Bibliographic Details
| 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. |
| Authors: |
Tingulstad, Alexander, Maas, Esther T., Rysstad, Tarjei, Øiestad, Britt Elin, Aanesen, Fiona, Pripp, Are Hugo, Van Tulder, Maurits W., Grotle, Margreth |
| Source: |
Journal of Occupational Medicine & Toxicology; 11/14/2023, Vol. 18 Issue 1, p1-11, 11p |
| Subject Terms: |
MUSCULOSKELETAL system diseases, SICK leave, CONFIDENCE intervals, MOTIVATIONAL interviewing, WORK-related injuries, COST benefit analysis, EMPLOYEES, COMPARATIVE studies, COST effectiveness, DESCRIPTIVE statistics, RESEARCH funding, VOCATIONAL rehabilitation, MEDICAL case management, FINANCIAL management, EMPLOYMENT reentry, QUALITY-adjusted life years |
| 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. Trial registration: ClinicalTrials.gov (identifier: NCT03871712). [ABSTRACT FROM AUTHOR] |
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| Database: |
Complementary Index |
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