Clinical trial NCT05080062: Requirements and Functional Schedule as a Part of Painrehabilitation.
Official title: Requirements and Functional Schedule- An Intervention to Use in Painrehabilitation, to Strengthen the Collaboration Between the Healthcare, Employers and Employees
Study type: INTERVENTIONAL
Overall status: UNKNOWN
Phase: NA
Conditions: Chronic Pain
Lead sponsor: Uppsala University
Sponsor class: OTHER
First posted: 2021-10-15
Enrollment: 150
Sex: ALL
Minimum age (years): 18
Maximum age (years): 65
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: NON_RANDOMIZED
Intervention model: SINGLE_GROUP
Intervention model description: 50 patients who are in painrehabilitation will also receive the intervention. The control Group will be based on patients from 2017 and 2018 who has underwent rehabilitation. This data will be extracted from the National register of pain rehabilitation in Sweden.
Primary purpose: TREATMENT

Brief summary: Requirements and functional Schedule also calen Demand Ability Protocol (DAP) is an intervention that has been tested and found useful in occupational health service. The intervention aims to strengthen the collaboration between Health care, employers and employee. The intervention is based on a structured interview about the employers demands at work. This intervention (DAP) will in the present study be evaluated in pain rehabilitation both qualitatively and quantitatively.

Detailed description: Description of the intervention: Demand and Ability Protocol Demand and Ability Protocol (DAP) is an intervention linked to the International Classification of Functioning, Disability and Health, and is based on the Dutch Functional Ability List and knowledge about disability in working life (Brouwer et al, 2002). The intervention has been further developed and modified in Norway and is primarily used in occupational health care services for collaboration between an employee and his or her immediate manager (Engbers \& Furuland, 2006).

The intervention consists of a structured conversation between the patient and his immediate manager under the guidance of licensed medical staff (in this case REKO) with knowledge of the requirements of the patient's work and his/her current functional ability. The intervention takes about 90 minutes excluding preparation time for REKO.

DAP consider the following domains; 1) mental and cognitive ability, 2) basic skills and social ability, 3) tolerance for physical conditions, 4) ability to work dynamically, 5) ability to work statically and 6) to be able to work certain times.

Based on the above domains, a structured review is made of the balance between requirements and function in current work in order to identify possible adaptations and measures at the workplace. During the intervention, the work requirements and the patient's function/ability are identified on a three-point scale and in domains where the rating of requirements and function/ability does not match, there is thus an imbalance, and here adjustments or changed tasks may be relevant to consider increasing work ability and reducing sick leave. The intervention concludes with a summary of the situation and joint development of appropriate measures/adaptations to promote the patient's RTW. This is documented on a form, which is signed by both the patient and the manage

Eligibility criteria: Inclusion Criteria:

Chronic pain, has an employment

Exclusion Criteria:

no longer than 6 month of total sick-leave

Primary outcomes:
measure: Absence from work (sickleave) measured with a question to the participants
timeFrame: Changes from baseline in absence from work to the end of the rehab program (average 4month)
measure: Absence from work (sickleave) measured with a question to the participants
timeFrame: Changes from baseline in absence from work through study completion (average 1,5 years)
Secondary outcomes:
measure: Changes in EuroQol 5-dimensions questionnaire (EQ-5D)
timeFrame: Change from baseline in EuroQol 5-dimensions through study completion (average 1,5 years)
measure: Changes in EuroQol 5-dimensions
timeFrame: Change from baseline in EuroQol 5-dimensions to the end of the rehab program (average foru month)
measure: Changes in Anxiety and depression
timeFrame: Change from baseline in anxiety and depression through study completion (average 1,5 years)hs)
measure: Changes in Anxiety and depression
timeFrame: Change from baseline in anxiety and depression to the end of the rehab program (average four month)
measure: Changes in sleep
timeFrame: Change from baseline in Insomnia Severity Index to the end of the rehab program (average four month)
measure: Changes in sleep
timeFrame: Change from baseline in Insomnia Severity Index through study completion (average 1,5 years)
measure: Changes in Life satisfaction
timeFrame: Change from baseline in Life Satisfaction Questionnaire to the end of the rehab program (average four month)
measure: Changes in Life satisfaction
timeFrame: Change from baseline in Life Satisfaction Questionnaire through study completion (average 1,5 years)
measure: Changes in Work ability
timeFrame: Change from baseline in Work ability to the end of the rehab program (average four month)
measure: Changes in Work ability
timeFrame: Change from baseline in Work ability through study completion (average 1,5 years)
measure: Changes in health-related quality of life
timeFrame: Change from baseline in RAND-36 to the end of the rehab program (average four month)
measure: Changes in health-related quality of life
timeFrame: Change from baseline in RAND-36 through study completion (average 1,5 years)
Other outcomes:
Locations:
city: Uppsala
country: Sweden
facility: Katarina Danielsson
Study officials:
affiliation: Uppsala University
name: Therese Hellman, PhD
role: PRINCIPAL_INVESTIGATOR
References: