Effectiveness of adding motivational interviewing or a stratified vocational advice intervention to usual case management on return to work for people with musculoskeletal disorders: the MI-NAV randomised controlled trial (2025)

Aanesen, F., Grotle, M., Rysstad, T. L., Tveter, A. T., Tingulstad, A., Løchting, I., Småstuen, M. C., Van Tulder, M. W., Berg, R., Foster, N. E., Wynne-Jones, G., Sowden, G., Fors, E., Bagøien, G., Hagen, R., Storheim, K., & Øiestad, B. E. (2023). Effectiveness of adding motivational interviewing or a stratified vocational advice intervention to usual case management on return to work for people with musculoskeletal disorders: the MI-NAV randomised controlled trial. Occupational and Environmental Medicine, 80(1), 42-50. https://doi.org/10.1136/oemed-2022-108637

Aanesen, Fiona ; Grotle, Margreth ; Rysstad, Tarjei Langseth et al. / Effectiveness of adding motivational interviewing or a stratified vocational advice intervention to usual case management on return to work for people with musculoskeletal disorders : the MI-NAV randomised controlled trial. In: Occupational and Environmental Medicine. 2023 ; Vol. 80, No. 1. pp. 42-50.

@article{787ab463690946188467d2236a3c33c9,

title = "Effectiveness of adding motivational interviewing or a stratified vocational advice intervention to usual case management on return to work for people with musculoskeletal disorders: the MI-NAV randomised controlled trial",

abstract = "OBJECTIVES: To evaluate if adding motivational interviewing (MI) or a stratified vocational advice intervention (SVAI) to usual case management (UC), reduced sickness absence over 6 months for workers on sick leave due to musculoskeletal disorders.METHODS: We conducted a three-arm parallel pragmatic randomised controlled trial including 514 employed workers (57% women, median age 49 (range 24-66)), on sick leave for at least 50% of their contracted work hours for ≥7 weeks. All participants received UC. In addition, those randomised to UC+MI were offered two MI sessions from social insurance caseworkers and those randomised to UC+SVAI were offered vocational advice from physiotherapists (participants with low/medium-risk for long-term sickness absence were offered one to two sessions, and those with high-risk were offered three to four sessions).RESULTS: Median sickness absence was 62 days, (95% CI 52 to 71) in the UC arm (n=171), 56 days (95% CI 43 to 70) in the UC+MI arm (n=169) and 49 days (95% CI 38 to 60) in the UC+SVAI arm (n=169). After adjusting for predefined potential confounding factors, the results showed seven fewer days in the UC+MI arm (95% CI -15 to 2) and the UC+SVAI arm (95% CI -16 to 1), compared with the UC arm. The adjusted differences were not statistically significant.CONCLUSIONS: The MI-NAV trial did not show effect on return to work of adding MI or SVAI to UC. The reduction in sickness absence over 6 months was smaller than anticipated, and uncertain due to wide CIs.TRIAL REGISTRATION NUMBER: NCT03871712.",

keywords = "Musculoskeletal System, Occupational Health, Rehabilitation, Sick Leave",

author = "Fiona Aanesen and Margreth Grotle and Rysstad, {Tarjei Langseth} and Tveter, {Anne Therese} and Alexander Tingulstad and Ida L{\o}chting and Sm{\aa}stuen, {Milada C.} and {Van Tulder}, {Maurits W.} and Rigmor Berg and Foster, {Nadine E.} and Gwenllian Wynne-Jones and Gail Sowden and Egil Fors and Gunnhild Bag{\o}ien and Roger Hagen and Kjersti Storheim and {\O}iestad, {Britt Elin}",

note = "Publisher Copyright: {\textcopyright} 2023 Author(s). Published by BMJ.",

year = "2023",

month = jan,

doi = "10.1136/oemed-2022-108637",

language = "English",

volume = "80",

pages = "42--50",

journal = "Occupational and Environmental Medicine",

issn = "1351-0711",

publisher = "BMJ Publishing Group",

number = "1",

}

Aanesen, F, Grotle, M, Rysstad, TL, Tveter, AT, Tingulstad, A, Løchting, I, Småstuen, MC, Van Tulder, MW, Berg, R, Foster, NE, Wynne-Jones, G, Sowden, G, Fors, E, Bagøien, G, Hagen, R, Storheim, K & Øiestad, BE 2023, 'Effectiveness of adding motivational interviewing or a stratified vocational advice intervention to usual case management on return to work for people with musculoskeletal disorders: the MI-NAV randomised controlled trial', Occupational and Environmental Medicine, vol. 80, no. 1, pp. 42-50. https://doi.org/10.1136/oemed-2022-108637

Effectiveness of adding motivational interviewing or a stratified vocational advice intervention to usual case management on return to work for people with musculoskeletal disorders: the MI-NAV randomised controlled trial. / Aanesen, Fiona; Grotle, Margreth; Rysstad, Tarjei Langseth et al.
In: Occupational and Environmental Medicine, Vol. 80, No. 1, 01.2023, p. 42-50.

Research output: Contribution to Journal › Article › Academic › peer-review

TY - JOUR

T1 - Effectiveness of adding motivational interviewing or a stratified vocational advice intervention to usual case management on return to work for people with musculoskeletal disorders

T2 - the MI-NAV randomised controlled trial

AU - Aanesen, Fiona

AU - Grotle, Margreth

AU - Rysstad, Tarjei Langseth

AU - Tveter, Anne Therese

AU - Tingulstad, Alexander

AU - Løchting, Ida

AU - Småstuen, Milada C.

AU - Van Tulder, Maurits W.

AU - Berg, Rigmor

AU - Foster, Nadine E.

AU - Wynne-Jones, Gwenllian

AU - Sowden, Gail

AU - Fors, Egil

AU - Bagøien, Gunnhild

AU - Hagen, Roger

AU - Storheim, Kjersti

AU - Øiestad, Britt Elin

N1 - Publisher Copyright:© 2023 Author(s). Published by BMJ.

PY - 2023/1

Y1 - 2023/1

N2 - OBJECTIVES: To evaluate if adding motivational interviewing (MI) or a stratified vocational advice intervention (SVAI) to usual case management (UC), reduced sickness absence over 6 months for workers on sick leave due to musculoskeletal disorders.METHODS: We conducted a three-arm parallel pragmatic randomised controlled trial including 514 employed workers (57% women, median age 49 (range 24-66)), on sick leave for at least 50% of their contracted work hours for ≥7 weeks. All participants received UC. In addition, those randomised to UC+MI were offered two MI sessions from social insurance caseworkers and those randomised to UC+SVAI were offered vocational advice from physiotherapists (participants with low/medium-risk for long-term sickness absence were offered one to two sessions, and those with high-risk were offered three to four sessions).RESULTS: Median sickness absence was 62 days, (95% CI 52 to 71) in the UC arm (n=171), 56 days (95% CI 43 to 70) in the UC+MI arm (n=169) and 49 days (95% CI 38 to 60) in the UC+SVAI arm (n=169). After adjusting for predefined potential confounding factors, the results showed seven fewer days in the UC+MI arm (95% CI -15 to 2) and the UC+SVAI arm (95% CI -16 to 1), compared with the UC arm. The adjusted differences were not statistically significant.CONCLUSIONS: The MI-NAV trial did not show effect on return to work of adding MI or SVAI to UC. The reduction in sickness absence over 6 months was smaller than anticipated, and uncertain due to wide CIs.TRIAL REGISTRATION NUMBER: NCT03871712.

AB - OBJECTIVES: To evaluate if adding motivational interviewing (MI) or a stratified vocational advice intervention (SVAI) to usual case management (UC), reduced sickness absence over 6 months for workers on sick leave due to musculoskeletal disorders.METHODS: We conducted a three-arm parallel pragmatic randomised controlled trial including 514 employed workers (57% women, median age 49 (range 24-66)), on sick leave for at least 50% of their contracted work hours for ≥7 weeks. All participants received UC. In addition, those randomised to UC+MI were offered two MI sessions from social insurance caseworkers and those randomised to UC+SVAI were offered vocational advice from physiotherapists (participants with low/medium-risk for long-term sickness absence were offered one to two sessions, and those with high-risk were offered three to four sessions).RESULTS: Median sickness absence was 62 days, (95% CI 52 to 71) in the UC arm (n=171), 56 days (95% CI 43 to 70) in the UC+MI arm (n=169) and 49 days (95% CI 38 to 60) in the UC+SVAI arm (n=169). After adjusting for predefined potential confounding factors, the results showed seven fewer days in the UC+MI arm (95% CI -15 to 2) and the UC+SVAI arm (95% CI -16 to 1), compared with the UC arm. The adjusted differences were not statistically significant.CONCLUSIONS: The MI-NAV trial did not show effect on return to work of adding MI or SVAI to UC. The reduction in sickness absence over 6 months was smaller than anticipated, and uncertain due to wide CIs.TRIAL REGISTRATION NUMBER: NCT03871712.

KW - Musculoskeletal System

KW - Occupational Health

KW - Rehabilitation

KW - Sick Leave

UR - http://www.scopus.com/inward/record.url?scp=85144398446&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85144398446&partnerID=8YFLogxK

U2 - 10.1136/oemed-2022-108637

DO - 10.1136/oemed-2022-108637

M3 - Article

C2 - 36428098

SN - 1351-0711

VL - 80

SP - 42

EP - 50

JO - Occupational and Environmental Medicine

JF - Occupational and Environmental Medicine

IS - 1

ER -

Aanesen F, Grotle M, Rysstad TL, Tveter AT, Tingulstad A, Løchting I et al. Effectiveness of adding motivational interviewing or a stratified vocational advice intervention to usual case management on return to work for people with musculoskeletal disorders: the MI-NAV randomised controlled trial. Occupational and Environmental Medicine. 2023 Jan;80(1):42-50. Epub 2022 Nov 25. doi: 10.1136/oemed-2022-108637