Prevention of Reduced Employability With an Expert System With Telephone, Motivational Interviews Supporting Self-management

Study Overview
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Brief Summary
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The purpose of the study is to determine which factors on a personal, social and contextual level will help rehabilitation patients on returning to or continuing to work as well as to stay employable.

Detailed Description
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For most people work is an integral part of their life which not only secures their life standards, but also forms the basis for social participation and personal growth. If someone's workability is limited as a result of health problems, medical rehabilitation can often help to regain strength and capabilities, and to continue to work in a productive way and remain healthy. In cooperation with the Deutsche Rentenversicherung Oldenburg-Bremen health psychologists at Jacobs University Bremen are investigating what contributes to the success of such medical rehabilitation treatments. The focus is to understand which measures are helping people during and subsequently to their treatment in the clinic.Therefore voluntary participants will be asked to fill out a questionnaire when arriving at the rehabilitation facility and will subsequently invited to participate in two motivational telephone interviews after six and 12 months. Personal, social and contextual factors, measures and offers, as well as goals, plans and behaviors, will be taken into consideration to evaluate the effectiveness of medical rehabilitation on returning to or continuing to work.

Official Title
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Experten-Prävention Bei gefährdeter Erwerbsfähigkeit Durch Telefonische, Motivierende Interviews Zur Unterstützung Des Selbstmanagements

Conditions
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Employability

Intervention / Treatment
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* Behavioral: medical rehabilitation


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: insurants of the Deutsche Rentenversicherung Oldenburg-Bremen with a granted medical rehabilitation stay sufficient knowledge of the German, Turkish or Russian language telephone or mobile phone connections Exclusion Criteria: insurants of the Deutsche Rentenversicherung Oldenburg-Bremen who did not receive a granted stay at one of the medical rehabilitation clinics of the Deutsche Rentenversicherung Oldenburg-Bremen no proficient language skills (German, Turkish, Russian)

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 85 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Arms and Interventions

| Intervention/Treatment |
| --- |
|Behavioral: medical rehabilitation|Participants who will take part in the study are asked to fill out a questionnaire when arriving at the rehabilitation clinic and will be invited to participate in two motivational telephone interviews after six and 12 months.|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| quality of life and life satisfaction | self-report questionnaire (expected number of participants for the measures: 926) | when arriving at the rehabilitation clinic (t1) | 
| change in quality of life and life satisfaction at 6 and 12 months | self-report (as described above two subsequent telephone interviews after 6 and 12 months) | after the rehabilitation treatment at 6 (t2) and 12 (t3) months | 
| motivation for returning to work | self-report questionnaire | when arriving at the rehabilitation clinic (t1) | 
| change in motivation for returning to work at 6 and 12 months | self-report | after the rehabilitation treatment at 6 (t2) and 12 (t3) months | 
| actual return to work | self-report | after the rehabilitation treatment at 6 (t2) months | 
| actual return to work | self-report | after the rehabilitation treatment at 12 (t3) months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| personal goals and plans | self-report questionnaire | when arriving at the rehabilitation clinic (t1) | 
| change in personal goals and plans at 6 months | self-report | after the rehabilitation treatment at 6 months (t2) | 
| change in personal goals and plans at 12 months | self-report | after the rehabilitation treatment at 12 months (t3) | 
| social-cognitive variables (e.g. self-efficacy, social support) | self-report questionnaire | when arriving at the rehabilitation clinic (t1) | 
| social-cognitive variables (e.g. self-efficacy, social support) | self-report | after the rehabilitation treatment at 6 months (t2) | 
| social-cognitive variables (e.g. self-efficacy, social support) | self-report | after the rehabilitation treatment at 12 months (t3) | 
| physical activity level (based on IPAQ) | self-report questionnaire | when arriving at the rehabilitation clinic (t1) | 
| physical activity level (based on IPAQ) | self-report | after the rehabilitation treatment at 6 months (t2) | 
| physical activity level (based on IPAQ) | self-report | after the rehabilitation treatment at 12 months (t3) | 
| socio-economic and socio-demographic variables | self-report questionnaire | when arriving at the rehabilitation clinic (t1) | 
| socio-economic and socio-demographic variables | self-report | after the rehabilitation treatment at 6 months (t2) | 
| socio-economic and socio-demographic variables | self-report | after the rehabilitation treatment at 12 months (t3) | 
| subjective health and self-reported diagnoses | self-report questionnaire | when arriving at the rehabilitation clinic (t1) | 
| subjective health and self-reported diagnoses | self-report | after the rehabilitation treatment at 6 months (t2) | 
| subjective health and self-reported diagnoses | self-report | after the rehabilitation treatment at 12 months (t3) | 
| employment history | self-report questionnaire | when arriving at the rehabilitation clinic (t1) | 
| Questions on the expectations of the medical rehabilitation | self-report questionnaire | when arriving at the rehabilitation clinic (t1) | 
| Questions on the satisfaction with the medical rehabilitation treatments | self-report | after the rehabilitation treatment at 6 months (t2) | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Return to work, state of subjective health, medical rehabilitation, motivational interviewing