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Effects on Social and Financial Factors, Self-Related Health, Physical Activity, Sleep Quality, Smoking, Alcohol and Medical Use in the Vitalis Study: a quantitative and qualitative study
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
2018 (English)Independent thesis Advanced level (degree of Master (Two Years)), 20 credits / 30 HE creditsStudent thesis
Abstract [en]

Long-term sick leave due to common mental disorders or pain is an increasing problem in Sweden, furthermore the increase is relatively bigger for women than for men. Between the years 2010-2011 a randomised study, VITALIS, measured return to work for women on long-term sick leave due to common mental disorders or pain. The study showed positive results for return to work, depression and anxiety. Other characteristics were also measured during the study: self-rated health, social and financial aspects, physical activity, sleep quality, usage of medication and alcohol, and smoking. Participants had also voluntarily written comments in a follow up questionnaire.

The purpose of the current study was to 1) measure any intervention group difference regarding age, education, marital status, and children living at home, 2) measure whether the VITALIS-study had any effect on these additional characteristics, i.e. if (a) there was a difference between baseline and one-year measurements, and if (b) there was a difference between the intervention groups in the VITALIS-study, and 3) to analyse the written comments within the questionnaire.

A quantitative method was used to measure differences in characteristics within, and between intervention groups, and a qualitative method was used to identify and categorize the comments into themes.

The results showed that all intervention groups reported increased self-rated health, and that the participants in a multi modal treatment increased their sleep quality. When comparing the intervention groups, the multi modal group had higher self-rated health and sleep quality, more physical activity, and less financial worry than the control group. The qualitative themes that emerged were a feeling of being treated badly by the authorities, a worry about finances, that one’s illness or symptoms are getting worse, that the psychological sessions are helping, that the questionnaire is hard and tiresome, and that the process of returning to work can affect the return to work negatively.

Abstract [sv]

Långtidssjukskrivningar på grund av psykisk ohälsa eller smärtproblem ökar i Sverige, dessutom ökar de mer för kvinnor än för män. Mellan åren 2010–2011 utfördes en randomiserad studie, VITALIS, för att mäta arbetsåtergång för kvinnor långtidssjukskrivna för psykisk ohälsa eller smärtproblematik. Studien visade på positiva resultat gällande återgång i arbete, depression och ångest. I studien följdes även andra variabler: självskattad hälsa, sociala och ekonomiska aspekter, fysisk aktivitet, sömnkvalitet, medicinering, rökning, och alkoholanvändning. I studien hade deltagare även frivilligt lämnat skriftliga kommentarer i en uppföljande enkät.

Syftet med den aktuella studien var 1) att bedöma interventionsgruppskillnader i ålder, utbildningsnivå, civilstånd, och vårdnad om barn, 2) att mäta huruvida VITALIS-studien hade haft effekt på dessa ytterligare uppmätta variabler, dvs. om (a) det fanns skillnader mellan baslinjemätning och mätningen efter ett år, och om (b) det fanns skillnader mellan interventionsgrupperna i VITALIS, och 3) att analysera de skrivna kommentarer som fanns i enkäterna.

En kvantitativ metod användes för att mäta skillnader i variablerna inom, och mellan interventionsgrupperna, och en kvalitativ metod användes för att identifiera och kategorisera kommentarerna i teman.

Resultaten visade att alla interventionsgrupper ökade sin självskattade hälsa, och att deltagarna i en multimodal behandling ökade sin sömnkvalitet. Vid jämförelse mellan grupperna hade den multimodala gruppen högre självskattad hälsa, sömnkvalitet, mer fysisk aktivitet, och en mindre ekonomisk oro gentemot kontrollgruppen. De kvalitativa teman som framgick var en känsla att behandlas dåligt av myndigheter, oro kring ekonomin, att sjukdom eller symptom blir värre, att psykologiska sessioner hjälper, att enkäten är svår och tröttsam, samt att processen för återgång i arbete kan påverka återgången negativt.

Place, publisher, year, edition, pages
2018. , p. 45
Keywords [en]
Acceptance and Commitment Therapy, Multi modal Treatment, Sick Leave, Return to Work
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
URN: urn:nbn:se:uu:diva-353440OAI: oai:DiVA.org:uu-353440DiVA, id: diva2:1222781
Subject / course
Public Health
Educational program
Master Programme in Public Health
Supervisors
Examiners
Available from: 2018-06-27 Created: 2018-06-22 Last updated: 2018-06-27Bibliographically approved

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