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Cost effectiveness of a multi-stage return to work program for workers on sick leave due to low back pain, design of a population based controlled trial [ISRCTN60233560]

Author: Steenstra, I.A. · Anema, J.R. · Bongers, P.M. · Vet, H.C.W. de · Mechelen, W. van
Source:BMC Musculoskeletal Disorders, 4, 1-11
Identifier: 237397
doi: doi:10.1186/1471-2474-4-1
Article number: 1
Keywords: Workplace · Absenteeism · Adult · Clinical trial · Controlled clinical trial · Controlled study · Cost effectiveness analysis · Ergonomics · Low back pain · Major clinical study · Methodology · Occupational health · Occupational therapy · Population research · Randomized controlled trial · Treatment outcome · Worker


Background: To describe the design of a population based randomized controlled trial (RCT), including a cost-effectiveness analysis, comparing participative ergonomics interventions between 2-8 weeks of sick leave and Graded Activity after 8 weeks of sick leave with usual care, in occupational back pain management. Methods: Discussion: The combination of these interventions has been subject of earlier research in Canada. The results of the current RCT will: 1. crossvalidate the Canadian findings in an different sociocultural environment; 2. add to the cost-effectiveness on treatment options for workers in the sub acute phase of low back pain. Results might lead to alterations of existing (inter)national guidelines.