chronic health problems
Conditions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Included are employees with health restrictions and limited ability to work who have been on sick leave at least 4 weeks in the past 12 months, have been employed in the cooperating companies for at least six months and are insured with the German Pension Insurance North, Federal German Pension Insurance, German Pension Insurance Braunschweig-Hannover or German Pension Insurance Knappschaft-Bahn-See.
Exclusion criteria
Exclusion criteria: Excluded are individuals who require urgent medical care due to acute illnesses, who have a clear need for rehabilitation services or who initially need support due to an addiction.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary outcome measure is the Work Ability Score. The Work Ability Score is the first item of the Work Ability Index and measures the current self-assessed work ability compared to the best work ability ever achieved (0-10 points). This variable is recorded in the initial interview and in the last follow-up consultation. | — |
Secondary
| Measure | Time frame |
|---|---|
| Various secondary outcomes are collected to reflect changes in health and participation: general health (0 to 10 points, Nuebling et al. 2010), depression (0 to 6 points, Low et al. 2010), anxiety (0 to 6 points, Lowe et al. 2010), physical functioning (0 to 24 points, Roland et al. 2000), self-rated work ability (7 to 49 points, Ilmarinen 2007), days of sickness absence in the past six months, current employment, physical job demands (0 to 15 points, Slesina, 1987), mental job demands (0 to 100 points, Nuebling et al. 2010), social support at work (0 to 100 points, Nuebling et al. 2010), work atmosphere (0 to 100 points, Nuebling et al. 2010), job insecurity (0 to 100 points, Nuebling et al. 2010), bullying (0 to 100 points, Nuebling et al. 2010), job satisfaction (0 to 100 points, Nuebling et al. 2010). These data are collected in the initial consultation and in the last follow-up care consultation with the occupational health physician. Additional items (own development) are used to collect data on content the participants received (dimensions: content, consistency, goal achievement) and how they evaluate the elements of the intervention: perceived content of initial consultation (0 to 15 points), perceived content of two-day diagnostic measure (0 to 18 points), consistency of intervention (0 to 21 points), capacity to act (0 to 20 points), evaluation of initial consultation (1 to 6 points), evaluation of two-day diagnostic (1 to 6 points). These data are collected in the first follow-up consultation. Further items (own development) are used to collect data on how the participants evaluate the follow-up care with the occupational health physician and the overall offer and to what extent they have benefited from participation in the intervention: Evaluation of the follow-up care consultations (1 to 6 points), evaluation of the overall offer (1 to 6 points), subjective achievement of goals (0 to 15 points). These data are collected in the last follow-up consultat | — |
Countries
Germany
Contacts
Universität zu Lübeck, Institut für Sozialmedizin und Epidemiologie, Sektion Rehabilitation und Arbeit