Improving Vocational Outcomes in Arthritis

NCT ID: NCT00000407

Last Updated: 2016-01-06

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

326 participants

Study Classification

INTERVENTIONAL

Study Start Date

1997-01-31

Study Completion Date

2001-12-31

Brief Summary

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The long-term objectives of this research project are to enhance program participation and improve the employment prospects of people with work disability due to arthritis and related musculoskeletal disorders (ARMD) who are actively seeking vocational (job-related) rehabilitation (VR) services.

This study is designed to compare the employment situations of a group of people receiving a two-part intervention and a group that is not receiving the intervention. The intervention consists of training sessions to help prospective VR clients with ARMD successfully enter and complete the VR program, and training sessions for a randomly selected group of VR professionals to help them serve VR clients with ARMD more effectively.

Detailed Description

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The long-term objectives of this research project are to enhance program participation and improve the vocational outcomes of people with work disability due to arthritis and related musculoskeletal disorders (ARMD) who are actively seeking vocational rehabilitation services.

Some researchers think that people with work disability due to ARMD seeking vocational rehabilitation (VR) services who are exposed to an "agency access intervention" are more likely to gain entrance to the VR system and be determined eligible for services than are similar people not exposed to the intervention. Further, they think that people with work disability due to ARMD who are determined to be eligible for VR services, and who are exposed to an "agency enhancement intervention" while receiving services, are more likely to become and remain employed upon completion of the VR program than are similar people not exposed to the intervention.

The research design is a randomized, controlled, field experiment comparing the vocational outcomes of a group receiving a two-part intervention to those not receiving the intervention. The design allows us to evaluate separately each component of the intervention. The intervention consists of training sessions to help prospective VR clients with ARMD successfully enter and complete the VR program, and training sessions for a randomly selected group of VR professionals to help them serve VR clients with ARMD more effectively.

If this intervention strategy can significantly increase (1) VR utilization rates; (2) post-service employment rates; and (3) length of post-service employment in a previously underserved group with historically poor VR outcomes, it could have a significant role in reducing the immense impact, nationally, of work disability due to ARMD.

Conditions

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Arthritis Musculoskeletal Diseases Rheumatic Diseases

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Enrollment Intervention

The intervention consists of training sessions to help prospective VR clients with ARMD successfully enter and complete the vocational rehabilitation (VR) program, and training sessions for a randomly selected group of VR professionals to help them serve VR clients with ARMD more effectively.

Group Type ACTIVE_COMPARATOR

Vocational counseling intervention

Intervention Type BEHAVIORAL

Reading materials for control participants

Intervention Type BEHAVIORAL

Usual Care

Group Type PLACEBO_COMPARATOR

Standard of care

Intervention Type BEHAVIORAL

No education or behavioral intervention

Interventions

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Vocational counseling intervention

Intervention Type BEHAVIORAL

Reading materials for control participants

Intervention Type BEHAVIORAL

Standard of care

No education or behavioral intervention

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Resident of Alabama
* Previously employed
* Currently unemployed due to musculoskeletal disability
* Feel capable of work
* Want to work

Exclusion Criteria

* Not a resident of Alabama
* Unable to work
Minimum Eligible Age

18 Years

Maximum Eligible Age

55 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS)

NIH

Sponsor Role collaborator

University of Alabama at Birmingham

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Richard S. Maisiak, PhD, MSPH

Role: PRINCIPAL_INVESTIGATOR

University of Alabama at Birmingham

Locations

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University of Alabama at Birmingham

Birmingham, Alabama, United States

Site Status

Countries

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United States

References

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White M, Maisiak R, Overman L, Paolone F, and Fine P. Development of a work motivation scale for predicting return to work of arthritis patients. Arthritis and Rheumatism,44(9):S165,2001.

Reference Type BACKGROUND

M White, R Maisiak, P Fine and K Straaton. Factors associated with low vocational capability in persons with musculoskeletal work disability. Abstract in Arthritis and Rheumatism, 42(9):S222, 1999.

Reference Type BACKGROUND

R Maisiak, P Fine, M White and K Straaton. Barriers to participation in state-federal vocational rehabilitation servies for persons with musculoskeletal disability Abstract in Arthritis and Rheumatism, 42(9):S222, 1999.

Reference Type BACKGROUND

White M, Maisiak R, Overman L, Paolone F, and Fine P. Increased enrollment of persons unemployed due to musculoskeletal disability to vocational rehabilitation services. Arthritis and Rheumatism, 43(9):S285, 2000.

Reference Type BACKGROUND

Maisiak R, White W, Overman L, Paolone F, and P Fine. Health status (SF-36) barriers to return to work for persons with musculoskeletal disability. Arthritis and Rheumatism, 43(9):S285,2000.

Reference Type BACKGROUND

Maisiak R, White W, Overman L, Paolone F, and P Fine. Improved return to work for arthritis patients in a supplementary state-federal vocational rehabilitation program. Arthritis and Rheumatism,44(9):S211,2001.

Reference Type BACKGROUND

Other Identifiers

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P60AR020614

Identifier Type: NIH

Identifier Source: secondary_id

View Link

NIAMS-024

Identifier Type: -

Identifier Source: secondary_id

Sub: EEHSR3

Identifier Type: -

Identifier Source: secondary_id

P60AR020614

Identifier Type: NIH

Identifier Source: org_study_id

View Link

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