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Improving Vocational Outcomes in Arthritis

The University of Alabama at Birmingham logo

The University of Alabama at Birmingham

Status and phase

Completed
Phase 2

Conditions

Arthritis
Musculoskeletal Diseases
Rheumatic Diseases

Treatments

Behavioral: Standard of care
Behavioral: Vocational counseling intervention
Behavioral: Reading materials for control participants

Study type

Interventional

Funder types

Other
NIH

Identifiers

NCT00000407
Sub: EEHSR3
P60AR020614 (U.S. NIH Grant/Contract)
NIAMS-024

Details and patient eligibility

About

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.

Full description

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.

Enrollment

326 patients

Sex

All

Ages

18 to 55 years old

Volunteers

No Healthy Volunteers

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

Trial design

Primary purpose

Treatment

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

None (Open label)

326 participants in 2 patient groups, including a placebo group

Enrollment Intervention
Active Comparator group
Description:
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.
Treatment:
Behavioral: Reading materials for control participants
Behavioral: Vocational counseling intervention
Usual Care
Placebo Comparator group
Treatment:
Behavioral: Standard of care

Trial contacts and locations

1

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Data sourced from clinicaltrials.gov

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