dc.contributor.author | Tingulstad, Alexander | |
dc.contributor.author | Maas, Esther | |
dc.contributor.author | Rysstad, Tarjei Langseth | |
dc.contributor.author | Øiestad, Britt Elin | |
dc.contributor.author | Aanesen, Fiona | |
dc.contributor.author | Pripp, Are Hugo | |
dc.contributor.author | Van Tulder, Maurits | |
dc.contributor.author | Grotle, Margreth | |
dc.date.accessioned | 2024-08-14T07:37:54Z | |
dc.date.available | 2024-08-14T07:37:54Z | |
dc.date.created | 2023-11-23T09:31:25Z | |
dc.date.issued | 2023 | |
dc.identifier.citation | Journal of Occupational Medicine and Toxicology. 2023, 18 . | en_US |
dc.identifier.issn | 1745-6673 | |
dc.identifier.uri | https://hdl.handle.net/11250/3146188 | |
dc.description.abstract | Objectives: This study evaluates the six-month cost-effectiveness and cost-benefits of motivational interviewing (MI) or a stratified vocational advice intervention (SVAI) added to usual case management (UC) for workers on sick leave due to musculoskeletal disorders.
Methods: This study was conducted alongside a three-arm RCT including 514 employed workers on sick leave for at least 50% for ≥ 7 weeks. All participants received UC. The UC + MI group received two MI sessions, and the UC + SVAI group received 1–4 SVAI sessions. Sickness absence days, quality-adjusted life-years (QALYs), and societal costs were measured between baseline and six months.
Results: Adding MI to UC, resulted in incremental cost-reduction of -2580EUR (95%CI -5687;612), and a reduction in QALYs of -0.001 (95%CI -0.02;0.01). Secondly, adding MI to UC resulted in an incremental cost-reduction of -538EUR (95%CI -1358;352), and reduction of 5.08 (95%CI -3.3;13.5) sickness-absence days. Financial return estimates were positive, but not statistically significant. Adding SVAI to UC, resulted in an incremental cost-reduction of -2899 EUR (95% CI -5840;18), and a reduction in QALYs of 0.002 (95% CI -0.02;0.01). Secondly, adding SVAI to UC resulted in an statistically significant incremental cost-reduction of -695 EUR (95% CI -1459;-3), and a reduction of 7.9 (95% CI -0.04;15.9) sickness absence days. Financial return estimates were positive and statistically significant. The probabilities of cost-effectiveness for QALYs were high for adding MI or SVAI (ceiling ratio 0.90).
Conclusions: In comparison to UC only, adding MI to UC tends to be cost-effective. Adding SVAI to UC is cost-effective for workers on sick leave due to musculoskeletal disorders. | en_US |
dc.language.iso | eng | en_US |
dc.publisher | BMC | en_US |
dc.relation.ispartofseries | Journal of Occupational Medicine and Toxicology; | |
dc.rights | Navngivelse 4.0 Internasjonal | * |
dc.rights.uri | http://creativecommons.org/licenses/by/4.0/deed.no | * |
dc.title | Six-month cost-effectiveness of adding motivational interviewing or a stratified vocational advice intervention to usual case management for workers with musculoskeletal disorders: the MI-NAV economic evaluation | en_US |
dc.type | Peer reviewed | en_US |
dc.type | Journal article | en_US |
dc.description.version | publishedVersion | en_US |
cristin.ispublished | true | |
cristin.fulltext | original | |
cristin.qualitycode | 1 | |
dc.identifier.doi | http://dx.doi.org/10.1186/s12995-023-00394-2 | |
dc.identifier.cristin | 2200687 | |
dc.source.journal | Journal of Occupational Medicine and Toxicology | en_US |
dc.source.volume | 18 | en_US |
dc.source.pagenumber | 11 | en_US |