Cost-effectiveness of vocational rehabilitation for chronic pai
- Conditions
- Subacute musculoskeletal pain, chronic musculoskeletal pain, sick leave.In Dutch: subacute klachten aan het houdings- en bewegingsapparaat, chronische klachten aan het houdings- en bewegingsapparaat, ziekteverzuim
- Registration Number
- NL-OMON29456
- Lead Sponsor
- Academic Medical Centre (Amsterdam).
- Brief Summary
Cost-effectiveness of Moderate versus Extensive Vocational Rehabilitation on Work After receivement of a NTR number from the Dutch Trial Register we will submit the following article to BMC Musculoskeletal Disorders. Title: Participation for Workers on Sick Leave due to Subacute or Chronic Musculoskeletal Pain: Design of a Non-inferiority Study
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Suspended
- Sex
- Not specified
- Target Recruitment
- 174
The inclusion criteria for this study are: 1) individuals of working age (18-65 years); 2) suffering from subacute (6-12 weeks) or chronic (>12 weeks) non-specific musculoskeletal pain such as back, neck, shoulder, widespread pain, Whiplash Associated Disorder (WAD I or II), or fibromyalgia; 3) having paid work (employed or self-employed) for at least 12 hours per week; 4) the expectation that the employment or self-employment will not be terminated in the year following the vocational rehabilitation programme; 5) having short-term (<6 weeks) or long-term (¡Ý6 weeks) part-time or full-time sick leave; 6) being able to understand Dutch and able to complete questionnaires in Dutch; 7) having the motivation to participate in the vocational rehabilitation programme aimed at optimizing work participation; 8) reimbursement of the programme costs that are not covered by health care insurers; 9) having an email address; and 10) having granted informed consent.
The exclusion criteria for this study is having comorbidities that are the primary reason for sick leave, such as acute or specific medical problems, clinical depression or burnout, severe asthmatic symptoms, diagnosed chronic fatigue, and neuropathy.
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method The primary outcome in this study is work participation expressed as total sick leave days due to subacute or chronic musculoskeletal pain during the intervention period and from discharge until 12-months follow-up. Sick leave will be measured using the absenteeism subscale of the iMTA (institute for Medical Technology Assessment) Productivity Cost Questionnaire (iPCQ), which measures sick leave on working days. The questionnaire has a recall period of 4 weeks and measures sick leave on a generic basis. We have made slight adaptations to measure sickness absence specifically related to subacute or chronic musculoskeletal pain, or other reasons such as flu. The iPCQ is the result of combining two existing Dutch questionnaires (i.e. PRODISQ and SF-HLQ), and is recommended by the Dutch guideline for health economic evaluations.
- Secondary Outcome Measures
Name Time Method