工作和职业建议研究 - 在常规初级保健中添加简短职业支持干预的有效性 (WAVE)

无干预：日常护理

随机分配到常规护理组的参与者将继续照常接受护理，以满足他们的健康和职业需求。 对于大多数患者，这将包括常规的临床护理，没有正式的职业建议。

实验性的：常规护理加职业支持

除了通常的初级保健外，职业支持还遵循基于病例管理原则的阶梯式保健模式。

行为的：职业支持

随机接受职业建议的参与者将全部获得：

第 1 步，通过电话联系受过培训的职业支持工作者 (VSW) 进行评估，以确定重返工作岗位 (RTW) 的障碍并支持 RTW 规划。

第 2 步，面对面（面对面或通过视频会议）深入讨论 RTW 的障碍并进一步支持 RTW 规划。

第 3 步，VSW（在参与者同意的情况下）与参与者的工作场所联系。

联系频率将根据参与者的需要进行个性化设置，并持续提供支持，直到持续 RTW（定义为返回任何工作至少 4 周）或直到缺席 6 个月，之后参与者将被指示接受其他服务.

Number of Days Absent From Work

Self reported work absence calculated as the number of days off work over the previous 6 months (since randomisation).

Work Interference

Work Productivity Activity Impairment (WPAI) Questionnaire to measure impairments to work and activities in the past seven days. The WPAI provides four sets of scores; absenteeism, presenteeism, work productivity loss and activity impairment. It calculates four main scores calculated and expressed as percentages ranging from 0% to 100%. A higher percentage means a greater reduction in productivity and a higher level of impairment due to a health problem:

1. Absenteeism ([hours missed due to health, divided by total hours should have worked] multiplied by 100)
2. Presenteeism (how much health affected productivity 0 to 10, multiplied by 10)
3. Overall Work Impairment (total hours missed, plus [remaining hours worked multiplied by the presenteeism score])
4. Activity Impairment (score for how much health affected regular activities 0 to 10, multiplied by 10).

Work Performance

Single Item Productivity Questionnaire (SIPQ) measured using a Visual Analogue Scale with scores ranging from 0 (health has not impacted on work performance at all) to 10 (health is so bad participant has been unable to do their job) a higher score indicates a worse outcome.

Return to Work Self-efficacy (RTW-SE)

Return to work self-efficacy evaluates an employee's confidence in their ability to successfully resume their job while managing a health condition. This is indicated with scores ranging from 1 (not at all confident) to 10 (totally confident), a lower score indicates poorer confidence.