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

Table 2 Effect on ACT based CBT of the staff on prescription of sick leave certificates during the years 2018 and 2019 in primary health care in 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 prescribed sick leave was calculated from monthly records of ongoing sick leave

Primary health care center	Sick leave F99 2017	Sick leave F99 2018	P-value between 2017–2018	Sick leave F99 2019	P-value between 2017–2019	Sick leave M99 2017	Sick leave M99 2018	P-value between 2017–2018	Sick leave M99 2019	P-value between 2017–2019
Jönköping
Eksjö and Mariannelund	168.83	178.50		193.83		74.00	70.83		65.17
Gnosjö	56.75	67.33		71.08		60.75	65.17		61.75
Gränna	52.42	45.75		43.58		16.83	19.00		16.75
Vaggeryd	54.92	44.83		54.92		42.92	52.58		44.67
Vetlanda	84.83	85.92		87.33		50.42	49.67		52.67
Sick leave (mean subjects/month)	45.9 ± 31	47.8 ± 34	0.50 0.69^a	52.4 ± 40	0.33 0.27^a	49.0 ± 21	51.4 ± 20	0.33 0.34^a	48.2 ± 19	0.72 0.69^a
Kalmar
Emmaboda	29.67	36.75		36.25		23.58	26.50		25.92
Esplanaden	84.25	70.67		53.25		46.17	46.33		43.75
Högsby	23.17	20.17		11.42		31.50	22.58		16.58
Ljungbyholm	63.50	44.00		31.83		35.83	25.75		27.67
Stora Trädgårdsgatan	54.92	44.00		26.08		41.08	34.83		26.50
Färjestaden	60.25	55.83		59.33		30.25	29.42		30.67
Sick leave (mean subjects/month)	52.6 ± 23	45.2 ± 17	0.11 0.12^a	36.4 ± 18	0.062 0.075^a	34.7 ± 8.1	30.9 ± 8.7	0.14 0.17^a	28.5 ± 8.8	0.098 0.12^a

Abbreviations: ACT Acceptance and Commitment Therapy, CBT Cognitive Behavioral Therapy; F99, diagnosis of any psychiatric disease; M99 diagnosis of any musculoskeletal disorder
^a Calculated with Wilcoxon signed-rank test

ISSN: 2731-4553