eBehandling - Health and Work for Patients in Specialist Mental Health Care

Summary

Mental health problems and disorders affect one in every five amongst the working- age adults in the countries of the Organization for Economic Cooperation and Development. This constitutes a major public health challenge that also has large implications for work participation and productivity.

Major depression and anxiety are the most prevalent of the mental disorders and are therefore named common mental disorders (CMD). CMD have become a major cause of work absenteeism, with 30% of all sick leave in Norway being due to CMDs in 2024.

Early interventions addressing psychological aspects and vocational challenges related to work have shown a positive effect on return to work. Therefore, finding ways to increase availability and reduce barriers to evidence-based treatments seems a viable route to reducing mental health's impact on sick leave and absenteeism.

Research show that improvement in symptoms from ordinary psychotherapy has little impact on sick-leave. The same results have been found for internet-based cognitive therapy (ICBT). One of the challenges in specialised mental health care is that the work focus has been an additive or extended part of the treatment, not integrated in the treatment itself.

Several studies have been conducted on psychological treatments that specifically target return to work for people with CMDs. Systematic reviews have shown that work-focused therapy has a small, but significant effect over treatment as usual on return to work and finds that 20% more workers in the intervention groups had returned to work, compared to control groups.

The availability of traditional therapy is scarce and there is an need for new effective ways of delivery. internet-based cognitive therapy has been shown to be as effective as traditional therapy in many systematic reviews and meta analysis and seems a good approach to reach the goal of increasing availability.

To account for the heterogene group of people on sick leave the investigators have created a transdiagnostic, work-focused internet-based cognitive behaviloural therapy program.

This study aims is to is to investigate the utility and use of this treatment program for patients with common mental health disorders on sick leave or work assessment allowance. This includes the user experience of participation and experienced utility of the treatment program.

Conditions

• Anxiety
• Depression

Interventions

BEHAVIORAL

Transdiagnostic, work-focused Cognitive Behavioural Therapy

Transdiagnostic, work-focused Cognitive Behavioural Therapy focuses on core mechanisms that creates and maintain illness in depression and anxiety. Namely reducing avoidance and/or suppression of unwanted thoughts, avoidance of meaningful activity and increase cognitive flexibility while under psychological stress.

Sponsors & Collaborators

• Sykehuset Innlandet HF

  collaborator OTHER

• Sykehuset Ostfold

  collaborator OTHER

• Sykehuset i Vestfold HF

  collaborator OTHER

• University Hospital, Aker

  collaborator OTHER

• Helse Fonna

  collaborator OTHER

• Helse Bergen Hospital Trust

  collaborator UNKNOWN

• Vestre Viken Hospital Trust

  collaborator OTHER

• Macquarie University, Australia

  collaborator OTHER

• Diakonhjemmet Hospital

  collaborator OTHER

• Haukeland University Hospital

  collaborator OTHER

• Solli Distriktspsykiatriske Senter

  lead OTHER

Principal Investigators

• Pål William Wallace, PhD · Solli DPS

• Kristine Sirevåg, MSc · Solli DPS

Study Design

Allocation

NA

Purpose

TREATMENT

Masking

NONE

Model

SINGLE_GROUP

Eligibility

Min Age

18 Years

Max Age

65 Years

Sex

ALL

Healthy Volunteers

No

Timeline & Regulatory

Start

2024-12-01

Primary Completion

2027-04-30

Completion

2028-08-31

Countries

• Norway

Study Locations