Trial document




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  DRKS00011697

Trial Description

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Title

Reha versus WeB-Reha: Who profits more from the medical work-related rehabilitation (MBOR)? Effects on professional reintegration and effectiveness in the case of orthopaedic diseases

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Trial Acronym

[---]*

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URL of the Trial

http://www.refonet.de/cms/front_content.php?idart=116&dieantr_id=12516

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Brief Summary in Lay Language

In this study, two groups of patients, who undergo medical work-related therapy at an orthopaedic rehabilitation clinic, will be compared. The first group consists of patients with a professional problem situation ascertained at the time of the admission to the clinic. The second group consists of patients with a professional problem situation that was already identified by the works doctor or company doctor. These patients have a shortened access time to the rehabilitation and there is an exchange of information between the works/company doctors and the rehabilitation doctors at the clinic (WeB-Reha: Works doctors and company doctors in cooperation with the pension insurance organisation DRV Rheinland). The study will investigate whether differences in the reintegration rate, one year after the medical work-related therapy, between both groups exist. Furthermore, changes in the effectiveness in everyday life and at work as well as the number of days unable to work will be investigated. Finally, certain illness-related, personal and work-related aspects will be compared between the groups and examined whether they are suited for the prediction of professional reintegration.

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Brief Summary in Scientific Language

The objective of this monocentric, non-randomized, prospective observation study is to investigate the effects of the WeB-Reha procedure (works doctors and company doctors in cooperation with the pension insurance organisation DRV Rheinland) on rehabilitants with orthopaedic diseases. In particular, the question will be answered whether the WeB-Reha procedure with an early assessment of need by the company doctor, a quick allocation to a medical work-related therapy (MBOR) and a good exchange of information between the actors will lead to a better professional outcome than the usual access procedure to a MBOR. Two defined comparison groups are investigated: Group 1 comprises employed MBOR-rehabilitants with the usual access procedure and an assessment of need by a screening during the admission process to the clinic. Group 2 consists of MBOR-rehabilitants in the WeB-Reha procedure with an assessment of need by the works doctor or company doctor. The components of the MBOR are the same for both groups. The main target criterion is the professional reintegration 12 months after an orthopaedic MBOR. A reintegration is defined as successful when the insured person is gainfully employed and does not receive sickness benefits at this point in time. The data on the capacity to work will be obtained through a query of the pension insured person's accounts and through a postal post-survey. Secondary target figures are firstly the improvement of the effectiveness in everyday life and at work and secondly the decrease in the number of days unable to work, in each case 12 months after an orthopaedic MBOR. Furthermore, it will be examined whether the groups differ in terms of predefined epidemiological, personal and structural aspects and whether influencing factors for a successful reintegration into employment can be identified.

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Organizational Data

  •   DRKS00011697
  •   2017/02/10
  •   [---]*
  •   yes
  •   Approved
  •   837.494.16, Ethik-Kommission bei der Landesärztekammer Rheinland-Pfalz
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Secondary IDs

  • [---]*
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Health Condition or Problem studied

  •   musculoskeletal disorders
  •   M00-M99 -  Diseases of the musculoskeletal system and connective tissue
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Interventions/Observational Groups

  •   MBOR-rehabilitants in the usual access procedure with assessment of need by a screening-questionnaire during the admission process to the clinic. The components of the MBOR are the same as arm no. 2. Data on the capacity to work will be obtained through a query of the pension insured person's accounts and through a postal post-Survey 12 month after MBOR. Changes of the effectiveness in everyday life and at work and the number of days unable to work will be raised through a questionaire at the beginning and 12 month after the MBOR
  •   MBOR-rehabilitants in the WeB-Reha procedure with assessment of need by the works/ company doctor. The components of the MBOR are the same as arm no. 1. Data on the capacity to work will be obtained through a query of the pension insured person's accounts and through a postal post-Survey 12 month after MBOR. Changes of the effectiveness in everyday life and at work and the number of days unable to work will be raised through a questionaire at the beginning and 12 month after the MBOR
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Characteristics

  •   Non-interventional
  •   Observational study
  •   Other
  •   Open (masking not used)
  •   [---]*
  •   Active control (effective treament of control group)
  •   Prevention
  •   Parallel
  •   N/A
  •   N/A
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Primary Outcome

Employment status 12 Months after the MBOR. The employment status is obtained through a query of the pension insured person's accounts and through a postal post-survey

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Secondary Outcome

Improvement of the effectiveness in everyday life and at work and decrease in the number of days unable to work through a survey at the start and 12 months after the end of the MBOR. Influencing factors for a successful reintegration into employment through data collections at the beginning of the MBOR

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Countries of Recruitment

  •   Germany
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Locations of Recruitment

  • Medical Center 
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Recruitment

  •   Actual
  •   2018/08/21
  •   304
  •   Monocenter trial
  •   National
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Inclusion Criteria

  •   Both, male and female
  •   no minimum age
  •   no maximum age
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Additional Inclusion Criteria

Employment, rehabilitants in the WeB-Reha procedure, existence of a professional problem situation, size of company > 50 employees, rehabilitants of the DRV Rheinland and DRV Rheinland-Pfalz

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Exclusion Criteria

Independency, retirement pension within the coming 12 months, missing linguistic proficiency, patients in follow-up Treatment after surgery

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Addresses

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    • REFONET: Forschungsnetzwerk der Deutschen Rentenversicherung Rheinland
    • Mr.  Burkhard  Wild 
    • Postfach 10 07 63
    • 53445  Bad Neuenahr-Ahrweiler
    • Germany
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    • Lahntalklinik Bad Ems
    • Mr.  Dr. med.  Burkhard  Fischer 
    • Adolf-Bach-Promenade 11
    • 56130  Bad Ems
    • Germany
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    • Lahntalklinik Bad Ems
    • Mr.  Dr. med.  Burkhard  Fischer 
    • Adolf-Bach-Promenade 11
    • 56130  Bad Ems
    • Germany
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Sources of Monetary or Material Support

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    • REFONET: Forschungsnetzwerk der Deutschen Rentenversicherung Rheinland
    • Mr.  Burkhard  Wild 
    • Postfach 10 07 63
    • 53445  Bad Neuenahr-Ahrweiler
    • Germany
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Status

  •   Recruiting ongoing
  •   [---]*
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Trial Publications, Results and other Documents

  • [---]*
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* This entry means the parameter is not applicable or has not been set.