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BMC Musculoskeletal Disorders
Published in: BMC Musculoskeletal Disorders 1/2020

Open Access 01-12-2020 | Study protocol

Study protocol for a randomized controlled trial of the effectiveness of adding motivational interviewing or stratified vocational advice intervention to usual case management on return to work for people with musculoskeletal disorders. The MI-NAV study

Authors: Britt Elin Øiestad, Fiona Aanesen, Ida Løchting, Kjersti Storheim, Alexander Tingulstad, Tarjei L. Rysstad, Milada C. Småstuen, Anne Therese Tveter, Gail Sowden, Gwenllian Wynne-Jones, Egil A. Fors, Maurits van Tulder, Rigmor C. Berg, Nadine E. Foster, Margreth Grotle

Published in: BMC Musculoskeletal Disorders | Issue 1/2020

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Abstract

Background

Little research exists on the effectiveness of motivational interviewing (MI) on return to work (RTW) in workers on long term sick leave. The objectives of this study protocol is to describe a randomized controlled trial (RCT) with the objectives to compare the effectiveness and cost-effectiveness of usual case management alone with usual case management plus MI or usual case management plus stratified vocational advice intervention (SVAI), on RTW among people on sick leave due to musculoskeletal (MSK) disorders.

Methods

A multi-arm RCT with economic evaluation will be conducted in Norway with recruitment of 450 participants aged 18–67 years on 50–100% sick leave for > 7 weeks due to MSK disorders. Participants will be randomized to either usual case management by the Norwegian Labour and Welfare Administration (NAV) alone, usual case management by NAV plus MI, or usual case management by NAV plus SVAI. Trained caseworkers in NAV will give two MI sessions, and physiotherapists will give 1–4 SVAI sessions depending upon risk of long-term sick leave. The primary outcome is the number of sick leave days from randomization to 6 months follow-up. Secondary outcomes are number of sick leave days at 12 months follow-up, time until sustainable RTW (≥4 weeks of at least 50% of their usual working hours) at 12 months, proportions of participants receiving sick leave benefits during 12 months of follow-up, and MSK symptoms influencing health at 12 months. Cost-utility evaluated by the EuroQoL 5D-5L and cost-benefit analyses will be performed. Fidelity of the interventions will be assessed through audio-recordings of approximately 10% of the intervention sessions.

Discussion

The results from this RCT will inform stakeholders involved in supporting RTW due to MSK disorders such as staff within NAV and primary health care.

Trial registration

ClinicalTrials.gov ID: NCT03871712 registered March 12th 2020.
Appendix
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Footnotes
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Metadata
Title
Study protocol for a randomized controlled trial of the effectiveness of adding motivational interviewing or stratified vocational advice intervention to usual case management on return to work for people with musculoskeletal disorders. The MI-NAV study
Authors
Britt Elin Øiestad
Fiona Aanesen
Ida Løchting
Kjersti Storheim
Alexander Tingulstad
Tarjei L. Rysstad
Milada C. Småstuen
Anne Therese Tveter
Gail Sowden
Gwenllian Wynne-Jones
Egil A. Fors
Maurits van Tulder
Rigmor C. Berg
Nadine E. Foster
Margreth Grotle
Publication date
01-12-2020
Publisher
BioMed Central
Published in
BMC Musculoskeletal Disorders / Issue 1/2020
Electronic ISSN: 1471-2474
DOI
https://doi.org/10.1186/s12891-020-03475-z

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