Early identification of work-related stress
Short description
Early identification of people at risk for sick-leave due to work-related stress – A randomized controlled study of people with mental disorders and physical complaints consulting primary health care
Early identification of persons at risk of sickness absence due to work-related stress is a crucial problem for society in general, and primary health care in particular. To date, no established method to do this exists. This project’s aim is to evaluate whether systematic early identification of work-related stress can prevent sickness absence.
The study is a two-armed randomized controlled trial with follow-up at 3, 6 and 12 months. Non-sick-listed employed women and men, aged 18 to 64 years, who had mental and physical health complaints and sought care at primary health care centers (PHCC) were eligible to participate. At baseline work-related stress was measured by the Work Stress Questionnaire (WSQ), combined with feedback at consultation, at PHCC.
The preventive intervention included early identification of work-related stress by the WSQ, GP training in the use of WSQ, GP feedback at consultation and finding suitable preventive measures. A process evaluation was used to explore how to facilitate future implementation and structural use of the WSQ at the PHCC. The primary outcome to compare the preventive sick leave intervention by the general practitioner (GP) versus treatment as usual is sick leave data obtained from the Swedish Social Insurance Agency register.
Publications
Work-related stress is associated with low work ability, but not with poor self-rated health. A cross-sectional study in primary healthcare
Danielsson L, Frantz A, Holmgren K
Work 2024 Jan 3 doi: 10.3233/WOR-230141
Work-related stress, reason for consultation and diagnosis-specific sick leave: How do they add up?
Hultén AM, Holmgren K, Bjerkeli
PLOS ONE 2023 Jul 18;18(7)
Work-related stress and future sick leave in a working population seeking care at primary health care centres: a prospective longitudinal study using the WSQ
Hultén AM, Bjerkeli P, Holmgren K
BMC Public Health 2022 Apr 28;22(1):851
Does the number of reasons for seeking care and self-rated health predict sick leave during the following 12 months? A prospective, longitudinal study in Swedish primary health care
Lork K, Hultqvist J, Holmgren K
Int.J.Environ.Res. Public Health 2022 19(1):354
Does a brief work-stress intervention prevent sick-leave during the following 24 months? A randomized controlled trial in Swedish primary care
Hultqvist J, Bjerkeli P, Hensing G, Holmgren K
WORK 2021 70:1141–1150
Self-reported sick leave following a brief preventive intervention on work-related stress: a randomised controlled trial in primary health care
Hultén AM, Bjerkeli P, Holmgren K
BMJ Open 2021 Mars 22;11(3):e041157
Effects of a work stress intervention on healthcare use and treatment compared to treatment as usual: a randomised controlled trial in Swedish primary healthcare.
Sanhemimer C, Hederud T, Hensing G, Holmgren K
BMC Fam Pract. 2020 Jul 6;21(1) 133
Positioning work related stress - GPs’ reasoning about using the WSQ combined with feedback at consultation
Hultén AM, Dahlin Ivanoff S, Holmgren K
BMC Family Practice 2020 Sep 11;21(1):187
Does early indentification of high work related stress affect pharmacological treatment of primary care patients? - Analysis of Swedish pharmacy dispensing data in a randomised control study.
Bjerkeli P, Skoglund IM, Holmgren K
BMC Fam Pract, 2020 april 21:70
The Work Stress Questionnaire (WSQ) – Reliability and Face Validity among Male Workers
Frantz A, Holmgren K
BMC Public Health 2019 19:1580
Does early identification of work-related stress, combined with feedback at GP-consultation, prevent sick leave in the following 12 months? a randomized controlled trial in primary health care.
Holmgren K, Hensing G, Bültmann U, Hadzibajramovic E, Larsson MEH
BMC Public Health 2019 Aug 14;19(1):111
Early identification in primary health care of people at risk for sick leave due to work-related stress – study protocol of a randomized controlled trial (RCT)
Holmgren K, Sandheimer C, Mårdby AC, Larsson ME, Bültmann U, Hange D, Hensing G
BMC Public Health 2016 Nov 25;16(1):1193
Early identification of work-related stress predicted sickness absence in employed women with musculoskeletal or mental disorders. A prospective, longitudinal study in a primary health care setting
Holmgren K, Fjällström Lundgren M, Hensing G
Disabil Rehabil 2013 Mar;35(5):418-26
Arbetsrelaterad stress hos yrkesverksamma kvinnor som söker till primärvården för muskuloskeletala eller psykiska besvär
Holmgren K, Fjällström Lundgren M, Hensing G
Socialmedicinsk tidskrift
2011;5:436-444.
Tidig identifiering av arbetsrelaterad stress – En delrapport av TIDIG- PROJEKTET - Tidigt identifiering på vårdcentral av kvinnor som riskerar långtidssjukskrivning på grund av arbetsrelaterad stress
Holmgren K, Hensing G, Fjällström Lundgren M.
Enheten för Socialmedicin. Avd. för samhällsmedicin och folkhälsa, Sahlgrenska akademin, Göteborgs universitet, 2010.