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BMC Public Health

, 12:927

First Online: 30 October 2012Received: 02 March 2012Accepted: 25 October 2012


BackgroundA requirement of the Government’s Pathways to Work PtW agenda was to introduce a Condition Management Programme CMP. The aim of the present study was to identify the differences between those who engaged and made progress in this telephone-based biopsychosocial intervention, in terms of their health, and those who did not and to determine the client and practitioner characteristics and programme elements associated with success in a programme aimed at improving health.

MethodsData were obtained from the CMP electronic spreadsheets and clients paper-based case records. CMP standard practice was that questionnaires were administered during the pre- and post-assessment phases over the telephone. Each client’s record contains their socio-demographic data, their primary health condition, as well as the pre- and post-intervention scores of the health assessment tool administered. Univariate and multivariate statistical analysis was used to investigate the relationships between the database variables. Clients were included in the study if their records were available for analysis from July 2006 to December 2007.

ResultsOn average there were 112 referrals per month, totalling 2016 referrals during the evaluation period. The majority 62.8% of clients had a mental-health condition. Successful completion of the programme was 28.5% 575 -completers-; 144 -discharges-. Several factors, such as age, health condition, mode of contact, and practitioner characteristics, were significant determinants of participation and completion of the programme. The results showed that completion of the CMP was associated with a better mental-health status, by reducing the number of clients that were either anxious, depressed or both, before undertaking the programme, from 74% to 32.5%.

ConclusionsOur findings showed that an individual-s characteristics are associated with success in the programme, defined as completing the intervention and demonstrating an improved health status. This study provides some evidence that the systematic evaluation of such programmes and interventions could identify ways in which they could be improved.

KeywordsIntervention Vocational rehabilitation Incapacity benefit Biopsychosocial model AbbreviationsIBIncapacity benefit

PtWPathways to work

CMPCondition management programme

NHSNational Health Service

CBTCognitive behavioural therapy

HADSHospital anxiety and depression scale

DepCatDeprivation category.

Electronic supplementary materialThe online version of this article doi:10.1186-1471-2458-12-927 contains supplementary material, which is available to authorized users.

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Autor: Evangelia Demou - Iain Gibson - Ewan B Macdonald


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