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Table 1 Effect on ACT based CBT of the staff on prescription of sick leave certificates during the years 2018 and 2019 in primary health care centers in Region Kalmar and Jönköping. The intervention started January 2018 in Kalmar and the year 2017 served as control in both Regions. The mean number of subjects with sick leave certificates was calculated from monthly records of ongoing sick leave

From: Education of the primary health care staff based on acceptance and commitment therapy is associated with reduced sick leave in a prospective controlled trial

Primary health care center Registered subjects 18–65 years of age Sick leave F43 2017 Sick leave F43 2018 P-value between 2018–2019 Sick leave F43 2019 P-value between
2017–2019
Total sick leave 2017 Total sick leave 2018 P-value between 2017–2018 Total sick leave 2019 P-value between 2017–2019
Jönköping            
Eksjö and Mariannelund 7311 97.0 106.8   120.7   326.5 327.4   341.8  
Gnosjö 5817 25.8 30.8   36.2   171.8 194.3   185.1  
Gränna 2971 24.9 26.2   26.6   88.2 85.7   77.3  
Vaggeryd 3982 27.8 25.1   26.2   140.2 141.6   129.9  
Vetlanda 5663 54.1 50.1   52.5   173.1 175.0   172.8  
Sick leave (mean subjects/month)   45.9 ± 31 47.8 ± 34 0.50
0.50a
52.4 ± 40 0.25
0.28a
179.8 ± 89 184.8 ± 90 0.34
0.34a
181.4 ± 99 0.79
0.69a
Kalmar            
Emmaboda 4938 21.7 18.8   18.5   90.2 97.7   92.2  
Esplanaden 6237 42.8 31.8   23.5   192.5 183.2   155.2  
Högsby 3048 16.7 14.6   7.5   87.1 69.2   50.5  
Ljungbyholm 3612 32.2 18.7   15.1   142.8 111.7   89  
Stora Trädgårdsgatan 5284 27.5 21.0   9.2   138.9 116.3   92.1  
Färjestaden 5136 31.5 30.6   34.8   139.3 131.6   131.6  
Sick leave (mean subjects/month)   28.7 ± 9.1 22.6 ± 7.0 0.033
0.028a
18.1 ± 10 0.038
0.075a
131.8 ± 39 118.3 ± 38 0.056
0.046a
101.8 ± 37 0.021
0.046a
  1. Abbreviations: ACT Acceptance and Commitment Therapy, CBT Cognitive Behavioral Therapy; F43, diagnosis of reaction to severe stress and related adjustment-disorders
  2. a Calculated with Wilcoxon signed-rank test