Background: Motivational interviewing MI , mainly used and shown effective in health care substance abuse, smoking cessation, increasing exercise and other life style changes , is a collaborative conversation style about change that could be useful for individuals having problems related to return to work RTW. The aim of this paper is to describe the design of a randomized controlled trial evaluating the effect of MI on RTW among sick listed persons compared to usual care, in a social security setting. Methods: The study is a randomized controlled trial with parallel group design. Exclusion criteria are no employment and pregnancy. Included participants are randomly assigned to the MI intervention or one of two control groups. The MI intervention consists of two MI sessions offered by caseworkers at the Norwegian Labor and Welfare Service NAV , while the comparative arms consist of a usual care group and a group that receives two extra sessions without MI content to control for attentional bias.
Long-term sickness absence is usually defined as a period of continuous absence of more than four weeks. On the other hand, sick leave can place a significant financial burden on a small business. What we often see, particularly in small businesses, is that the strain of an employee on long-term sick leads to rash decisions being made, which, in some cases, can lead to costly disability discrimination claims. If your employee has been off for more than 4 weeks and there are no plans for an imminent return, you should invite them to a formal stage 1 absence meeting. As this is a formal meeting, appropriate notice should be given to the employee and they should be offered the right to be accompanied.
Background: A waterborne outbreak of Giardia lamblia gastroenteritis led to a high prevalance of long-lasting fatigue and abdominal symptoms. The aim was to describe the clinical characteristics, disability and employmentloss in a case series of patients with Chronic Fatigue Syndrome CFS after the infection. Methods: Patients who reported persistent fatigue, lowered functional capacity and sickness leave or delayed education after a large community outbreak of giardiasis enteritis in the city of Bergen, Norway were evaluated with the established Centers for Disease Control and Prevention criteria for CFS.