Table 1.
Overview of the rehabilitation programs a [ACT= acceptance and commitment therapy; GP=general practitioner.]
| Inpatient multimodal occupational rehabilitation (I-MORE) | Outpatient acceptance and commitment therapy (O-ACT) | |
|---|---|---|
| Location | Inpatient rehabilitation center | Outpatient Hospital clinic |
| Duration | 3.5 weeks (supervised sessions: 45.5 hours) | 6–7 weeks (supervised sessions: 18.5 hours) |
| Contents and qualities | - group discussions (×8, total 16 hours; ACT based) - psychoeducational sessions (×4, total 6.5 hours) - individual meetings with coordinator (×5, total 5 hours) - individual meeting with physician (×1, 0.5 hours) - supervised physical exercise sessions (×10, total 12 hours) - outdoor activities day (×1, 5 hours) - “network day” with 2 group sessions (total 4 hours) - mindfulness sessions (×7, total 3.5 hours) b - “walking to work” (×6, total 3 hours) b - create return to work plan - at least one weekend at home framed as “home practice” b - a resume of the return to work plan was sent to the GP |
- weekly ACT group sessions of 2.5 hours duration (×6, total 15 hours led by physician or psychologist) - group discussion on physical activity (×1, 1 hour led by a physiotherapist) - individual sessions (×2, total 2 hours with social worker trained in ACT) - individual closing therapy session in week 6 or 7 with both the social worker and the group therapist present (×1, 0.5 hours) - 15 minutes mindfulness at the start of group sessions (× 6, total 1.5 hours) - home practice, including daily mindfulness (15 minutes audio guided) b - a short resume of the program content and the patient’s own value based action plan was sent to the GP after the individual closing session. |
a
Adapted from protocol article; Fimland et al. BMC Public Health 2014.
b
Scheduled but not supervised parts of the program.