Trial document



drksid header

  DRKS00004824

Trial Description

start of 1:1-Block title

Title

Third Sociomedical Panel of Employees 'Rehabilitation and Participation'

end of 1:1-Block title
start of 1:1-Block acronym

Trial Acronym

GSPE-III

end of 1:1-Block acronym
start of 1:1-Block url

URL of the Trial

[---]*

end of 1:1-Block url
start of 1:1-Block public summary

Brief Summary in Lay Language

The German welfare system provides medical rehabilitation services to prevent health-related early retirement. However, only half of the persons, who receive a disability pension, has utilised medical rehabilitation services before their health-related early retirement. Our study will examine factors that affect the utilisation of rehabilitation and disability pension claims. To answer this question, 10.000 persons, who are registered in the federal German Pension Insurance Fund (GPIF), will be surveyed in 2013, 2015 and 2017. These data will be annually linked to administrative data about utilisation of rehabilitation services and disability pension claims. The sample includes persons who have received sick leave benefits in the previous year and hence represent a risk group for health-related early retirement.

end of 1:1-Block public summary
start of 1:1-Block scientific synopsis

Brief Summary in Scientific Language

In the German welfare system, persons with permanent impairments of their work ability can claim disability pensions due to partially or fully reduced earning capacity (§ 43 SGB VI). The number of persons, who received a disability pension, has been rising since 2005. To prevent health-related early retirement, the German Pension Insurance Fund provides medical rehabilitation services. These services aim to improve and to maintain work ability and occupational participation. However, they require a formal application and imply a conscious decision of the insured person.
In 2010, no previous rehabilitation services were documented for half of all new disability pensions. There is obviously need for rehabilitation, which does not lead to application for and participation in rehabilitation services. The GSPE-III therefore investigates, which personal and social factors affect the participation of medical rehabilitation services and claims of disability pensions. As previous studies have shown that the amount of sick leave benefits is a very important predictor for disability pensions, the GSPE-III is a cohort study of this risk population. Only persons, who received sick leave benefits in the previous year of the first survey, will be included.
The gross sample comprises 10.000 persons aged 40 to 54 years, who are registered in the federal German Pension Insurance Fund (GPIF). The sample will be stratified by gender. Data will be collected by postal surveys in 2013, 2015 and 2017. The data from the questionnaires will be annually linked to administrative data from the individual GPIF account and will be analysed by multivariate methods, i.e. cox regression, logistic and linear regression und structural equation models.

end of 1:1-Block scientific synopsis
start of 1:1-Block organizational data

Organizational Data

  •   DRKS00004824
  •   2013/05/14
  •   [---]*
  •   yes
  •   Approved
  •   1730-2013, Ethikkommission der Medizinischen Hochschule Hannover
end of 1:1-Block organizational data
start of 1:n-Block secondary IDs

Secondary IDs

  •   U1111-1128-0648 
end of 1:n-Block secondary IDs
start of 1:N-Block indications

Health Condition or Problem studied

  •   Persons with sick leave benefits in 2012
end of 1:N-Block indications
start of 1:N-Block interventions

Interventions/Observational Groups

  •   Participants will be surveyed with a questionnaire in 2013, 2015 and 2017. The questionnaire will be sent by mail. Survey data will be annually linked to administrative data about utilisation of rehabilitation services and disability pension claims from the individual GPIF accounts.
end of 1:N-Block interventions
start of 1:1-Block design

Characteristics

  •   Non-interventional
  •   Epidemiological study
  •   Single arm study
  •   Open (masking not used)
  •   [---]*
  •   Uncontrolled/Single arm
  •   Other
  •   Single (group)
  •   N/A
  •   N/A
end of 1:1-Block design
start of 1:1-Block primary endpoint

Primary Outcome

Primary outcomes of the GSPE-III are the utilisation of medical rehabilitation and receipt of a disability pension. These data will be annually extracted from the individual GPIF accounts.

end of 1:1-Block primary endpoint
start of 1:1-Block secondary endpoint

Secondary Outcome

The following variables will be considered as predictors and will be measured in 2013, 2015 and 2017:
- Work ability (Work Ability Index)
- Working conditions (effort-reward imbalance, organisational justice, physical demands, company size)
- Health-related quality of life (SF-36)
- Health care utilisation and health-related behaviour (number of medical consultations and hospitalizations, the degree of impairment, days of sick leave, body mass index, smoking status, physical activity, alcohol consumption)
- Cognitions about rehabilitation services and their application (outcome expectancies, intention, action planning, self-efficacy as adapted from the Health Action Process Approach)
- Subjective Prognostic Employment Scale
- Social support (Oslo 3-item Social Support Scale)
- Personality (Big Five Inventory - short version)
- Socio-demographic data

end of 1:1-Block secondary endpoint
start of 1:n-Block recruitment countries

Countries of Recruitment

  •   Germany
end of 1:n-Block recruitment countries
start of 1:n-Block recruitment locations

Locations of Recruitment

  • other 
end of 1:n-Block recruitment locations
start of 1:1-Block recruitment

Recruitment

  •   Actual
  •   2013/05/23
  •   10000
  •   Monocenter trial
  •   National
end of 1:1-Block recruitment
start of 1:1-Block inclusion criteria

Inclusion Criteria

  •   Both, male and female
  •   40   Years
  •   54   Years
end of 1:1-Block inclusion criteria
start of 1:1-Block inclusion criteria add

Additional Inclusion Criteria

sick leave benefits in 2012

end of 1:1-Block inclusion criteria add
start of 1:1-Block exclusion criteria

Exclusion Criteria

previous receipt of pension benefits; receipt of rehabilitation services during the last four years

end of 1:1-Block exclusion criteria
start of 1:n-Block addresses

Addresses

  • start of 1:1-Block address primary-sponsor
    • Deutsche Rentenversicherung Bund
    • Ruhrstraße 2
    • 10704  Berlin
    • Germany
    end of 1:1-Block address primary-sponsor
    start of 1:1-Block address contact primary-sponsor
    •   [---]*
    •   [---]*
    •   [---]*
    •   [---]*
    end of 1:1-Block address contact primary-sponsor
  • start of 1:1-Block address scientific-contact
    • Universität zu LübeckInstitut für Sozialmedizin und Epidemiologie
    • ***  *** 
    • Ratzeburger Allee 160
    • 23562  Lübeck
    • Germany
    end of 1:1-Block address scientific-contact
    start of 1:1-Block address contact scientific-contact
    end of 1:1-Block address contact scientific-contact
  • start of 1:1-Block address public-contact
    • Deutsche Rentenversicherung Bund
    • ***  *** 
    • Hohenzollerndamm 46/47
    • 10713  Berlin
    • Germany
    end of 1:1-Block address public-contact
    start of 1:1-Block address contact public-contact
    end of 1:1-Block address contact public-contact
end of 1:n-Block addresses
start of 1:n-Block material support

Sources of Monetary or Material Support

  • start of 1:1-Block address materialSupport
    • Deutsche Rentenversicherung Bund
    • Ruhrstraße 2
    • 10704  Berlin
    • Germany
    end of 1:1-Block address materialSupport
    start of 1:1-Block address contact materialSupport
    •   [---]*
    •   [---]*
    •   [---]*
    •   [---]*
    end of 1:1-Block address contact materialSupport
end of 1:n-Block material support
start of 1:1-Block state

Status

  •   Recruiting complete, follow-up continuing
  •   [---]*
end of 1:1-Block state
start of 1:n-Block publications

Trial Publications, Results and other Documents

  •   Bethge M, Spanier K, Neugebauer T et al. Self-reported poor work ability-An indicator of need for rehabilitation? A cross-sectional study of a sample of German employees. Am J Phys Med Rehabil 2015;94:958-66; 10.1097/phm.0000000000000281
  •   Spanier K, Mohnberg I, Radoschewski FM et al. Sind administrative Daten für Rentenantragsintentionen und Indikatoren subjektiven Rehabilitationsbedarfs prognostisch bedeutsam? Rehabilitation (Stuttg) 2015;54:172-7; 10.1055/s-0035-1548896
  •   Mohnber I, Spanier K, Peters E, Radoschewski FM, Bethge M Determinanten für intendierte Anträge auf medizinische Rehabilitation bei vorgangegangenem Krankengeldbezug. Rehabilitation (Stuttg) 2016;55: 81-87
  •   Peters E, Spanier K, Mohnberg I, Radoschewski FM, Bethge M Soziale Unterstützung als Ressource für Arbeitsfähigkeit. Rehabilitation (Stuttg) 2016; 55: 102-7
  •   Spanier K, Mohnber I, Peters E, Michel E, Radoschewski FM, Bethge M Motivationale und volitionale Prozesse im Kontext der beantragung einer medizinischen Rehabilitationsleistung PmPP 2016; 66: 242-48
end of 1:n-Block publications
* This entry means the parameter is not applicable or has not been set.
*** This entry means that data is not displayed due to insufficient data privacy clearing.