Changes in Workability and Employment Following the Work-related Medical Rehabilitation PV RehaJET

Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
AgeNot listed
SponsorPensionsversicherungsanstalt

About this trial

The objective of this observational study is to gain insight into a new approach to rehabilitation in Austria, with a particular focus on work-specific exercises that are dependent on the specific work-related needs of the patients. Two groups are being observed: one was referred to a three-week work-specific rehabilitation programme immediately upon arrival at the rehabilitation centre, while the other group underwent a three-week medical-focused rehabilitation programme before starting a four-week work-specific rehabilitation programme.

Researchers will monitor for indications of improvement following completion of the rehabilitation program. As the two forms of rehabilitation are not directly comparable, they will be observed and analysed as two distinct entities.

As part of their regular inpatient rehabilitation, participants will complete questionnaires at designated intervals (beginning and end of stay), with follow-up assessments scheduled at six and 12 months post-rehabilitation.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

The study participants are regular patients in the rehabilitation centre Bad Hofgastein

Presence of a disease in the area of the musculoskeletal system

Sufficient motivation to maintain professional participation

Declaration of consent

Disqualifiers

No completion of all work-specific rehabilitation modules

Acute or decompensated disease states with severe functional limitations (i.e. not able to continue with the rehabilitation programme)

Trial population

Patients with specific work-related rehabilitation needs

Trial design

Design model

Case-only

Time perspective

Prospective

Treatments tested in this trial

  • Multimodal rehabilitation with additional work specific training

    Behavioral

    The rehabilitation is based on the biopsychosocial ICF model of the WHO. Taking into account the physical and psychological condition of the patients, an individual therapy plan is created that is tailored to the needs of the patients.

Treatment groups

300 Participants
are divided into 2 treatment groups
Group A: 3-week work-specific rehabilitation1 intervention
Group B: 4-week work-specific rehabilitation1 intervention

Trial outcomes

Primary outcomes

1

IMBA - Profile comparison

IMBA is a profile comparison method for prevention and rehabilitation. Job requirements and human capabilities are described by standardised, defined characteristics and compared directly with each other. The respective profile sheets consist, among other things, of 70 function-, activity- and context-related main characteristics in which the extent of excessive demands for each characteristic is documented on a scale of 0 - 6 (Min. = 0, Max = 420). Lower values indicate less excessive demands.

Time frame
3 or 4 weeks of inpatient rehabilitation
2

Employment history

The existence of gainful employment subject to social insurance contributions in a specific period allows conclusions to be drawn about the employment history of the rehabilitants.

Time frame
6 and 12 months after finishing rehabilitation

Secondary outcomes

1

Work ability index (WAI)

The Work Ability Index (WAI) is an instrument for assessing work ability. (Min. = 7, Max = 49). Lower values indicate less subjective work ability.

Time frame
3 or 4 weeks of inpatient rehabilitation + 6 and 12 months after finishing rehabilitation
2

Patient Health Questionnaire-4 (PHQ-4)

The Patient Health Questionnaire-4 (PHQ-4) operationalizes core criteria for anxiety and depression on a 4 point likert scale (Min. = 0, Max = 4). Lower values indicate less impairments.

Time frame
3 or 4 weeks of inpatient rehabilitation + 6 and 12 months after finishing rehabilitation
3

European Quality of Life 5 Dimensions 5 Level (EQ-5D-5L)

The EQ-5D-5L is a general instrument for measuring patient-reported outcomes (PROs), which can be used to assess the quality of life of patients on different dimensions (mobility, self-care, usual activities, pain/discomfort) on a 5-level scale (Min. = 0, Max. = 5). Lower values indicate less impairments in the respective dimensions. Moreover, the EQ-5D-5L assesses the patient's self-rated health on a 100 point visual analog scale (Min. = 0, Max. = 100). Lower values indicate less positive ratings of health.

Time frame
3 or 4 weeks of inpatient rehabilitation + 6 and 12 months after finishing rehabilitation

Other outcomes

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