Intensified work-related rehabilitation aftercare

Intensified work-related rehabilitation aftercare - IWORAC

Status

Active, not recruiting

Phases

Unknown

Study type

Interventional

Source

DRKS

Registry ID

DRKS00003360

Enrollment

660

Registered

2012-02-14

Start date

2012-02-22

Completion date

Unknown

Last updated

2025-04-07

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

M16 M17 M50 M51 M53 M54 M75 Z96.6 Z96.8 Z98.8

Interventions

Group 1: Intensified work-related rehabilitation aftercare (IWORAC): 24 appointments of 90 to 120 minutes each, work-related treatments (work-related functional capacity training, work-related psychos

Eligibility

Sex/Gender

All

Age

18 Years to 65 Years

Inclusion criteria

Inclusion criteria: Rehabilitation aftercare is approved due to one of the following diagnoses: M16, M17, M50, M51, M53, M54, M75, Z96.6, Z96.8, or Z98.8. All participants must be employed and must fulfil one of the following criteria: a) sick leave of 3 months in the last year or b) currently on sick leave or c) poor subjective work ability prognosis according to the Wuerzburger Screening.

Exclusion criteria

Exclusion criteria: None

Design outcomes

Primary

Measure	Time frame
Work Ability Index The primary outcome is the patient’s work ability as measured by the German version of the Work Ability Index (WAI). The WAI assesses the degree to which workers consider their state of health adequate to cope with the demands of their jobs. The questionnaire comprises the following items: (1) current work ability compared with lifetime best, (2) work ability in relation to the demands of the job, (3) number of current diseases diagnosed by a physician, (4) estimated work impairment due to diseases, (5) sick leave during the past year, (6) own prognosis of work ability two years from now and (7) mental resources. Item scores were summed to yield a total score. The WAI total score ranges from 7 to 49, with higher scores indicating better work ability. The WAI is assessed by questionnaire at the beginning of aftercare as well as six and twelve months after the beginning of aftercare.	—

Measure

Time frame

Work Ability Index The primary outcome is the patient’s work ability as measured by the German version of the Work Ability Index (WAI). The WAI assesses the degree to which workers consider their state of health adequate to cope with the demands of their jobs. The questionnaire comprises the following items: (1) current work ability compared with lifetime best, (2) work ability in relation to the demands of the job, (3) number of current diseases diagnosed by a physician, (4) estimated work impairment due to diseases, (5) sick leave during the past year, (6) own prognosis of work ability two years from now and (7) mental resources. Item scores were summed to yield a total score. The WAI total score ranges from 7 to 49, with higher scores indicating better work ability. The WAI is assessed by questionnaire at the beginning of aftercare as well as six and twelve months after the beginning of aftercare.

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Secondary

Measure	Time frame
Perceived functional ability (Spinal Function Sort, SFS) The German version of the Spinal Function Sort (SFS) will be used to measure self-reported functional ability. The instrument is a picture-based questionnaire that assesses personal assessments of one’s ability to perform work-related and day-to-day physical activities that stress the back and spine. The SFS comprises 50 items. Each activity is rated on a 5-point scale. The total score ranges from 0 to 200, with higher values indicating better functional ability. Health-related quality of life (Short Form Health Survey, SF-36) Health-related quality of life will be measured using the eight scales of the Short Form Health Survey (SF-36). Scores of the eight subscales range from 0 to 100. Four subscales refer to physical health (physical functioning, physical role, bodily pain, and general health), and the others to mental health (vitality, social functioning, emotional role, and mental health). Depressive symptoms (Patient Health Questionnaire, PHQ-9) Depressive symptoms will be measured using the nine-item depression module from the German version of the Patient Health Questionnaire. Items on a 4-point scale assess the frequencies of DSM-IV depression symptoms (e.g. little interest or pleasure in doing things). The total score ranges from 0 to 27, with higher values representing more symptoms. Pain intensity Pain intensity will be measured on three 11-point numerical scales rating the current, strongest and average intensity of pain. Item scores are averaged to form a total score ranging from 0 to 10, with higher values indicating higher pain intensity. Pain coping strategies (Coping Strategies Questionnaire, CSQ-D) Pain coping strategies will be measured using subscales of the German version of the Coping Strategies Questionnaire (CSQ-D) Items on a 7-point scale assess the frequency of the usage of a certain coping behaviour. For each of the subscales (diverting attention, increasing activity level, catas	—

Measure

Time frame

Perceived functional ability (Spinal Function Sort, SFS) The German version of the Spinal Function Sort (SFS) will be used to measure self-reported functional ability. The instrument is a picture-based questionnaire that assesses personal assessments of one’s ability to perform work-related and day-to-day physical activities that stress the back and spine. The SFS comprises 50 items. Each activity is rated on a 5-point scale. The total score ranges from 0 to 200, with higher values indicating better functional ability. Health-related quality of life (Short Form Health Survey, SF-36) Health-related quality of life will be measured using the eight scales of the Short Form Health Survey (SF-36). Scores of the eight subscales range from 0 to 100. Four subscales refer to physical health (physical functioning, physical role, bodily pain, and general health), and the others to mental health (vitality, social functioning, emotional role, and mental health). Depressive symptoms (Patient Health Questionnaire, PHQ-9) Depressive symptoms will be measured using the nine-item depression module from the German version of the Patient Health Questionnaire. Items on a 4-point scale assess the frequencies of DSM-IV depression symptoms (e.g. little interest or pleasure in doing things). The total score ranges from 0 to 27, with higher values representing more symptoms. Pain intensity Pain intensity will be measured on three 11-point numerical scales rating the current, strongest and average intensity of pain. Item scores are averaged to form a total score ranging from 0 to 10, with higher values indicating higher pain intensity. Pain coping strategies (Coping Strategies Questionnaire, CSQ-D) Pain coping strategies will be measured using subscales of the German version of the Coping Strategies Questionnaire (CSQ-D) Items on a 7-point scale assess the frequency of the usage of a certain coping behaviour. For each of the subscales (diverting attention, increasing activity level, catas

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Countries

Germany

Contacts

Public ContactJuliane;Matthias Briest;Bethge

Medizinische Hochschule HannoverKlinik für RehabilitationsmedizinRehabilitationsforschung;Medizinische Hochschule HannoverKlinik für RehabilitationsmedizinRehabilitationsforschung

Briest.Juliane@mh-hannover.de;bethge.matthias@mh-hannover.de+49 511 5324106;+49 511 5322788

Outcome results

None listed

Source: DRKS (via WHO ICTRP) · Data processed: Feb 4, 2026