The present study will evaluate the logistics and especially the effectiveness of the proposed multi-component intervention. The results will be an important factor for decisions on the further exploitation of the RRR foundation.
ID
Source
Brief title
Condition
- Joint disorders
Synonym
Research involving
Sponsors and support
Intervention
Outcome measures
Primary outcome
- Successful re-integration of an employee (worker) in their own work or
adjusted (own) work in the same workplace within 16-18 weeks from the first day
of sick leave (first day of the 16th week + 2 weeks) and sustained up to 6
months after the start of the sickness episode
Secondary outcome
- Successful reintegration within 16 weeks (+ 2 weeks) after the start of
sickness-absence episode and after 6 months in any work (also at another
workplace)
- Successful reintegration within 16 - 18 weeks or 6 months (in own (adapted)
work or any work
- Sick leave in the follow-up period during the 6 months follow-up/
successfully reintegrated after the intervention but not at follow-up
- Improvement on HR-QoL after 16 weeks and 6 months
- Improvement of work productivity (presenteeism) after 16 weeks and 6
months
in all patients
- Incremental costs and consequences at the patient level, incremental cost
per
QALY and incremental cost per additional successful integrated worker
- Evaluation of the RRR program and implementation in a larger referral setting
(unlimited inclusion)
Background summary
In the Netherlands, rheumatic conditions (non-traumatic complaints of the
musculoskeletal system) are frequently diagnosed within the working population
(18-65y). They are known as the second major cause of new cases of work
disability.
Work loss does not only contribute to productivity loss at the level of the
workplace and for society, but there are also indications that it can have
adverse effects on emotional and physical health. Interventions aimed to
improve work participation are usually complex. In the south of the Netherlands
no holistic approach for a case management is available for workers at risk for
job loss/work disability due to rheumatic condition.
RRR is a new foundation aiming to provide holistic care to workers with health
related problems at the workplace in order to avoid long-term sickness absence
and work disability.
Study objective
The present study will evaluate the logistics and especially the effectiveness
of the proposed multi-component intervention. The results will be an important
factor for decisions on the further exploitation of the RRR foundation.
Study design
It is aimed to perform a randomized controlled trial in which patients that
fulfill eligibility criteria will be included on a weekly basis either into a
multi-component vocational reintegration program or receive care as usual.
Patients will be stratified according to rheumatological diagnosis into three
groups (each =50): inflammatory rheumatic disease; degenerative rheumatic
disease; local or generalised aspecific pain syndrome)
Intervention
Workers that are included in the re-integration program will receive a partly
individualised multi-component reintegration program for a period of four weeks
assuming total treatment duration of 30 hours per week. Subjects that are not
included in the program can receive care as usual. Individualized components
are potentially added after screening the patient.
Study burden and risks
N/A
Cauberg 25-27
6301BT Valkenburg aan de Geul
Nederland
Cauberg 25-27
6301BT Valkenburg aan de Geul
Nederland
Listed location countries
Age
Inclusion criteria
-Participants have absence from paid work due to a non-traumatic complaint of the musculoskeletal
system for a maximum of 10-12 weeks when referring
- They have (a) an employment contract for a minimum of 18 hours per
week and have an employment contract for at least one year after the start of the sickness
episode and a duration at least another year after the randomization or (b) being self-
employed/entrepreneur
-They experienced in the In the year preceding the start of the present sickness episode a
maximum of in total 6 weeks sickness (30 days) or proportion according to the level of
contractual hours.
- A non-traumatologic rheumatologic condition /complaint of the musculoskeletal
system is confirmed by a physician (which can be general practitioner, occupational physician or
medical specialist)
- Intrinsic motivation to return to own work (or adjusted work with the same employer) after the
program
- Commitment of the employer to collaborate in the re-integration program
- Commitment of the employee to take part in a four weeks
re-integration program
Exclusion criteria
Severe co-morbidity interfering with the RRR program such as
- Severe endogenous depression
- Severe cardial or pulmonary disease interfering with the re-integration program
- Insufficient knowledge of the Dutch language to be able to complete the study-questionnaires
Design
Recruitment
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
| Register | ID |
|---|---|
| CCMO | NL37127.068.11 |