Improving Vocational Outcomes in Arthritis

Study Overview
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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.

Official Title
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Improving Vocational Outcomes in Arthritis

Conditions
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Arthritis, Musculoskeletal Diseases, Rheumatic Diseases

Intervention / Treatment
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* Behavioral: Vocational counseling intervention
* Behavioral: Reading materials for control participants
* Behavioral: Standard of care


Participation Criteria
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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

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 55 Years

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
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: Enrollment Intervention<br>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. | Behavioral: Vocational counseling intervention<br> <br> Behavioral: Reading materials for control participants<br> <br> |
| Placebo Comparator: Usual Care<br> | Behavioral: Standard of care<br>* No education or behavioral intervention<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Improved vocational outcomes | 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. | baseline to 30 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Arthritis and related musculoskeletal disorders (ARMD), Vocational rehabilitation (VR), Agency enhancement intervention, Health care service evaluation, Musculoskeletal disability, Return to work, Outcomes research, Unemployment, Work disability