• Lotte Nygaard Andersen, Birgit Juul-Kristensen, Thomas Lund Sørensen, Lene Gram Herborg, Kirsten Kaya Roessler, and Karen Søgaard.
• Department of Psychology, University of Southern Denmark, 5230 Odense M, Denmark. lonygaard@health.sdu.dk.
• J Rehabil Med. 2016 Nov 11; 48 (10): 887-892.

ObjectiveTo evaluate the longer term efficacy of the interventions Tailored Physical Activity (TPA) and Chronic Pain Self-management Program (CPSMP) against a reference group on return-to-work for sick-listed subjects with pain in the back or upper body.DesignA randomized controlled trial.SubjectsA total of 141 sick-listed subjects with pain in the back or upper body.MethodsAll participants received health guidance for 1.5 h and were randomly assigned to TPA (n = 47), CPSMP (n = 47) or a reference group (n = 47). The primary end-point was the proportion of participants returning to work and the co-primary end-point was the duration of the sickness absence period retrieved 11 months after the first day on sick leave. Secondary outcomes were pain level, body mass index, aerobic capacity, work ability and kinesiophobia.ResultsTPA and CPSMP were no more effective than the reference group as regards return-to-work. Compared with the reference group no other benefits of TPA and CPSMP were evident regarding pain, work ability, kinesiophobia or physical capacity.ConclusionAfter 11 months TPA, the reference group, and CPSMP show similar patterns of facilitating return-to-work. This is additional knowledge, compared with the 3-month findings reported previously, showing that TPA seems to facilitate a faster return-to-work.

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