The Danish national return-to-work program - aims, content, and design of the process and effect evaluation

Birgit Aust*, Trine Helverskov, Maj Britt D. Nielsen, Jakob Bue Bjorner, Reiner Rugulies, Karina Nielsen, Ole H. Sørensen, Gry Grundtvig, Malene F. Andersen, Jørgen V. Hansen, Helle L. Buchardt, Lisbeth Nielsen, Trine L. Lund, Irene Andersen, Mogens H. Andersen, Aksel S. Clausen, Eskil Heinesen, Ole S. Mortensen, John Ektor-Andersen, Palle ØrbækGlen Winzor, Ute Bültmann, Otto M. Poulsen

*Corresponding author af dette arbejde

Publikation: Bidrag til tidsskriftArtikelForskningpeer review


The Danish national return-to-work (RTW) program aims to improve the management of municipal sickness benefit in Denmark. A study is currently ongoing to evaluate the RTW program. The purpose of this article is to describe the study protocol. The program includes 21 municipalities encompassing approximately 19 500 working-age adults on long-term sickness absence, regardless of reason for sickness absence or employment status. It consists of three core elements: (i) establishment of multidisciplinary RTW teams, (ii) introduction of standardized workability assessments and sickness absence management procedures, and (iii) a comprehensive training course for the RTW teams. The effect evaluation is based on a parallel group randomized trial and a stratified cluster-controlled trial and focuses on register-based primary outcomes - duration of sickness absence and RTW - and questionnaire-based secondary outcomes such as health and workability. The process evaluation utilizes questionnaires, interviews, and municipal data. The effect evaluation tests whether participants in the intervention have a (i) shorter duration of full-time sickness absence, (ii) longer time until recurrent long-term sickness absence, (iii) faster full RTW, (iv) more positive development in health, workability, pain, and sleep; it also tests whether the program is (v) cost-effective. The process evaluation investigates: (i) whether the expected target population is reached; (ii) if the program is implemented as intended; (iii) how the beneficiaries, the RTW teams, and the external stakeholders experience the program; and (iv) whether contextual factors influenced the implementation.

Sider (fra-til)120-133
Antal sider14
TidsskriftScandinavian Journal of Work, Environment and Health
Udgave nummer2
StatusUdgivet - 1 jan. 2012


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