Disability Case Manager: Full Member of the Revalidation Team

NCT03996798 | Completed

• 1 other identifier: PXL_WeerWerk
• Study Type: interventional
• Target: 80
• Locations: 1 country
• Sites: 2

Brief Summary

The first 4-6 months after an incident which caused a handicap or chronic disease, it is important to involve and motivate patients to return to work. After this period, there is a major decrease on successful vocational reintegration. To facilitate vocational rehabilitation a Disability Case Manager (DCM) may play a major role. The DCM will act as key figure between the patient, the multidisciplinary team of the revalidation centre, the employers and other back-to-work services. There is need to provide evidence on the value of this program. The aim of this study is to test the added value of including a DCM in the classic revalidation trajectory, who will focus on early vocational and/or social rehabilitation.

Conditions

Vocational Rehabilitation

Keywords

vocational rehabilitation; back-to-work; social participation; disability case manager

Outcome Measures

Primary Outcomes (5)

• Change in Quality of Life: Short Form 36 questionnaire

  Short Form 36 questionnaire. This questionnaire includes 11 questions with different scale ranges and contents.

  pre (at moment of inclusion), post (at the end of the revalidation period, on average after 6 months) and follow-up (6 months after revalidation)

• Change in mental functioning: depressive feelings, anxiety and stress

  Depression, Anxiety and Stress scale 21 questionnaire. Scale ranges from 0 to 3 (0 = never applicable, 1 = sometimes applicable, 2 = often applicable, 3 = certainly applicable). The lower values represent a better outcome.

  pre (at moment of inclusion), post (at the end of the revalidation period, on average after 6 months) and follow-up (6 months after revalidation)

• Change in functional status

  Barthel Activities of Daily Living (ADL) index. Scale ranges from 0 to 2 or 3, each topic (feeding, bathing, grooming, dressing, bowels, bladder, toilet use, transfers (bed to chair and back), mobility and stairs) has its own scale content. The higher values represent a better outcome.

  pre (at moment of inclusion), post (at the end of the revalidation period, on average after 6 months) and follow-up (6 months after revalidation)

• Change in participation

  Nottingham ADL index. Scale ranges from 0 to 3 (0 = patient can not execute the activity, 1 = patient can execute the activity with help, 2 = patient can execute the activity, but it is still difficult, 3 = patient can execute the activity easily). The higher values represent a better outcome.

  pre (at moment of inclusion), post (at the end of the revalidation period, on average after 6 months) and follow-up (6 months after revalidation)

• Change in work status (questionnaire)

  Follow up of current working status. Scales ranges from 0 to 7 (0 = no work, 1 = retirement, 2 = volunteer work, 3 = still in support of re-employment, 4 = half time other work, 5 = other work, 6 = half time same work, 7 = same work)

  pre (at moment of inclusion), post (at the end of the revalidation period, on average after 6 months) and follow-up (6 months after revalidation)

Secondary Outcomes (6)

• Change in coping

  pre (at moment of inclusion), post (at the end of the revalidation period, on average after 6 months) and follow-up (6 months after revalidation)

• Change in self-effectiveness

  pre (at moment of inclusion), post (at the end of the revalidation period, on average after 6 months) and follow-up (6 months after revalidation)

• Expectations concerning back-to-work

  pre (at moment of inclusion)

• Change in satisfaction with revalidation traject

  post (at the end of the revalidation period, on average after 6 months) and follow-up (6 months after revalidation)

• Change in expectations concerning back-to-work

  pre (at moment of inclusion), post (at the end of the revalidation period, on average after 6 months) and follow-up (6 months after revalidation)

Study Arms (2)

Jessa Hospital, Herk-de-Stad

EXPERIMENTAL

"Back to Work" methodology: a revalidation trajectory with standard revalidation therapy in combination with an early focus on "back to work", using a "Disability Case Manager"

Other: Disability Case Manager

Revalidation and MS Clinic Overpelt

NO INTERVENTION

Standard revalidation therapy without explicit focus on "back to work"

Interventions

Disability Case Manager OTHER

The DCM will act as key figure between the patient, the multidisciplinary team of the revalidation centre, the employers and other back-to-work services in order to increase vocational reintegration after an incident which caused a handicap or chronic disease.

Jessa Hospital, Herk-de-Stad

Eligibility Criteria

• Age: 18 Years - 62 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Complex neuro-motoric conditions
• Age between 18-62 year
• Working
• Persons belonging to the National Institute for Health and Disability Insurance (NIHDI) target group

You may not qualify if:

• Comatose patients
• Retired patients
• Students
• Persons who not belong to the NIHDI target group

Sponsors & Collaborators

• PXL University College: lead
• Jessa Hospital: collaborator
• Revalidatie & MS Centrum Overpelt: collaborator
• RIZIV: collaborator

Study Sites (2)

Jessa Hospital, Campus Sint-Ursula

Hasselt, Limburg, 3500, Belgium

Location

Revalidation & MS Clinic Overpelt

Overpelt, Limburg, 3900, Belgium

Location

Study Officials

• Annemie Spooren, PhD

  PXL University College

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: OTHER
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: June 4, 2019
• First Posted: June 25, 2019
• Study Start: March 1, 2017
• Primary Completion: June 30, 2020
• Study Completion: September 30, 2020
• Last Updated: January 22, 2021

Record last verified: 2021-01

Data Sharing

• IPD Sharing: Will not share

Locations

BE (2)