Implementation
Conditions
Keywords
Inpatient rehabilitation, Internet-based intervention, Aftercare, Return to work, Psychodynamic
Brief summary
The purpose of this study is to implement the internet-based aftercare program 'GSA-Online plus' in several rehabilitation clinics with patients of different indications (psychosomatic, orthopedic and cardiovascular diseases). 'GSA-Online plus' is an internet-based aftercare program for patients with work-related problems or anxieties facing return to work after longterm sickness absence and inpatient rehabilitation. The patients have access to various exploratory and motivational videos on the study website until their inpatient rehabilitation ends. Afterwards, they start a 12-week writing intervention based on a psychotherapeutic concept, the psychodynamic 'Core Conflictual Relationship Theme Method (CCRT)'. Patients write weekly online diary entries which are answered by anonymous online therapists usually within 24 hours. In a previous randomised controlled trial the efficacy of the intervention was determined, whereas the current study focuses on the implementation and realization in a naturalistic setting (effectiveness).
Interventions
OTHERGSA-Online plus
A 12-week online writing intervention based on the Core Conflictual Relationship Theme Method (CCRT) with feedback provided by online therapists.
Sponsors
Deutsche Rentenversicherung
Koblenz University of Applied Science
Johannes Gutenberg University Mainz
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Healthy volunteers
No
Inclusion criteria
* Referral (physician) or request (patient) to take part in the internet-based aftercare program * Current or prospective employment within 4 weeks after inpatient rehabilitation * Private internet access * Informed consent * Knowledge of the German language
Exclusion criteria
* Severe psychiatric or somatic disease
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Recommendation rate of 'GSA-Online plus' | study inclusion (T1) | How often will 'GSA-Online plus' be recommended as an aftercare after inpatient rehabilitation? |
| Number of patients participating in 'GSA-Online plus' | 12 weeks after study inclusion (T14) | At least 66% of patients with a corresponding recommendation should use 'GSA-Online plus' at least once. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Willingness to pay | 12 weeks after study inclusion (T14) | Self developed items if and how much money participants would pay for GSA-Online+ |
| Working ability measured with the short form of the Work Ability Index (WAI) | At study inclusion (T1) and 12 weeks later (T14) | — |
| Depressive symptoms measured with a subscale of the Patient Health Questionnaire (PHQ-9) | At study inclusion (T1) and 12 weeks later (T14) | — |
| Anxiety measured with the General Anxiety Disorder Scale (GAD-7) | At study inclusion (T1) and 12 weeks later (T14) | — |
| Somatic symptom burden measured with the Somatic Symptom Scale-8 (SSS-8) | At study inclusion (T1) and 12 weeks later (T14) | — |
| Psychosocial stressors measured with a subscale of the Patient Health Questionnaire (PHQ-10) | At study inclusion (T1) and 12 weeks later (T14) | — |
| Overall health status measured with the EQ-5D-3L questionnaire | At study inclusion (T1) and 12 weeks later (T14) | — |
| Evaluation of GSA-Online+ | 12 weeks after study inclusion (T14) | Self developed items to assess overall satisfaction with, helpfulness and utilization of GSA-Online+ |
| Loneliness measured with the Loneliness Scale (LS-S) | At study inclusion (T1) and 12 weeks later (T14) | — |
| Psychological stress measured with the Perceived Stress Scale (PSS-4) | At study inclusion (T1) and 12 weeks later (T14) | — |
| Personal resources measured with the Oslo Support Scale (OSS-3) | At study inclusion (T1) and 12 weeks later (T14) | — |
| Personal resources measured with the Brief Resilient Coping Scale (BRCS) | At study inclusion (T1) and 12 weeks later (T14) | — |
| Regular Monitoring of self-rated health status | up to 12 weeks from study inclusion (T2-T13) | Item drawn from the EQ-5D-3L questionnaire |
| Regular Monitoring of self-rated work ability | up to 12 weeks from study inclusion (T2-T13) | Item drawn from the Work Ability Index (WAI) |
| Evaluation of the therapeutic feedback | up to 12 weeks from study inclusion (T2-T13) | Two self developed items ('How satisfied are you with ... / How helpful was therapeutic feedback') on a five-point Likert scale. |
| General capability measured with the Sheehan-Disability Scale | At study inclusion (T1) and 12 weeks later (T14) | — |
| Future prospects of employment measured with the Subjective Prognosis of Work Ability Scale (SPE) | At study inclusion (T1) and 12 weeks later (T14) | — |
Countries
Germany
Outcome results
None listed