{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T07:28:16Z","timestamp":1777534096036,"version":"3.51.4"},"reference-count":34,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2019,10,14]],"date-time":"2019-10-14T00:00:00Z","timestamp":1571011200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Healthcare Board, Region of V\u00e4stra G\u00f6taland, Sweden","award":["VGFOUREG-588531."],"award-info":[{"award-number":["VGFOUREG-588531."]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Clin Rehabil"],"published-print":{"date-parts":[[2020,2]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To evaluate feasibility and potential effectiveness of work-directed rehabilitation in people with common mental disorders.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>Pilot randomized controlled trial.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting:<\/jats:title>\n                    <jats:p>Primary healthcare, Sweden.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Subjects:<\/jats:title>\n                    <jats:p>\n                      Working adults (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u200942) of mean age 46.2\u2009\u00b1\u200911.1\u2009years with depression or anxiety disorder.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Interventions:<\/jats:title>\n                    <jats:p>\n                      Eight weeks of work-directed rehabilitation (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u200921) or physical activity (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u200921). Work-directed rehabilitation included sessions with a physiotherapist and\/or an occupational therapist, to develop strategies to cope better at work. Physical activity included a planning session and access to a local gym.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main measures:<\/jats:title>\n                    <jats:p>Feasibility: attendance, discontinuation and adverse events. Measurements were the Work Ability Index, the Global Assessment of Functioning, the Montgomery\u2013Asberg Depression Rating Scale, the Beck Anxiety Inventory and the World Health Organization\u2014Five Well-Being Index.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Attendance to rehabilitation sessions was 88% (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u2009147\/167) and discontinuation rate was 14% (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u20093\/21). No serious adverse events were reported. Within both groups, there was a significant improvement in Work Ability Index score (mean change: 3.6 (95% confidence interval (CI): 0.45, 6.7) in work-directed rehabilitation and 3.9 (95% CI: 0.9, 7.0) in physical activity) with no significant difference between groups. For the other outcomes, significant improvements were found within but not between groups. Per-protocol analysis showed a trend toward the antidepressant effect of work-directed rehabilitation compared to physical activity (mean difference in depression score \u22123.1 (95% CI: \u22126.8, 0.4),\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u20090.075).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Work-directed rehabilitation was feasible to persons with common mental disorders and improved their work ability and mental health. Comparable improvements were seen in the physical activity group. Suggested modifications for a larger trial include adding a treatment-as-usual control.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0269215519880230","type":"journal-article","created":{"date-parts":[[2019,10,14]],"date-time":"2019-10-14T07:00:30Z","timestamp":1571036430000},"page":"170-181","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":11,"title":["Work-directed rehabilitation or physical activity to support work ability and mental health in common mental disorders: a pilot randomized controlled trial"],"prefix":"10.1177","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7089-3006","authenticated-orcid":false,"given":"Louise","family":"Danielsson","sequence":"first","affiliation":[{"name":"Research Unit, Angered Hospital, Angered, Sweden"},{"name":"Department of Health and Rehabilitation, Institute of Neuroscience and Physiology, University of Gothenburg, Gothenburg, Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8330-6915","authenticated-orcid":false,"given":"Margda","family":"Waern","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Neurochemistry, Institute of Neuroscience and Physiology, University of Gothenburg, Gothenburg, Sweden"},{"name":"Region V\u00e4stra G\u00f6taland, Sahlgrenska University Hospital, Psychosis Department, Gothenburg, Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gunnel","family":"Hensing","sequence":"additional","affiliation":[{"name":"School of Public Health and Community Medicine, Institute of Medicine, University of Gothenburg, Gothenburg, Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kristina","family":"Holmgren","sequence":"additional","affiliation":[{"name":"Department of Health and Rehabilitation, Institute of Neuroscience and Physiology, University of Gothenburg, Gothenburg, Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2019,10,14]]},"reference":[{"key":"e_1_3_3_2_2","volume-title":"Fit mind, fit job: from evidence to practice in mental health and work","author":"The Organisation for Economic Co-operation and Development (OECD)","year":"2015","unstructured":"The Organisation for Economic Co-operation and Development (OECD). 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