Effectiveness of internet-delivered cognitive behavioural therapy in reducing sickness absence among young employees with depressive symptoms: study protocol for a large-scale pragmatic randomised controlled trial
Anne Kouvonen Piotrowska , Minna Mänty , Jaakko Harkko , Hilla Sumanen , Hanna Konttinen , Jouni Lahti , Olli Pietiläinen , Jenni Blomgren , Eevamaija Tuovinen , Eeva-Leena Ketonen , Jan-Henry Stenberg , Michael Donnelly , Børge Sivertsen , Ellenor Mittendorfer-Rutz , Sami Pirkola , Ossi Rahkonen , Tea Lallukka
AbstractIntroduction Depression is a highly prevalent condition with typical onset in early adulthood. Internet-delivered cognitive behavioural therapy (iCBT) is a promising cost-effective and more widely available alternative to face-to-face CBT. However, it is not known whether it can reduce sickness absence in employees showing depressive symptoms. The randomised controlled trial component of the DAQI (Depression and sickness absence in young adults: a quasi-experimental trial and web-based treatment intervention) project aims to investigate if iCBT is effective in reducing sickness absence compared with care as usual (CAU) among young employees with depressive symptoms in primary care provided in an occupational health setting. Methods and analysis This study will use a randomised controlled single-centre service-based trial of an existing iCBT programme (Mental Hub iCBT for Depression) to evaluate whether or not this treatment can reduce the number of sickness absence days in public sector employees aged 18–34 years who present at the occupational health service with mild depressive symptoms (score ≥9 on the Beck Depression Inventory-IA). Control participants will be offered CAU, with no constraints regarding the range of treatments. The active condition will consist of seven weekly modules of iCBT, with support from a web therapist. Primary outcome will be participants’ all-cause sickness absence as indicated in employer’s and national administrative records up to 6 months from study entry. Secondary outcomes relating to long-term sickness absence (over 11 calendar days) for mental and musculoskeletal disorders and psychotropic medication use will be obtained from the Finnish Social Insurance Institution’s administrative records; and short sickness absence spells (up to 11 calendar days) will be extracted from employer’s records. Analyses will be conducted on an intention-to-treat basis.
|Journal series||BMJ Open, ISSN 2044-6055, (N/A 100 pkt)|
|Publication size in sheets||0.5|
|Publication indicators||: 2018 = 1.145; : 2018 = 2.376 (2) - 2018=2.863 (5)|
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