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CompletedNCT02524392NIMEUpdated May 11, 2018

Effect Evaluation of Independent Medical Evaluation (IME) in Norway

An interventional study of Independent medical evaluation in All International Classification of Primary Care 2 Diagnoses, sponsored by NORCE Norwegian Research Centre AS. Completed at 1 site in Norway. Open to participants aged 18 Years to 66 Years. Per ClinicalTrials.gov, last updated 2018-05-11.

Sponsored by NORCE Norwegian Research Centre AS · Not applicable, Interventional, and Health services research

Phase
Not applicable
Study type
Interventional
Enrollment
7,642
Allocation
Randomized
Ages
18 Years to 66 Years
Sex
All
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Study summary

A randomized controlled trial comparing independent medical evaluation (IME) to treatment as usual (TAU). Participants will be individuals reaching six months uninterrupted sickness absence. Treatment as usual (TAU) is normal follow-up by a general practitioner (GP).

Read the detailed description

A randomized controlled trial in a Norwegian context, involving an effect evaluation, a cost-benefit evaluation and a qualitative evaluation. Independent medical evaluation (IME) will be compared to treatment as usual (TAU). Independent medical evaluation (IME) will comprise a consultation with an independent general practitioner (IME GP) who will assess whether the sick listed worker has been given eligible and available opportunities in return to work follow-up in Norway. The independent medical evaluation general practitioner (IME GP) will write a short report that is sent to the treating general practitioner as input from a colleague. The report can be used in the follow-up of the sick listed participant. The participants in the treatment as usual (TAU) group will not receive any other follow-up than normal follow-up by the treating general practitioner. The qualitative evaluation will be conducted to gain insight into the experiences of the general practitioners and the participants.

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Conditions studied

  • All International Classification of Primary Care 2 Diagnoses

Keywords

  • independent medical evaluation
  • sick leave
  • sickness absence
  • physician primary care
  • general practitioner
  • family physician
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In context

Lead sponsor

NORCE Norwegian Research Centre AS is the lead sponsor of 23 studies on the registry; 3 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years to 66 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Participants on sick leave with an International Classification of Primary Care-2 diagnosis will be recruited through the Norwegian Labour and Welfare Administration's (NAV) registries, when reaching 22 weeks of sick leave (full or graded).

Exclusion criteria

Exclusion Criteria:

  • People with International Classification of Disease-10 diagnoses, cancer or dementia.
  • People who are pregnant.
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Study design

Phase
Not applicable
Primary purpose
Health services research
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
7,642 participants (actual)

Study arms

  • Experimental
    Independent medical evaluation

    Independent medical evaluation (IME) of another doctor than the treating general practitioner.

    Other: Independent medical evaluation

  • No intervention
    Treatment as usual

    Treatment as usual by the treating general practitioner. There will be one randomized control group in one county. Sick-listed in other counties serve as an extra control group.

Interventions

  • OtherIndependent medical evaluation

    The independent medical evaluation (IME) will be performed by specialists in general medicine, temporarily hired by the county welfare service. The independent medical evaluation (IME) procedure is developed by the Research Unit for General Practice at Uni Research Health in Norway.

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What researchers measure

Primary outcomes

  1. Change in sick leave

    Data on sickness benefits from official registers will be used to measure the primary outcome.

    Time frame: Measured at three and eight weeks after randomization.

07

Study locations

1 site
  • Uni Research
    Bergen, 5014, Norway
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References and documents

Publications

  • Maeland S, Holmas TH, Oyeflaten I, Husabo E, Werner EL, Monstad K. What is the effect of independent medical evaluation on days on sickness benefits for long-term sick listed employees in Norway? A pragmatic randomised controlled trial, the NIME-trial. BMC Public Health. 2022 Feb 26;22(1):400. doi: 10.1186/s12889-022-12800-1. PubMed 35216560 ↗
  • Oyeflaten I, Maeland S, Haukenes I. Independent medical evaluation of general practitioners' follow-up of sick-listed patients: a cross-sectional study in Norway. BMJ Open. 2020 Mar 18;10(3):e032776. doi: 10.1136/bmjopen-2019-032776. PubMed 32193258 ↗
  • Aamland A, Husabo E, Maeland S. Independent medical evaluation for sick-listed patients: a focus group study of GPs expectations and experiences. BMC Health Serv Res. 2018 Aug 29;18(1):666. doi: 10.1186/s12913-018-3481-3. PubMed 30157844 ↗
  • Husabo E, Monstad K, Holmas TH, Oyeflaten I, Werner EL, Maeland S. Protocol for the effect evaluation of independent medical evaluation after six months sick leave: a randomized controlled trial of independent medical evaluation versus treatment as usual in Norway. BMC Public Health. 2017 Jun 14;17(1):573. doi: 10.1186/s12889-017-4469-3. PubMed 28615017 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 11, 2018, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT02524392
Lead sponsor
NORCE Norwegian Research Centre AS
Collaborators
Norwegian Labour and Welfare Administration
Responsible party
Sponsor
First posted
Aug 14, 2015
Start date
Sep 2015
Primary completion
Feb 2018
Completion
Mar 2018
Last update
May 11, 2018

Study contacts

Silje Maeland, PhD
principal investigator · Uni Research Health

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in May 2018. You cannot join it, but the record below documents what was studied.

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