Spiroergometrische Und Psychologische Messungen Zur Vorhersage Der Erwerbsfähigkeit Und Rückkehr Zur Arbeit Nach 18 Und 36 Monaten Nach Der Medizinischen Rehabilitation
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Enrollment
- 284
- Locations
- 1
- Primary Endpoint
- Oxygen absorption during stress test
Study Overview
Brief Summary
Can professional performance and the probability of returning to work up to three years after medical rehabilitation be predicted by spiroergometric data (or performance of the cardiovascular system) together with psychological factors (motivation, self-efficacy) as well as physical activity, and their interaction? How are work related and health related factors associated with the The following variables: workload, work satisfaction, personal assessment of the professional future and psychological stress?
Detailed Description
One main aim of medical rehabilitation is to restore ability to work. The goal is to increase health, as well as the performance and functional capacity of the the rehabilitant, in order to improve their occupational ability, as well as social activity and participation.
A number of the psychological and structural factors involved in this are already known. There is less evidence, however, regarding the importance of objectively measured performance and functioning, as well as the relation of these objective measures with subjective factors (i.e., the interaction of cardiovascular performance and physical activity with psychological factors with).
Therefore, this study investigates how rehabilitants can successfully decrease their professional vulnerability, and the importance of spiroergometric and psychological data to predict viability and return to work.
The aim is to improve the theorised variance in predicting the viability and return to work and, based on the results, to make appropriate recommendations to those affected and their social network, rehabilitation facilities, those offering rehabilitation services, employers and physicians.
The following research questions are to be answered with this study:
Study Design
- Study Type
- Observational
- Observational Model
- Cohort
- Time Perspective
- Cross Sectional
Eligibility Criteria
- Ages
- 18 Years to 80 Years (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- Yes
Inclusion Criteria
- •Degenerative skeletal disease
- •Medical rehabilitation at Montanus-Klinik Bad Schwalbach
- •Insured with the Deutsche Rentenversicherung Oldenburg-Bremen
- •Sufficient knowledge of the German language
- •Telephone or mobile phone connection
Exclusion Criteria
- •Insufficient knowledge of the German language
- •No participation in the spiroergometrical measurement
Outcomes
Primary Outcomes
Oxygen absorption during stress test
Time Frame: 6 months
Measured by VO2MAX (maximum oxygen consumption in ml / kg body weight / min)
Workability, as measured by questionnaire - change at 6, 12 and 18 months + at 36 months after rehabilitation
Time Frame: After the rehabilitation treatment at 6, 12 and 18 months (G2) + at 36 months (G1)
Parameters include health status, employment history, current position, working hours, physical, mental or emotional restrictions to work
Personal appraisal of the professional future, as measured by questionnaire - change at 6, 12 and 18 months + at 36 months after rehabilitation
Time Frame: After the rehabilitation treatment at 6, 12 and 18 months (G2) + at 36 months (G1)
Parameters include whether individual expects future work difficulties professionally and/or due to health restrictions
Return to working life, as measured by questionnaire - change at 6, 12 and 18 months + at 36 months after rehabilitation
Time Frame: After the rehabilitation treatment at 6, 12 and 18 months (G2) + at 36 months (G1)
Parameters include how many hours individual desires to work again
The handling of occupational burdens, as measured by questionnaire - change at 6, 12 and 18 months + at 36 months after rehabilitation
Time Frame: After the rehabilitation treatment at 6, 12 and 18 months (G2) + at 36 months (G1)
Parameters include personal initiatives to make return to work practical: changing working conditions, reduction in work hours, different position, professional training, attended health promoting courses, attended coaching/counseling, engaged in self-help, lifestyle changes
Job satisfaction, as measured by questionnaire - change at 6, 12 and 18 months + at 36 months after rehabilitation
Time Frame: After the rehabilitation treatment at 6, 12 and 18 months (G2) + at 36 months (G1)
Parameters include earning capacity, whether job is mentally/physically/emotionally/inter-personally exhausting, skills required, whether recognition is received, independence, boring/challenging , overwhelming, continuous learning, whether important to the person
Secondary Outcomes
- Self-imposed objectives and achievement, as measured by questionnaire - change at 6, 12 and 18 months + at 36 months after rehabilitation(After the rehabilitation treatment at 6, 12 and 18 months (G2) + at 36 months (G1))
- Personal, social and contextual factors, as measured by questionnaire - change at 6, 12 and 18 months + at 36 months after rehabilitation(After the rehabilitation treatment at 6, 12 and 18 months (G2) + at 36 months (G1))
- Participation in interventions, as measured by questionnaire - change at 6, 12 and 18 months + at 36 months after rehabilitation(After the rehabilitation treatment at 6, 12 and 18 months (G2) + at 36 months (G1))
- Plans to participate and wishes to take measures to safeguard the earning capacity, as measured by questionnaire - change at 6, 12 and 18 months + at 36 months after rehabilitation(After the rehabilitation treatment at 6, 12 and 18 months (G2) + at 36 months (G1))