Prevention of Arthritis-Related Work Disability

NCT00000416 | Completed

• 3 other identifiers: P60AR020613NIAMS-012EEHRS Project 3
• Study Type: interventional
• Target: 242
• Locations: 1 country
• Sites: 1

Brief Summary

People with rheumatic disorders (arthritis) often have trouble keeping their jobs. This study will look at whether vocational rehabilitation (VR) will improve the ability of employed people with arthritis to keep their jobs. Job retention VR services target key factors that increase the risk of job loss. They aim to modify jobs to reduce barriers caused by functional limitations and disease symptoms, future career planning, and establish a partnership with a VR counselor for ongoing help. We will conduct the study among patients with rheumatic disorders recruited in eastern Massachusetts. We will give 120 study participants job retention services provided by VR counselors. We will give another 120 participants literature about employment- related resources. We will compare the outcomes of the two groups to evaluate the usefulness of job retention services in preventing job loss in people with rheumatic disorders.

Conditions

Rheumatoid Arthritis; Systemic Lupus Erythematosus; Osteoarthritis, Knee; Ankylosing Spondylitis

Keywords

Arthritis; Rheumatic disorders; Work-related disability; Vocational rehabilitation (VR); Job retention services; Work limitations; Work instability

Outcome Measures

Primary Outcomes (1)

• job losses

  Periods of work cessation of at least 6 months.

  every 6 months for up to 42 months

Secondary Outcomes (1)

• limitation in ability to work

  every 6 months for up to 42 months

Study Arms (2)

Rehabilitation counseling

EXPERIMENTAL

Rehabilitation counseling Experimental Rehabilitation counseling was provided by rehabilitation counselors. They administered the Work Experience Survey; provided and discussed disability rights and responsibilities and provided career counseling they as needed.

Other: Rehabilitation counseling

printed information

ACTIVE COMPARATOR

Active comparator Control group participants received relevant printed information in the mail only; no rehabilitation counseling

Other: Rehabilitation counseling

Interventions

Rehabilitation counseling OTHER

Provided in 2 in-person meetings and in follow-up phone calls

Rehabilitation counseling; printed information

Eligibility Criteria

• Age: 18 Years - 65 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Must currently be employed full or part time
• Must live in selected communities in eastern Massachusetts

You may not qualify if:

• Plans to move from area
• Plans to have joint replacement surgery in next 6 months
• Plans to retire or go on disability within next 2 years

Sponsors & Collaborators

• Boston University Charles River Campus: lead
• National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS): collaborator
• Boston University: collaborator

Study Sites (1)

Boston University School of Medicine

Boston, Massachusetts, 02118, United States

Location

Related Publications (6)

• Allaire SH, Li W, LaValley,M: Work Problems reported by employed persons with reheumatic diseases and their association with work satisfaction. Arthritis Rheumatic 43:S128,2000

  BACKGROUND

• Allaire SH, Li W, LaValley, M. Can job retention vocational rehabilitation services reduce work disability among employed persons with rheumatic diseases? Arthritis Rheum 44 (supplement):S813, 2001.

  BACKGROUND

• Allaire SH. Update on work disability in rheumatic diseases. Curr Opin Rheumatol. 2001 Mar;13(2):93-8. doi: 10.1097/00002281-200103000-00001.

  PMID: 11224732 BACKGROUND

• de Buck PD, Schoones JW, Allaire SH, Vliet Vlieland TP. Vocational rehabilitation in patients with chronic rheumatic diseases: a systematic literature review. Semin Arthritis Rheum. 2002 Dec;32(3):196-203. doi: 10.1053/sarh.2002.34609.

  PMID: 12528084 BACKGROUND

• Allaire SH, Li W, LaValley MP. Reduction of job loss in persons with rheumatic diseases receiving vocational rehabilitation: a randomized controlled trial. Arthritis Rheum. 2003 Nov;48(11):3212-8. doi: 10.1002/art.11256.

  PMID: 14613285 RESULT

• Allaire SH, Niu J, Lavalley MP. Employment and Satisfaction Outcomes From a Job Retention Intervention Delivered to Persons with Chronic Diseases. Rehabilitation Counseling Bulletin 48(2):100-109, 2005

  RESULT

MeSH Terms

Conditions

Arthritis, Rheumatoid; Lupus Erythematosus, Systemic; Osteoarthritis, Knee; Spondylitis, Ankylosing; Arthritis

Condition Hierarchy (Ancestors)

Joint Diseases; Musculoskeletal Diseases; Rheumatic Diseases; Connective Tissue Diseases; Skin and Connective Tissue Diseases; Autoimmune Diseases; Immune System Diseases; Osteoarthritis; Axial Spondyloarthritis; Spondylarthropathies; Spondylarthritis; Spondylitis; Spinal Diseases; Bone Diseases; Ankylosis

Study Officials

• Saralynn J. Allaire, Sc.D.

  Boston University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: TRIPLE
• Who Masked: PARTICIPANT, INVESTIGATOR, OUTCOMES ASSESSOR
• Purpose: PREVENTION
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Professor

Study Record Dates

• First Submitted: November 3, 1999
• First Posted: November 4, 1999
• Study Start: September 1, 1997
• Primary Completion: August 1, 2001
• Study Completion: August 1, 2001
• Last Updated: July 26, 2017

Record last verified: 2017-07

Locations

US (1)