2023-09-28 14:46:10 +00:00
|
|
|
abstract: 'Purpose Although most clients on work disability benefits face multiple
|
|
|
|
|
|
|
|
problems, most traditional interventions for (re)integration focus on a
|
|
|
|
|
|
|
|
single problem. The aim of this study was to evaluate the
|
|
|
|
|
|
|
|
``Comprehensive Approach to Reintegrate clients with multiple
|
|
|
|
|
|
|
|
problems{''''} (CARm), which provides a strategy for labour experts to
|
|
|
|
|
|
|
|
build a relationship with each client in order to support clients in
|
|
|
|
|
|
|
|
their needs and mobilize their social networks. Methods This study is a
|
|
|
|
|
|
|
|
stratified, two-armed, non-blinded randomized controlled trial (RCT),
|
|
|
|
|
|
|
|
with a 12-month follow-up period. Outcome measures were: having paid
|
|
|
|
|
|
|
|
work, level of functioning, general health, quality of life, and social
|
|
|
|
|
|
|
|
support. Results We included a total of 207 clients in our study; 97 in
|
|
|
|
|
|
|
|
the intervention group and 110 in the care as usual (CAU) group. The
|
|
|
|
|
|
|
|
clients'' mean age was 35.4 years (SD 12.8), 53.1\% were female, and 179
|
|
|
|
|
|
|
|
(86.5\%) reported multiple problems. We found the CARm intervention to
|
|
|
|
|
|
|
|
have no significant effects superior to those of the CAU group on all
|
|
|
|
|
|
|
|
outcomes. Conclusion As we found no superior effect of the CARm
|
|
|
|
|
|
|
|
intervention compared to CAU, we cannot recommend widespread adoption of
|
|
|
|
|
|
|
|
CARm. A process evaluation will give more insight into possible
|
|
|
|
|
|
|
|
implementation failure of the intervention.'
|
|
|
|
affiliation: 'Brongers, KA (Corresponding Author), Univ Groningen, Univ Med Ctr Groningen,
|
|
|
|
Dept Hlth Sci Community \& Occupat Med, Groningen, Netherlands.
|
|
|
|
|
|
|
|
Brongers, Kor A.; Hoekstra, Tialda; Wilming, Loes; Stewart, Roy E.; Roelofs, Pepijn
|
|
|
|
D. D. M.; Brouwer, Sandra, Univ Groningen, Univ Med Ctr Groningen, Dept Hlth Sci
|
|
|
|
Community \& Occupat Med, Groningen, Netherlands.
|
|
|
|
|
|
|
|
Brongers, Kor A., Res Ctr Labour Expertise AKC, Nijkerk, Netherlands.
|
|
|
|
|
|
|
|
Brongers, Kor A., Dutch Social Secur Inst, Amsterdam, Netherlands.
|
|
|
|
|
|
|
|
Brongers, Kor A., Inst Employee Benefit Schemes UWV, Amsterdam, Netherlands.
|
|
|
|
|
|
|
|
Hoekstra, Tialda; Wilming, Loes; Roelofs, Pepijn D. D. M.; Brouwer, Sandra, Res
|
|
|
|
Ctr Insurance Med KCVG, Amsterdam, Netherlands.'
|
|
|
|
author: Brongers, Kor A. and Hoekstra, Tialda and Wilming, Loes and Stewart, Roy E.
|
|
|
|
and Roelofs, Pepijn D. D. M. and Brouwer, Sandra
|
|
|
|
author-email: k.a.brongers@umcg.nl
|
|
|
|
author_list:
|
|
|
|
- family: Brongers
|
|
|
|
given: Kor A.
|
|
|
|
- family: Hoekstra
|
|
|
|
given: Tialda
|
|
|
|
- family: Wilming
|
|
|
|
given: Loes
|
|
|
|
- family: Stewart
|
|
|
|
given: Roy E.
|
|
|
|
- family: Roelofs
|
|
|
|
given: Pepijn D. D. M.
|
|
|
|
- family: Brouwer
|
|
|
|
given: Sandra
|
|
|
|
da: '2023-09-28'
|
|
|
|
doi: 10.1080/09638288.2022.2065543
|
|
|
|
earlyaccessdate: MAY 2022
|
|
|
|
eissn: 1464-5165
|
|
|
|
files: []
|
|
|
|
issn: 0963-8288
|
|
|
|
journal: DISABILITY AND REHABILITATION
|
|
|
|
keywords: 'Multiple problems; strength; disability benefit; reintegration;
|
|
|
|
|
|
|
|
intervention study; RCT; return to work; vocational rehabilitation'
|
|
|
|
keywords-plus: PSYCHOMETRIC PROPERTIES; HEALTH; WORK; BARRIERS; SCALES
|
|
|
|
language: English
|
|
|
|
month: APR 24
|
|
|
|
number: '9'
|
|
|
|
number-of-cited-references: '41'
|
|
|
|
orcid-numbers: 'Stewart, Roy/0000-0001-9227-433X
|
|
|
|
|
|
|
|
Hoekstra, Tialda/0000-0003-3414-5681
|
|
|
|
|
|
|
|
Roelofs, Pepijn D.D.M./0000-0003-2037-1370
|
|
|
|
|
|
|
|
Brongers, Kor/0000-0002-5358-4738
|
|
|
|
|
|
|
|
Brouwer, Sandra/0000-0002-3819-4360'
|
|
|
|
pages: 1498-1507
|
|
|
|
papis_id: 0f41fd2aaf4335bb7ba3de2b307266b0
|
|
|
|
ref: Brongers2023comprehensiveapproac
|
|
|
|
researcherid-numbers: 'Stewart, Roy/HTS-6240-2023
|
|
|
|
|
|
|
|
Hoekstra, Tialda/H-3128-2014
|
|
|
|
|
|
|
|
Roelofs, Pepijn D.D.M./P-9479-2018
|
|
|
|
|
|
|
|
'
|
|
|
|
times-cited: '0'
|
|
|
|
title: 'Comprehensive approach to reintegration of disability benefit recipients with
|
|
|
|
multiple problems (CARm) into the labour market: results of a randomized controlled
|
|
|
|
trial'
|
2023-10-01 08:15:07 +00:00
|
|
|
type: article
|
2023-09-28 14:46:10 +00:00
|
|
|
unique-id: WOS:000792023600001
|
|
|
|
usage-count-last-180-days: '0'
|
|
|
|
usage-count-since-2013: '0'
|
|
|
|
volume: '45'
|
|
|
|
web-of-science-categories: Rehabilitation
|
|
|
|
year: '2023'
|