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Door-to-door back to work: can social inclusion of people dependent on social welfare benefits be stimulated by a door-to-door approach?


- candidate number14017
- NTR NumberNTR3712
- ISRCTNISRCTN wordt niet meer aangevraagd.
- Date ISRCTN created
- date ISRCTN requested
- Date Registered NTR21-nov-2012
- Secondary IDsVP/2011/009 / 12-576 PROGRESS program of the European Commission for employment, social affairs and inclusion / METC
- Public TitleDoor-to-door back to work: can social inclusion of people dependent on social welfare benefits be stimulated by a door-to-door approach?
- Scientific TitleDoor to door social inclusion in a multi-ethnic problem district: A cluster randomized trial.
- ACRONYMOSIRIS, based on the scientific title in Dutch: Onderzoek sociale inclusie en re-integratie in de Schilderswijk
- hypothesisThe main hypothesis is: The Door-to-door social inclusion method is an effective and efficient method to improve the social inclusion of vulnerable people in marginalized groups.

This hypothesis is divided in three different hypotheses:
1. 50 % of the participants in the intervention group will take one step on the Dutch scale for social inclusion;
2. 15 % of the participants in the intervention group will obtain a paid job;
3. The Door-to-door social inclusion intervention is more effective and efficient than treatment as usual provided by the municipality of The Hague.
- Healt Condition(s) or Problem(s) studiedSocial welfare, Social exclusion, Unemployed
- Inclusion criteria1. Participants must have been on social welfare benefits for the past three years;
2. No reintegration to employment service is being provided at this moment;
3. Participants are aged 27-55 years;
4. Participants live in a household of at least two members, including a child.
- Exclusion criteriaRefusal.
- mec approval receivedyes
- multicenter trialno
- randomisedyes
- masking/blindingNone
- controlActive
- groupParallel
- Type2 or more arms, randomized
- Studytypeintervention
- planned startdate 1-dec-2012
- planned closingdate1-aug-2014
- Target number of participants300
- InterventionsThe intervention that will take place is 'Door-to-door social inclusion', or in Dutch 'Huis aan huis aan het werk'. Door-to-door social inclusion is a method designed by the municipality of The Hague. The goal of this method is to activate people dependent on social welfare benefits to be more active in the society. To reach this goal, different steps are taken. It starts with an in-depth interview between the participant and an employee of the municipality of The Hague to get the full picture of the work situation, social situation and health situation of the participant. A plan is made by the participant and an employee about the next steps that are necessary to improve the social inclusion of the participant. A contract between the participant and the employees about the agreements and decisions both parties made is signed. The employee involved will guide the participant to the next step(s) chosen and will stay in contact with the participant for a period of one year to see how the participant is progressing and whether additional steps need to be taken by either the participant or the employee.

The participants in the control group get treatment as usual provided by the municipality of The Hague.
- Primary outcome1. Social inclusion: Outcome name: "Participatieladder" (Dutch scale for social inclusion). Timepoint: 1 year. Measures the development in social participation of the participant. We expect 50 % of the participants who get the Door-to-door social inclusion intervention to take one step on this scale to more social activities;
2. Employment: Outcome name: paid employment. Timepoint: 1 year. We expect 15 % of the participants who get the Door-to-door social inclusion intervention to acquire a paid job (with or without (financial) support). This will be measured by checking the registration systems which are used by the municipal employees in The Hague.
- Secondary outcome1. Description of the intervention and its consequences. Timepoint: 1,5 year. During the trial a qualitative research will also take place. The main objective will be the intervention Door-to-door social inclusion and its consequences on the people involved, like the participants, employees of the municipality of The Hague and other involved institutions. Semi-structured interviews will take place with the participants, the employees and the institutions involved in order to get an in-depth picture of the experiences with this intervention. With this knowledge the municipality of The Hague will be advised how to improve the intervention and a report will be written in which the intervention and its outcomes are described (in English). This way the intervention can be implemented in other cities, when this trial demonstrates this intervention to be successful;
2. Individual needs. Outcome name: Self sufficiency matrix. Timepoint: 1 year. The Self sufficiency matrix measures the individual needs of the participants in 11 different domains on a five point scale. We expect the participants who get the intervention to show improvement in some of those domains, for example daily activities and community participation.
- TimepointsSocial inclusion: 1 year;
Paid work: 1 year;
Description of the intervention and its consequences: 1,5 year;
Individual needs: 1 year.
- Trial web siteN/A
- statusopen: patient inclusion
- CONTACT FOR PUBLIC QUERIES Milou Haggenburg
- CONTACT for SCIENTIFIC QUERIES Mathijs Tuynman
- Sponsor/Initiator Trimbos-institute - Netherlands Institute of Mental Health and Addiction
- Funding
(Source(s) of Monetary or Material Support)
PROGRESS program of the European Commission for employment, social affairs and inclusion
- PublicationsN/A
- Brief summaryDoor to door social inclusion is a cluster randomized controlled trial on the effects of a new method to activate people depending on social welfare benefits. This method is designed by the municipality of The Hague. The method consists several house visits to determine motivations, ambitions and capacities of the persons included, and to help them finding suitable daytime occupations and relieving of impediments that hinder participation. 150 persons living in the Schilderswijk, an area in the city of The Hague, depending on social welfare benefits for more than three year and having one or more children under 18 will receive this experimental treatment. The goal is to activate those people to be more socially included in society. The study is built on a baseline measurement at the start of the project and a follow-up measurement one year later for persons that meet the inclusion criteria and that receive the experimental treatment, and for a control group of persons meeting the inclusion criteria and receiving only regular support. Important measuring instruments are the Dutch scale of social inclusion (Participatieladder) and the Self Sufficiency Matrix. In addition to this quantitative part of the study, also a qualitative research will take place in which will be studied how the method of The Hague can be described and what its consequences are for the partners involved, like the inhabitants of The Hague, the employees of the municipality and social institutions connected to the method.
- Main changes (audit trail)
- RECORD21-nov-2012 - 16-dec-2012


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