Development and Testing of a Generic Screening for Use in Application Process of Medical Rehabilitation Services (Generik)

Entwicklung Und Testung Eines Generischen Screenings für Die Vorabschätzung Von Fallgruppen im Antragsverfahren

The primary objective of this research is the development and testing of a brief cross-indication instrument (screening) for use in the approval process of medical rehabilitation services. In addition to the empirical foundation, this generic instrument should have a high level of acceptance of both applicants and payers of rehabilitation services. Furthermore, an everyday and economic use for the routine application process for medical rehabilitation services at the German statutory pension insurance scheme should be provided. In the first study phase, a long instrument was tested with a sample of rehabilitees that received approval of medical rehabilitation services. This assessment including the measurement of rehabilitation-related somatic, psychological and social impairments was first tested for its psychometric properties and then reduced to a short instrument (screening) using quantitative methods. In the second study phase, the then-existing screening will be part of the application documents for medical rehabilitation services to assess its management properties and practicability in everyday use of the German statutory pension insurance scheme.

Study Overview

• Status: Completed
• Conditions: Medical Rehabilitation

• Study Type: Observational
• Enrollment (Actual): 2736

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years to 65 years (Adult, Older Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

• Sampling Method: Probability Sample

Study Population

Members of the German Federal Pension Insurance before their medical rehabilitation

Description

Inclusion Criteria:

• Member of German Federal Pension Insurance
• Approval of a medical rehabilitation according to § 15 SGB VI

Exclusion Criteria:

• Returning questionnaire after beginning of medical rehabilitation

Study Plan

How is the study designed?

Number of groups / cohorts

2

Cohorts and Interventions

Group / Cohort
Comorbid symptoms
No comorbid symptoms

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
return-to-work	The outcome is assessed by the discharge report from the rehabilitation centre.	up to 9 months

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
therapies during rehabilitation	The outcome is assessed by the discharge report from the rehabilitation centre according to the 'classification of therapeutical services'.	up to 9 months
socio-medical prognosis	The outcome is assessed by the discharge report from the rehabilitation centre.	up to 9 months

Collaborators and Investigators

• Sponsor: Martin Brünger
• Collaborators: Deutsche Rentenversicherung

Publications and helpful links

General Publications

• Streibelt M, Brunger M. [How many work-related therapeutic services do patients with severe restrictions of work ability receive? Analysis of a representative rehabilitation sample across indications]. Rehabilitation (Stuttg). 2014 Dec;53(6):369-75. doi: 10.1055/s-0034-1375643. German.
• Brunger M, Spyra K. Prevalence of comorbid depressive symptoms in rehabilitation: A cross-indication, nationwide observational study. J Rehabil Med. 2016 Nov 11;48(10):903-908. doi: 10.2340/16501977-2156.
• Brunger M, Streibelt M, Schmidt C, Spyra K. [Psychometric Testing of a Generic Assessment Tool for the Identification of Biopsychosocial Impairments in Persons with an Approval for Medical Rehabilitation]. Rehabilitation (Stuttg). 2016 Jun;55(3):175-81. doi: 10.1055/s-0042-104668. Epub 2016 Jun 10. German.

Study record dates

Study Major Dates

• Study Start: January 1, 2011
• Primary Completion (Actual): March 1, 2014
• Study Completion (Actual): September 1, 2014

Study Registration Dates

• First Submitted: November 25, 2014
• First Submitted That Met QC Criteria: November 26, 2014
• First Posted (Estimate): December 2, 2014

Study Record Updates

• Last Update Posted (Actual): August 1, 2017
• Last Update Submitted That Met QC Criteria: July 28, 2017
• Last Verified: November 1, 2014

More Information

Terms related to this study

• Other Study ID Numbers: 8011-106-31/31.27.16