Long-Term Outcomes Following Vocational Rehabilitation Treatments in Patients with Prolonged Fatigue
Multi-component vocational rehabilitation (VR) provides positive short-term outcomes in patients with prolonged fatigue.
The purpose of this study is to evaluate the long-term outcomes of Dutch multi-component VR up to 18 months after treatment.
In a pre–post-study, measurements were taken before treatment (t0), after treatment (t1) and in long-term follow-ups at 6 (t2), 12 (t3) and 18 months (t4) after treatment. Primary outcomes (fatigue, work participation and workability) and secondary outcomes [physical and social functioning, mental health and heart rate variability (HRV)] were assessed over time using linear mixed models analyses. Post hoc long-term outcomes were compared with t0 and t1.
Sixty patients with severe fatigue complaints participated. The primary outcomes significantly (p < 0.001) improved at follow-ups compared with t0 and showed no relapse compared with t1. Moreover, fatigue decreased (p < 0.002) whereas workability (p < 0.001) and work participation (p < 0.001) increased further after treatment (t1). The secondary outcomes, physical functioning, mental health, social functioning and HRV, improved significantly (p < 0.001, p < 0.001, p < 0.001 and p = 0.049, respectively) over the long term compared with t0. At 6-month follow-up (t2), mental health (p < 0.003) and social functioning (p = 0.003) further increased after the treatment was stopped.
Multi-component VR treatments seem to significantly and in a clinically relevant way decrease fatigue symptoms and improve individual functioning and work participation in patients with severe prolonged fatigue over the long term and without showing relapse.
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- Long-Term Outcomes Following Vocational Rehabilitation Treatments in Patients with Prolonged Fatigue
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International Journal of Behavioral Medicine
Volume 20, Issue 1 , pp 42-51
- Cover Date
- Print ISSN
- Online ISSN
- Springer US
- Additional Links
- Biopsychosocial intervention
- Multi-component treatment
- Practice-based research
- Prolonged fatigue complaints
- Return to work
- Work-directed intervention
- Author Affiliations
- 1. Coronel Institute of Occupational Health, Academic Medical Center, University of Amsterdam, P.O. Box 22700, 1100 DE, Amsterdam, The Netherlands
- 2. School of Social and Behavioral Sciences, Tilburg University, Tranzo, Tilburg, The Netherlands