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Cost-Effectiveness of Acceptance and Commitment Therapy and a Workplace Intervention for Employees on Sickness Absence due to Mental Disorders.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health. (CHAP)
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2017 (English)In: Journal of Occupational and Environmental Medicine, ISSN 1076-2752, E-ISSN 1536-5948, Vol. 59, no 12, p. 1211-1220Article in journal (Refereed) Published
Abstract [en]

OBJECTIVE: The aim of this study was to evaluate cost-effectiveness of Acceptance and Commitment Therapy (ACT) and workplace dialogue intervention (WDI), both as stand-alone interventions and in combination, compared with treatment as usual (TAU), for employees on sickness absence with mental disorders.

METHODS: Employees (nā€Š=ā€Š352, 78.4% females) on sickness absence were randomized to one of four groups. Cost-utility analyses were conducted from a health care perspective and a limited societal perspective.

RESULTS: All groups reported significant improvements in health-related quality-of-life (HRQoL) and there were no significant differences in HRQoL or costs between groups. The probability of cost-effectiveness for ACT+WDI was 50% compared with ACT, indicating that both treatment alternatives could be considered equally favorable for decision-makers. TAU and WDI were rejected due to less economic efficiency.

CONCLUSION: Adding WDI to ACT cannot be recommended on the basis of our study results.

Place, publisher, year, edition, pages
2017. Vol. 59, no 12, p. 1211-1220
National Category
Psychology
Identifiers
URN: urn:nbn:se:uu:diva-333325DOI: 10.1097/JOM.0000000000001156ISI: 000423259100018PubMedID: 28953070OAI: oai:DiVA.org:uu-333325DiVA, id: diva2:1156181
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Stockholm County CouncilAvailable from: 2017-11-10 Created: 2017-11-10 Last updated: 2018-03-08Bibliographically approved

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Sampaio, FilipaDahl, JoAnneFeldman, Inna

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