M40-M54
Conditions
Interventions
Group 1: Medical rehabilitation services (utilisation as derived from the German Pension Insurance accounts)
Group 2: No medical rehabilitation
Sponsors
Universität zu Lübeck, Institut für Sozialmedizin und Epidemiologie, Sektion Rehabilitation und Arbeit
Eligibility
Sex/Gender
All
Age
45 Years to 59 Years
Inclusion criteria
Inclusion criteria: Persons will be included if they are employed.
Exclusion criteria
Exclusion criteria: Persons who requested or utilised medical rehabilitation services during the past four years and persons with requested or approved disability pensions will be excluded.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Pain disability: 3 items assess the impairments in everyday life, leisure time and at work with values ranging from 0 to 100. Higher values indicate higher impairments. The primary outcome will be assessed by questionnaire at baseline (2017) and follow-up (2019). | — |
Secondary
| Measure | Time frame |
|---|---|
| The following secondary outcomes will be assessed by questionnaire at baseline and follow-up: - pain intensity (0 to 100 points) and disability days: German version of the Chronic Pain Grade (Klasen et al. 2004) - pain self-efficacy (10 to 60 points): German adaption of the Pain Self-efficacy Questionnaire (FESS) (Mangels et al. 2009) - fear avoidance beliefs: adapted version of two subscales (physical activity, 0 to 18 points; work as cause of pain, 0 to 18 points) of the German version of the Fear Avoidance Belief Questionnaire (FABQ) (Pfingsten et al. 1997) - self-rated health (0 to 10 points): adapted version of the single index value for health status of the EQ-5D (Rabin and de Charro 2001) - depressive symptoms (0 to 24 points): 8-item depression module of the Patient Health Questionnaire (PHQ-8) (Gräfe et al. 2004) - self-rated work ability (0 to 10 points): Work Ability Score (WAS) (Ilmarinen 2007) - self-rated prognosis of employability (0 to 3 points): 3 item scale (Mittag and Raspe 2003) - healthcare utilisation: use of pharmaceuticals, visits to physicians, outpatient therapy (e.g. physiotherapy), days of hospitalisation, and days of sick leave The following secondary outcomes will be extracted from the pension insurance accounts for 2016 and 2018: - days in receipt of sickness absence benefits - days in regular employment - disability pensions For estimating the propensity scores, additional measures will be assessed only at baseline: - comorbidity (0 to 15 points): adapted version of the German version of the Self-Administered Comorbidity Questionnaire (SCQ-D) (Streibelt et al. 2012) - health behaviour: physical exercise, smoking, and body mass index - socio-demographic data: migration, educational level, job position, net income, partnership, number of household members, number of children (<14 years), family members with a special need of care, strain due to home and family work (2 items with values ranging from 0 to 10) (Worringe | — |
Countries
Germany
Contacts
Public ContactKerstin;David Mattukat;Fauser
Martin-Luther-Universität Halle-Wittenberg, Medizinische Fakultät, Institut für Rehabilitationsmedizin;Universität zu Lübeck, Institut für Sozialmedizin und Epidemiologie, Sektion Rehabilitation und Arbeit
Outcome results
None listed