < 0.001) and explained 46% of the variance in self-efficacy. The mean scores of general self-efficacy were low, especially in women born abroad, those with low motivation, those with uncertainties about returning to work, and women reporting distrust. Anxiety and depression are important factors to consider when targeting self-efficacy in vocational rehabilitation.

Keywords
anxiety, depression, self-efficacy, sick leave, vocational rehabilitation, women
National Category
Health Sciences
Identifiers
urn:nbn:se:uu:diva-268763 (URN)10.1097/MRR.0000000000000129 (DOI)000364627800006 ()26258448 (PubMedID)
Available from: 2015-12-15 Created: 2015-12-09 Last updated: 2018-01-19
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