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Effectiveness of a Reintegration & Rehabilitation intervention for claimants with long-term disability


- candidate number24198
- NTR NumberNTR5823
- ISRCTNISRCTN no longer applicable
- Date ISRCTN created
- date ISRCTN requested
- Date Registered NTR6-apr-2016
- Secondary IDsM13.130155 METc
- Public TitleEffectiveness of a Reintegration & Rehabilitation intervention for claimants with long-term disability
- Scientific TitleEffectiveness of a Reintegration & Rehabilitation intervention for claimants with long-term disability: a randomized controlled trial
- ACRONYMR&R program (Re-integration & rehabilitation)
- hypothesisClaimants who receive a treatment in a rehabilitation centre in addition to the regular re-integration support by the Dutch Social Security Institute (SSI) are more likely to return to work compared to claimants who receive regular re-integration support by the Dutch SSI.
- Healt Condition(s) or Problem(s) studiedReturn to work, Reintegration, Rehabilitation
- Inclusion criteria1. age between 18-63 years;
2. receiving WGA 35-80 or 80-100 disability benefits;
3. living in the northern part of the Netherlands.
- Exclusion criteria1. no ability to complete questionnaires written in the Dutch language;
2. pregnancy;
3. a severe mental disorder or psychiatric condition that could influence the rehabilitation process;
4. recently received a treatment similar to the intervention or will receive such treatment in the near future;
5. an interfering treatment; or
6. a substance addiction.
- mec approval receivedyes
- multicenter trialno
- randomisedyes
- masking/blindingSingle
- controlActive
- groupParallel
- Type2 or more arms, randomized
- Studytypeintervention
- planned startdate 1-jan-2016
- planned closingdate1-aug-2018
- Target number of participants120
- InterventionsThe intervention is an outpatient multidisciplinary treatment in a rehabilitation center. The intervention is divided into two parts: 1. a diagnostic Quick Scan; 2. a multidisciplinary rehabilitation. The aims of the Quick Scan are to identify obstacles for functioning and return to work, assess whether these obstacles are modifiable and what is needed to remove these obstacles. It takes approximately four hours and during this time the participant visits a rehabilitation physician, a psychologist and a physiotherapist (the Quick Scan team). The Quick Scan has two possible outcomes: 1. the Quick Scan team concludes that a multidisciplinary rehabilitation treatment can be beneficial for the participant. The participant will then be invited to participate in this treatment; 2. the Quick Scan team concludes that a multidisciplinary treatment is not the best way to benefit the participant. The participant will stay in the intervention group, but will not receive the multidisciplinary rehabilitation.
The multidisciplinary rehabilitation is expected to have an average duration of three months and aims at removing obstacles for return to work and improving functioning. Depending on the results of the Quick Scan, this could involve improving physical fitness, dealing with medication, exacerbation management, and removal of relevant psychosocial barriers, for example attitude, expectations, fear avoidance, coping, depression and perceived social support. The multidisciplinary team consists of different professionals, based on the main diagnosis and needs of the participant. Examples are a dietician, a physiotherapist, a psychotherapist and a social worker. Depending on the main diagnosis, the rehabilitation team will be led by a rehabilitation physician, cardiologist or pulmonologist.
In addition to the rehabilitation treatment all participants also receive the regular re-integration support by the Dutch SSI.
- Primary outcome1. Return to work;
2. Functioning.
- Secondary outcome1. Work ability;
2. Physical and mental health;
- TimepointsBaseline and 6 and 12 months after baseline measurement.
- Trial web site
- statusopen: patient inclusion
- CONTACT FOR PUBLIC QUERIESMSc J. Straatsma
- CONTACT for SCIENTIFIC QUERIESMSc J. Straatsma
- Sponsor/Initiator Research Center for Insurance Medicine, Coronel Institute for Occupational and Environmental Health , University Medical Center Groningen (UMCG), Department of Health Sciences
- Funding
(Source(s) of Monetary or Material Support)
UWV (Workers Insurance Authority)
- Publications
- Brief summaryThe purpose of the R&R study is to evaluate the effectiveness and cost-effectiveness of a combined reintegration and rehabilitation program aimed at improving functioning and return to work for Dutch claimants receiving disability benefits due to long-term reduced earning capacity.
- Main changes (audit trail)
- RECORD6-apr-2016 - 22-jun-2016


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