A Structured Framework for Assessment of Rehabilitation and Sicklisting in Primary Care - a Multicenter Study
NCT ID: NCT05655962
Last Updated: 2023-09-28
Study Results
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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UNKNOWN
NA
200 participants
INTERVENTIONAL
2022-09-01
2025-03-01
Brief Summary
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Detailed Description
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In a controlled pragmatic multicenter primary care study, nine centers (three from each region) working according to STARS will be compared with control centers with care as usual. The STARS framework has seven detailed method supports for health care professionals, each to be applied at different times during the first 90 days of the patients´ sick listing. Potential study participants are a) patients aged 18-65 that are sick listed due to common mental disorders, musculoskeletal pain or residual symptoms from Covid-19 and; b) medical staff involved in the sick listing- and rehabilitation process. Data will be collected through focus group interviews (health care professionals), individual interviews (patients), questionnaires (patients and health care professionals) as well as national registries regarding length and extent of sick listing. Primary outcome measures are length and extent of sick listing up until 90 days (quantitative) and the medical staffs´ experiences and perceptions regarding following the guidelines of the STARS framework (i.e. both qualitative and quantitative data). Secondary outcome measures at the included STARS centers are i) the patients' experiences regarding their sick listing process, ii) the medical staffs´ experiences of their organizational work environment , iii) causes for sick listing \>90 days, and iv) health economic studies to investigate the cost-effectiveness of STARS.
Conditions
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Study Design
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NON_RANDOMIZED
PARALLEL
HEALTH_SERVICES_RESEARCH
NONE
Study Groups
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STARS center
Centers in the southeast region of Sweden working according to STARS.
STARS
STARS is a structured framework for assessment of rehabilitation and sicklisting, applied by primarily the rehabilitation coordinators working at the primary health care centers.
Control center
Centers in the southeast region of Sweden not working according to STARS.
No interventions assigned to this group
Interventions
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STARS
STARS is a structured framework for assessment of rehabilitation and sicklisting, applied by primarily the rehabilitation coordinators working at the primary health care centers.
Eligibility Criteria
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Inclusion Criteria
* age ≥18 years;
* sick-listed due to ICD-diagnoses: F00-F99 (mental/behavioral disorders), M00-99 (musculoskeletal pain), R52 (non-specified pain), U08.9, U09.9 or U10.9 (codes related to COVID19);
* have received rehabilitation coordination performed by a RECO
Health care professionals:
\- Health care professionals involved in the sick-listing process of the patients at the health care center.
Exclusion Criteria
* inability to understand Swedish;
* incapacity to give informed consent;
* protected identity
Health care professionals:
\- Health care professionals not involved in the sick-listing process of the patients at the health care center.
18 Years
65 Years
ALL
No
Sponsors
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Region Jönköping County
OTHER_GOV
Kalmar County Hospital
OTHER
Region Östergötland
OTHER
Responsible Party
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Hanna Israelsson Larsen
PhD, MD, Adjunct senior lecturer
Principal Investigators
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Hanna I Larsen
Role: PRINCIPAL_INVESTIGATOR
Region Östergötland
Locations
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Region Östergötland
Norrköping, , Sweden
Countries
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Central Contacts
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Facility Contacts
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Other Identifiers
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2021-04412
Identifier Type: -
Identifier Source: org_study_id
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