Requirements and Functional Schedule- An Intervention to Use in Painrehabilitation, to Strengthen the Collaboration Between the Healthcare, Employers and Employees
试验速览
- 阶段
- 不适用
- 发起方
- 入组人数
- 150
- 试验地点
- 1
- 主要终点
- Absence from work (sickleave) measured with a question to the participants
研究概览
简要总结
Requirements and functional Schedule also calen Demand Ability Protocol (DAP) is an intervention that has been tested and found useful in occupational health service. The intervention aims to strengthen the collaboration between Health care, employers and employee. The intervention is based on a structured interview about the employers demands at work. This intervention (DAP) will in the present study be evaluated in pain rehabilitation both qualitatively and quantitatively.
详细描述
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
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Single Group
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Chronic pain, has an employment
排除标准
- •no longer than 6 month of total sick-leave
研究组 & 干预措施
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)
干预措施: Requirements and functional Schedule (Behavioral)
Painrehabilitation
Will receive pain-rehabilitation
干预措施: No intervention (Behavioral)
结局指标
主要结局
Absence from work (sickleave) measured with a question to the participants
时间窗: Changes from baseline in absence from work through study completion (average 1,5 years)
Less absence from work
Absence from work (sickleave) measured with a question to the participants
时间窗: Changes from baseline in absence from work to the end of the rehab program (average 4month)
Less absence from work
次要结局
- Changes in Work ability(Change from baseline in Work ability through study completion (average 1,5 years))
- Changes in Anxiety and depression(Change from baseline in anxiety and depression to the end of the rehab program (average four month))
- Changes in sleep(Change from baseline in Insomnia Severity Index through study completion (average 1,5 years))
- Changes in Life satisfaction(Change from baseline in Life Satisfaction Questionnaire through study completion (average 1,5 years))
- Changes in EuroQol 5-dimensions questionnaire (EQ-5D)(Change from baseline in EuroQol 5-dimensions through study completion (average 1,5 years))
- Changes in EuroQol 5-dimensions(Change from baseline in EuroQol 5-dimensions to the end of the rehab program (average foru month))
- Changes in health-related quality of life(Change from baseline in RAND-36 through study completion (average 1,5 years))
- Changes in Anxiety and depression(Change from baseline in anxiety and depression through study completion (average 1,5 years)hs))
- Changes in sleep(Change from baseline in Insomnia Severity Index to the end of the rehab program (average four month))
- Changes in Life satisfaction(Change from baseline in Life Satisfaction Questionnaire to the end of the rehab program (average four month))
- Changes in Work ability(Change from baseline in Work ability to the end of the rehab program (average four month))
- Changes in health-related quality of life(Change from baseline in RAND-36 to the end of the rehab program (average four month))
研究者
Katarina Danielsson
Chief physician, principal investigator
Uppsala University