Employment and Arthritis: Making It Work a Randomized Controlled Trial Evaluating an Online Program to Help People with Inflammatory Arthritis Maintain Employment (Study Protocol)
| Autor: | Diane Lacaille, Erin Carruthers, Carlo A. Marra, Linda C. Li, Pamela Rogers, Monique A. M. Gignac, Judy Village, John M. Esdaile, Charles H. Goldsmith, Catherine L. Backman |
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| Jazyk: | angličtina |
| Rok vydání: | 2014 |
| Předmět: |
Program evaluation
Employment Adult medicine.medical_specialty Psychological intervention Health Informatics Worker productivity Vocational counselling law.invention Study Protocol Quality of life (healthcare) Randomized controlled trial Clinical Protocols law Health care medicine Self-management Humans Program Development business.industry Arthritis Health Policy Middle Aged 3. Good health Computer Science Applications Quality-adjusted life year Health education Physical therapy Inflammatory arthritis Work disability Health promotion Ergonomics business eLearning program Program Evaluation |
| Zdroj: | BMC Medical Informatics and Decision Making |
| Popis: | Background Arthritis and musculoskeletal conditions are the leading cause of long-term work disability (WD), an outcome with a major impact on quality of life and a high cost to society. The importance of decreased at-work productivity has also recently been recognized. Despite the importance of these problems, few interventions have been developed to reduce the impact of arthritis on employment. We have developed a novel intervention called “Making It Work”, a program to help people with inflammatory arthritis (IA) deal with employment issues, prevent WD and improve at-work productivity. After favorable results in a proof-of-concept study, we converted the program to a web-based format for broader dissemination and improved accessibility. The objectives of this study are: 1) to evaluate in a randomized controlled trial (RCT) the effectiveness of the program at preventing work cessation and improving at-work productivity; 2) to perform a cost-utility analysis of the intervention. Methods/Design 526 participants with IA will be recruited from British Columbia, Alberta, and Ontario in Canada. The intervention consists of a) 5 online group sessions; b) 5 web-based e-learning modules; c) consultations with an occupational therapist for an ergonomic work assessment and a vocational rehabilitation counselor. Questionnaires will be administered online at baseline and every 6months to collect information about demographics, disease measures, costs, work-related risk factors for WD, quality of life, and work outcomes. Primary outcomes include at-work productivity and time to work cessation of > 6months for any reason. Secondary outcomes include temporary work cessation, number of days missed from work per year, reduction in hours worked per week, quality adjusted life year for the cost utility analysis, and changes from baseline in employment risk factors. Analysis of Variance will evaluate the intervention’s effect on at-work productivity, and multivariable Cox regression models will estimate the risk of work cessation associated with the intervention after controlling for risk factors for WD and other important predictors imbalanced at baseline. Discussion This program fills an important gap in arthritis health services and addresses an important and costly problem. Knowledge gained from the RCT will be useful to health care professionals, policy planners and arthritis stakeholders. Trial registration ClinicalTrials.gov NCT01852851; registered April 13, 2012; first participant randomized on July 6, 2013. |
| Databáze: | OpenAIRE |
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