Requirements and Functional Schedule as a Part of Painrehabilitation.
Requirements and Functional Schedule- An Intervention to Use in Painrehabilitation, to Strengthen the Collaboration Between the Healthcare, Employers and Employees
研究概览
详细说明
Description of the intervention: Demand and Ability Protocol Demand and Ability Protocol (DAP) is an intervention linked to the International Classification of Functioning, Disability and Health, and is based on the Dutch Functional Ability List and knowledge about disability in working life (Brouwer et al, 2002). The intervention has been further developed and modified in Norway and is primarily used in occupational health care services for collaboration between an employee and his or her immediate manager (Engbers & Furuland, 2006).
The intervention consists of a structured conversation between the patient and his immediate manager under the guidance of licensed medical staff (in this case REKO) with knowledge of the requirements of the patient's work and his/her current functional ability. The intervention takes about 90 minutes excluding preparation time for REKO.
DAP consider the following domains; 1) mental and cognitive ability, 2) basic skills and social ability, 3) tolerance for physical conditions, 4) ability to work dynamically, 5) ability to work statically and 6) to be able to work certain times.
Based on the above domains, a structured review is made of the balance between requirements and function in current work in order to identify possible adaptations and measures at the workplace. During the intervention, the work requirements and the patient's function/ability are identified on a three-point scale and in domains where the rating of requirements and function/ability does not match, there is thus an imbalance, and here adjustments or changed tasks may be relevant to consider increasing work ability and reducing sick leave. The intervention concludes with a summary of the situation and joint development of appropriate measures/adaptations to promote the patient's RTW. This is documented on a form, which is signed by both the patient and the manage
研究类型
注册 (预期的)
阶段
- 不适用
联系人和位置
学习联系方式
- 姓名:Katarina Danielsson, MD
- 电话号码:000186110000 000186110000
- 邮箱:katarina.danielsson@akademiska.se
研究联系人备份
- 姓名:Katarina Danielsson
- 电话号码:000186110000 000186110000
- 邮箱:katarina.danielsson@akademiska.se
学习地点
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Uppsala、瑞典、75239
- 招聘中
- Katarina Danielsson
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接触:
- Katarina Danielsson
- 电话号码:000186110000 000186110000
- 邮箱:katarina.danielsson@akademiska.se
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参与标准
资格标准
适合学习的年龄
接受健康志愿者
有资格学习的性别
描述
Inclusion Criteria:
Chronic pain, has an employment
Exclusion Criteria:
no longer than 6 month of total sick-leave
学习计划
研究是如何设计的?
设计细节
- 主要用途:治疗
- 分配:非随机化
- 介入模型:单组作业
- 屏蔽:无(打开标签)
武器和干预
参与者组/臂 |
干预/治疗 |
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实验性的:Painrehabilitation + Demand and ability protocol
Will receive pain-rehabilitation and the intervention ( an interview called Requirements and functional Schedule, with the patients employer and an occupational therapist)
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An interview with the employee and the employer where the occupational worker is leading the interview and a pain rehabilitation-program
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有源比较器:Painrehabilitation
Will receive pain-rehabilitation
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a pain rehabilitation-program
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研究衡量的是什么?
主要结果指标
结果测量 |
措施说明 |
大体时间 |
---|---|---|
Absence from work (sickleave) measured with a question to the participants
大体时间:Changes from baseline in absence from work to the end of the rehab program (average 4month)
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Less absence from work
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Changes from baseline in absence from work to the end of the rehab program (average 4month)
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Absence from work (sickleave) measured with a question to the participants
大体时间:Changes from baseline in absence from work through study completion (average 1,5 years)
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Less absence from work
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Changes from baseline in absence from work through study completion (average 1,5 years)
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次要结果测量
结果测量 |
措施说明 |
大体时间 |
---|---|---|
Changes in EuroQol 5-dimensions questionnaire (EQ-5D)
大体时间:Change from baseline in EuroQol 5-dimensions through study completion (average 1,5 years)
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Changes in quality of Life measured with the EuroQol 5-dimensions. Each combination of values has an idex value where 1 is the best quality of life. The questionnaire also includes a visual analog scale (VAS), which records the respondent's self-rated health status on a graduated (0-100) scale, with higher scores for higher qulaity of life . |
Change from baseline in EuroQol 5-dimensions through study completion (average 1,5 years)
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Changes in EuroQol 5-dimensions
大体时间:Change from baseline in EuroQol 5-dimensions to the end of the rehab program (average foru month)
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Changes in quality of Life measured with the EuroQol 5-dimensions.
Each combination of values has an idex value where 1 is the best quality of life.
The questionnaire also includes a visual analog scale (VAS), which records the respondent's self-rated health status on a graduated (0-100) scale, with higher scores for higher qulaity of life
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Change from baseline in EuroQol 5-dimensions to the end of the rehab program (average foru month)
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Changes in Anxiety and depression
大体时间:Change from baseline in anxiety and depression through study completion (average 1,5 years)hs)
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Changes in Hospital Anxiety and Depression Scale (HADS).
The scale icludes two subscales one focusing on anxiety symptoms and one on depressive symptoms.
The minimum value is 0 and the maximum value is 21 for each subscale.
Higher scores means worse outcome.
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Change from baseline in anxiety and depression through study completion (average 1,5 years)hs)
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Changes in Anxiety and depression
大体时间:Change from baseline in anxiety and depression to the end of the rehab program (average four month)
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Changes in Hospital Anxiety and Depression Scale (HADS).
The scale icludes two subscales one focusing on anxiety symptoms and one on depressive symptoms.
The minimum value is 0 and the maximum value is 21 for each subscale.
Higher scores means worse outcome.
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Change from baseline in anxiety and depression to the end of the rehab program (average four month)
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Changes in sleep
大体时间:Change from baseline in Insomnia Severity Index to the end of the rehab program (average four month)
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Changes in Insomnia measured with Insomnia Severity Index (ISI).
The minimum value is 0 and the maximum value is 28.
Higher scores indicates a worse outcome.
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Change from baseline in Insomnia Severity Index to the end of the rehab program (average four month)
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Changes in sleep
大体时间:Change from baseline in Insomnia Severity Index through study completion (average 1,5 years)
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Changes in sleep measured with Insomnia Severity Index (ISI).
The minimum value is 0 and the maximum value is 28.
Higher scores indicates a worse outcome.
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Change from baseline in Insomnia Severity Index through study completion (average 1,5 years)
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Changes in Life satisfaction
大体时间:Change from baseline in Life Satisfaction Questionnaire to the end of the rehab program (average four month)
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Changes in Life Satisfaction measured with Life Satisfaction Questionnaire (Li-Sat-11).
Minimum score at 11 and maximum score at 66. Higher scores indicate a greater level of perceived satisfaction.
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Change from baseline in Life Satisfaction Questionnaire to the end of the rehab program (average four month)
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Changes in Life satisfaction
大体时间:Change from baseline in Life Satisfaction Questionnaire through study completion (average 1,5 years)
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Changes in Life Satisfaction measured with Life Satisfaction Questionnaire (Li-Sat-11).
Minimum score at 11 and maximum score at 66. Higher scores indicate a greater level of perceived satisfaction.
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Change from baseline in Life Satisfaction Questionnaire through study completion (average 1,5 years)
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Changes in Work ability
大体时间:Change from baseline in Work ability to the end of the rehab program (average four month)
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Changes in work ability measured with the 7:th question in Work Ability Index questionnaire
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Change from baseline in Work ability to the end of the rehab program (average four month)
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Changes in Work ability
大体时间:Change from baseline in Work ability through study completion (average 1,5 years)
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Changes in work ability measured with the 7:th question in Work Ability Index questionnaire
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Change from baseline in Work ability through study completion (average 1,5 years)
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Changes in health-related quality of life
大体时间:Change from baseline in RAND-36 to the end of the rehab program (average four month)
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Changes in health-related quality of life measured with RAND-36.
The RAND-36 consists of 36 items grouped into eight multi-item scales: physical functioning (PF), role-functioning/physical (RP), pain (P), general health (GH), energy/fatigue (EF), social functioning (SF), role-functioning/emotional (RE), and emotional well-being (EW).
An additional item asks about health change (HC) in the past year.
Scale scores are summed and transformed into scales ranging from 0 (worst possible health state) to 100 (best possible state).
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Change from baseline in RAND-36 to the end of the rehab program (average four month)
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Changes in health-related quality of life
大体时间:Change from baseline in RAND-36 through study completion (average 1,5 years)
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Changes in health-related quality of life measured with RAND-36.
The RAND-36 consists of 36 items grouped into eight multi-item scales: physical functioning (PF), role-functioning/physical (RP), pain (P), general health (GH), energy/fatigue (EF), social functioning (SF), role-functioning/emotional (RE), and emotional well-being (EW).
An additional item asks about health change (HC) in the past year.
Scale scores are summed and transformed into scales ranging from 0 (worst possible health state) to 100 (best possible state).
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Change from baseline in RAND-36 through study completion (average 1,5 years)
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合作者和调查者
调查人员
- 首席研究员:Therese Hellman, PhD、Uppsala University
研究记录日期
研究主要日期
学习开始 (实际的)
初级完成 (预期的)
研究完成 (预期的)
研究注册日期
首次提交
首先提交符合 QC 标准的
首次发布 (实际的)
研究记录更新
最后更新发布 (实际的)
上次提交的符合 QC 标准的更新
最后验证
更多信息
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