Restricted accessResearch articleFirst published online 2016-7-26
The effectiveness of a convergence dialogue meeting with the employer in promoting return to work as part of the cognitive-behavioural treatment of common mental disorders: A randomized controlled trial
BACKGROUND: Dialogue between supervisor and employee is of great importance
for occupational rehabilitation.
OBJECTIVE: To evaluate the effectiveness of a convergence dialogue meeting
(CDM) of employee, therapist and supervisor aimed at facilitating return to work (RTW) as
part of cognitive-behavioural treatment.
METHODS: Randomized controlled trial including 60 employees sick-listed with
common mental disorders and referred for specialized mental healthcare. Employees were
randomly allocated either to an intervention group (n = 31) receiving
work-focused cognitive-behavioural therapy plus CDM or a control group
(n = 29) receiving work-focused cognitive-behavioural therapy without
CDM.
RESULTS: The time to first RTW was 12 days shorter
(p = 0.334) in the intervention group, although full (i.e., at equal
earnings as before reporting sick) RTW took 41 days longer (p = 0.122)
than the control group. The odds of full RTW at the end of treatment were only 7% higher
(p = 0.910) in the intervention group as compared to the control
group.
CONCLUSIONS: CDM did not significantly reduce the time to RTW. We recommend
that therapists who are trained on CDM focus on barriers and solutions for RTW.
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