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'
type: Article
unique-id: WOS:000792023600001
usage-count-last-180-days: '0'
usage-count-since-2013: '0'
volume: '45'
web-of-science-categories: Rehabilitation
year: '2023'