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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