Implementation of the Internet-based Aftercare Program 'GSA-Online Plus'

Study Overview
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Brief Summary
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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).

Official Title
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Implementation of the Online Aftercare Intervention 'GSA-Online Plus' (Healthy and Without Stress at the Workplace)

Conditions
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Implementation

Intervention / Treatment
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* Other: GSA-Online plus


Participation Criteria
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Eligibility Criteria
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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
Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: GSA-Online plus<br>Patients receive access to the internet-based aftercare program after inpatient treatment. | Other: GSA-Online plus<br>* A 12-week online writing intervention based on the Core Conflictual Relationship Theme Method (CCRT) with feedback provided by online therapists.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Recommendation rate of 'GSA-Online plus' | How often will 'GSA-Online plus' be recommended as an aftercare after inpatient rehabilitation? | study inclusion (T1) | 
| Number of patients participating in 'GSA-Online plus' | At least 66% of patients with a corresponding recommendation should use 'GSA-Online plus' at least once. | 12 weeks after study inclusion (T14) | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Future prospects of employment measured with the Subjective Prognosis of Work Ability Scale (SPE) |  | At study inclusion (T1) and 12 weeks later (T14) | 
| 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) | 
| General capability measured with the Sheehan-Disability Scale |  | At study inclusion (T1) and 12 weeks later (T14) | 
| 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 | Item drawn from the EQ-5D-3L questionnaire | up to 12 weeks from study inclusion (T2-T13) | 
| Regular Monitoring of self-rated work ability | Item drawn from the Work Ability Index (WAI) | up to 12 weeks from study inclusion (T2-T13) | 
| Evaluation of the therapeutic feedback | Two self developed items ('How satisfied are you with ... / How helpful was therapeutic feedback') on a five-point Likert scale. | up to 12 weeks from study inclusion (T2-T13) | 
| Evaluation of GSA-Online+ | Self developed items to assess overall satisfaction with, helpfulness and utilization of GSA-Online+ | 12 weeks after study inclusion (T14) | 
| Willingness to pay | Self developed items if and how much money participants would pay for GSA-Online+ | 12 weeks after study inclusion (T14) | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Aftercare, Inpatient rehabilitation, Internet-based intervention, Return to work, Psychodynamic