Multidisciplinary program for stress-related disease in primary health care

Figures & data

Table 1 The intervention program

Session 1: Both PT and OT. Interview with cognitive behavioral approach. Questionnaire about physical activity, symptoms, recreational activities, and psychological and physical well-being. Occupational self assessment. Defining functional goals for change.

Session 2: OT. Defining prioritized areas for change of behavior and defining goals.

Session 3: PT. Breathing techniques.

Session 4: OT. Defining activities and activity balance.

Session 5: PT. Sleeping habits and sleeping behavior.

Session 6: OT. Exposition of tools in prioritising “must do’s”.

Session 7: PT. Relaxation techniques, mental training and self-hypnosis.

Session 8: OT. Exposition of the patient’s different roles in life, influence of changes.

Session 9: PT. Information about the influence of physical activity on stress-related symptoms.

Session 10: OT. The patient’s role in working life, strengthens and weaknesses.

Session 11: PT. Body awareness.

Session 12: OT. Activities of daily life and leisure time in cooperation with well-being.

Session 13: PT. Instruction movie about stress and stress-related symptoms.

Session 14: OT. Instruction movie describing burnout.

Session 15: PT. Physical changes related to stress and burnout.

Session 16: OT. Feedback on change of behavior.

Session 17: PT. Feedback on change of behavior.

Session 18: Both OT and PT. Occupational self-assessment. Interview with cognitive behavioral approach.

Table 2 Baseline data, changes from baseline to three and six months

	Baseline	Three months		Six months
	n = 13	n = 13	p-value	n = 13	p-value
Women/men	10/3
Age (median)	40
SMBQ (median)	5	2.8	0.001	2.8	0.001
EQ5D VAS (median)	50	80	0.000	85	0.000
Sick leave yes/no	6/7	4/9	0.5	4/9	0.5
Extent of sick leave (100/50/25/0%)*	(2/1/3/7)	(2/1/1/9)		(2/1/1/9)
Headache yes/no	10/3	7/6	0.12	6/7	0.12
Frequency of headache (Very often/often/sometimes/seldom/never)	(0/4/2/4/3)	(0/2/3/2/6)		(0/0/4/3/6)
Satisfied with leisure time yes/no	6/7	10/3	0.21	10/3	0.21
Physical activity yes/no†	6/7	11/2	0.06	7/6	1.00

Notes:

* Extent of sick leave 100% means that the patient is on sick leave for the whole day, 50% that the patient work half the day and is on sick leave half the day, 25% means that the patient works 75% of the day and is on sick leave for 25%, and 0% means that the patient works full time.

† Physical activity ‘yes’ means physical activity more than a couple of times per week.

Abbreviations: EQ-5D VAS, EuroQol-5D visual analogue scale; SMBQ, shirom–melamed burnout questionnaire.