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Multidisciplinary Return-to-work Rehabilitation and Return-to Work Follow-up

4. december 2018 opdateret af: Norwegian University of Science and Technology

Multidisciplinary Return-to-work Rehabilitation and Return-to-work Follow-up, a Randomized Study of Patients With Complex Symptom Disorders

The large number of people on long-term sick leave is a major public health concern in Norway. The main causes of disability are musculoskeletal and mental disorders. Long-term sick leave causes a decline in individual life-quality, is associated with increased risk for mental disorders and represents a very large cost for the Norwegian society.

The purpose of this study is to determine whether the patients included return to work after rehabilitation at Hysnes Rehabilitation Centre. This includes an investigation of what is considered to be the effect of Return-to-work rehabilitation measured before, during and after the stay at the rehabilitation centre:

The study specifically looks at the effect of structured and standardized return-to-work follow up of the patient, including contact with stakeholders (general practitioner, social security office and workplace).

In addition there is a need to describe the patients participating in the program. The aetiology of complex symptom disorders is poorly understood and the role of genetics and stress is not translatable to a complex symptom population. This complicates the transition from current biological research to a clinical use regarding these patients. If the investigators can assist in understanding how these patients, who are multiusers of health care and have received sickness benefit for a long time, develop their disorders and symptoms, it will be of great importance to the Norwegian community. Therefore the study consists of multimodal measurements of the patients before, during and after a rehabilitation programme at Hysnes Rehabilitation Centre. These measures include genotype, saliva cortisol, medical-, psychological-, physiological diagnostics and work related factors.

Related aims:

Investigate if multidisciplinary treatment based on acceptance and commitment therapy, contributes to normalisation of cortisol release with regards to a standardized stress test.

See wether individual differences regarding the stress profile can predict return to work in patients with complex symptom disorders.

Investigate genetic risk factors in relation to Return to Work rehabilitation and identify treatment moderators in a multidisciplinary rehabilitation program.

Studieoversigt

Status

Afsluttet

Betingelser

Intervention / Behandling

Undersøgelsestype

Interventionel

Tilmelding (Faktiske)

214

Fase

  • Ikke anvendelig

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiesteder

  • Norge
      • Trondheim, Norge
        • Hysnes Helsefort, St Olavs Hospital

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

18 år til 59 år (Voksen)

Tager imod sunde frivillige

Ingen

Køn, der er berettiget til at studere

Alle

Beskrivelse

Inclusion criteria:

  • Age between 18-59 years
  • A self defined goal of increasing their work ability and work participation within a period of no more than six months
  • They fill the criteria of a complex symptom disorder, or they are diagnosed with a common mental disorder
  • A satisfactory level of examination and treatment to participate at Hysnes Rehabilitation Centre
  • Sick leave > 8weeks or receiving work ability assessment benefit for any diagnosis, except as stated below.
  • On a level of linguistic, physical and mental function required to participate in the rehabilitation

Exclusion criteria:

  • Ongoing alcohol/drug abuse
  • Ongoing psychosis, ongoing manic episode or suicide risk
  • Pregnancy

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

  • Primært formål: Støttende pleje
  • Tildeling: Randomiseret
  • Interventionel model: Parallel tildeling
  • Maskning: Ingen (Åben etiket)

Våben og indgreb

Deltagergruppe / Arm
Intervention / Behandling
Eksperimentel: Return to work follow-up
Regular contact between the patient and his/her caretaker at the rehabilitation center over a 6 month period, including joint communication between patient, caretaker at the rehabilitation center and stake holders such as social security office, general practitioner and workplace.
Adfærdsmæssigt: Return-to-work Rehabilitation + Follow up
3 1/2 weeks of Return-to-work rehabilitation followed by 6 months of Return-to-work follow-up
Andre navne:
  • Acceptance commitment therapy
Aktiv komparator: Standard follow-up
Standard follow-up of the patient after ended rehabilitation by the return-to-work stakeholders, ie. the general practitioner, social security office and the employer. Limited contact between the caretaker at the rehabilitation center and the patient and stakeholders.
Adfærdsmæssigt: Return-to-work rehabilitation
3 1/2 weeks of Return-to-work rehabilitation followed by standard follow-up
Andre navne:
  • Acceptance commitment therapy

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Return to work
Tidsramme: 1 year after the end of the stay at the rehabilitation center.
Differences in cumulative days of sick leave, as reported by the government database "FD-Trygd".
1 year after the end of the stay at the rehabilitation center.

Sekundære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
quality of life
Tidsramme: 5 years after the end of the rehabilitation stay
Quality of life is assessed by 15D, SF8 and function subscale in SF-36
5 years after the end of the rehabilitation stay
Functional status
Tidsramme: 5 year after the end of the rehabilitation stay
Functional status will be measured with elements from the Norwegian Function Assessment Scale (Osteras et al., 2007) and the function subscale of SF-36 (Ware Jr & Sherbourne, 1992)
5 year after the end of the rehabilitation stay
level of symptoms (somatic and psychological)
Tidsramme: 5 year after the end of the rehabilitation stay,

The Hospital Anxiety and Depression Scale (HADS) measure changes in anxiety and depression.

Changes regarding physical and mental fatigue are registered through the Chalder Fatigue Questionnaire.

Changes in participants subjective experience of pain measured by numerical rating scale (NRS)
5 year after the end of the rehabilitation stay,

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Sponsor

Norwegian University of Science and Technology

Efterforskere

  • Ledende efterforsker: Petter Borchgrevink, Norwegian University of Science and Technology

Publikationer og nyttige links

Den person, der er ansvarlig for at indtaste oplysninger om undersøgelsen, leverer frivilligt disse publikationer. Disse kan handle om alt relateret til undersøgelsen.

Generelle publikationer

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart (Faktiske)

1. januar 2012

Primær færdiggørelse (Faktiske)

1. juni 2014

Studieafslutning (Faktiske)

1. september 2018

Datoer for studieregistrering

Først indsendt

8. marts 2012

Først indsendt, der opfyldte QC-kriterier

29. marts 2012

Først opslået (Skøn)

2. april 2012

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

5. december 2018

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

4. december 2018

Sidst verificeret

1. december 2018

Mere information

Begreber relateret til denne undersøgelse

Nøgleord

Andre undersøgelses-id-numre

  • 2010/2404

Disse oplysninger blev hentet direkte fra webstedet clinicaltrials.gov uden ændringer. Hvis du har nogen anmodninger om at ændre, fjerne eller opdatere dine undersøgelsesoplysninger, bedes du kontakte register@clinicaltrials.gov. Så snart en ændring er implementeret på clinicaltrials.gov, vil denne også blive opdateret automatisk på vores hjemmeside .

Kliniske forsøg med Complex Symptom Disorders

Kliniske forsøg med Return-to-work Rehabilitation + Follow up

Søg i lignende forsøg

Sponsorer og samarbejdspartnere

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Betingelser

Sjældne sygdomme

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Kosttilskud

Sponsor / samarbejdspartnere

Placeringer

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