Promoting access to rehabilitation
Organizational Data
- DRKS-ID:
- DRKS00005658
- Recruitment Status:
- Recruiting ongoing
- Date of registration in DRKS:
- 2014-09-16
- Last update in DRKS:
- 2016-10-10
- Registration type:
- Prospective
Acronym/abbreviation of the study
PROREHAB
URL of the study
No Entry
Brief summary in lay language
The study examines the efficacy of a web-based information portal that addresses persons with a high risk of health-related early retirement to facilitate their access to medical rehabilitation. The website will offer the opportunity to assess the need for rehabilitation in order to promote the intention to apply for a medical rehabilitation of persons with limited work ability and will support handling and submission of the required application documents by a step-by-step instruction. The efficacy of the web-based information portal will be investigated in a controlled trial. Participants will be randomly allocated to two groups: written information on the possibility to use medical rehabilitation including the invitation to use the web-based information vs. written information only. We expect that participants with an access to the web-based information portal apply for and utilise medical rehabilitation services more often than comparable persons who receive written information only.
Brief summary in scientific language
In Germany, persons can request medical rehabilitation (MR) to improve work ability and participation in working life. A particular target group of these services are persons with a high risk of health-related early retirement, e.g. persons who received sick leave benefits. However, if need for rehabilitation does not lead to a formal rehabilitation request, this legal opportunity to keep handicapped people in working life remains unused. In 2011, 59.6 % of all male pensioners and 52.7 % of all female pensioners did not use MR before their health-related early retirement. In our study, the effects of a web-based information guide on medical rehabilitation, which addresses persons with prior sick leave benefits, will be examined. The theoretical framework of this web-based guide is based on Schwarzer’s Health Action Process Approach. This model distinguishes two phases when realising health-related behaviour: a motivational (forming an intention) and a volitional phase (acting). The website will offer the opportunity to assess the need for rehabilitation by completing the Work Ability Index. In cases of low Work Ability Index scores persons will be advised to apply for a medical rehabilitation. Handling and submission of the required application documents will be supported by a step-by-step instruction. The efficacy of the web-based information portal will be investigated in a randomised controlled trial. Participants of the intervention group will be informed on the aims of MR and the opportunity to use MR. Additionally, a link to the web-based information will be provided. Participants of the control group will receive a short hint on the opportunity to request this service. We expect that participants who will have access to the web-based information portal apply and use MR more frequently than participants of the control group.
Health condition or problem studied
- Free text:
- Persons with sick leave benefits in 2013
- Healthy volunteers:
- No Entry
Interventions, Observational Groups
- Arm 1:
- Participants of the intervention group receive a short hint on the possibility to apply for a medical rehabilitation. Additionally, the link to the web-based information portal will be provided.
- Arm 2:
- Participants of the control group receive a short hint on the possibility to apply for a medical rehabilitation.
Endpoints
- Primary outcome:
- Primary outcome is the proportion of applied and utilised medical rehabilitation services after one year. These data will be extracted from the individual German Pension Insurance (GPI) accounts.
- Secondary outcome:
- Secondary outcomes are days with sick leave benefits and days of regular employment during the one-year follow-up. These data will be also extracted from the individual GPI accounts. Further secondary outcomes will be assessed by questionnaire after one year. These outcomes include cognitions on rehabilitation and the application (positive and negative outcome expectancies, self-efficacy; own development, see DRKS00004824), indicators of health-related quality of life (subscales of the 36-item Short-Form Health Survey: physical functioning, mental health, general health perception), individual work ability and disability days.
Study Design
- Purpose:
- Health care system
- Allocation:
- Randomized controlled study
- Control:
-
- Active control (effective treatment of control group)
- Phase:
- N/A
- Study type:
- Interventional
- Mechanism of allocation concealment:
- No Entry
- Blinding:
- No
- Assignment:
- Parallel
- Sequence generation:
- No Entry
- Who is blinded:
- No Entry
Recruitment
- Recruitment Status:
- Recruiting ongoing
- Reason if recruiting stopped or withdrawn:
- No Entry
Recruitment Locations
- Recruitment countries:
-
- Germany
- Number of study centers:
- Multicenter study
- Recruitment location(s):
-
- Other Deutschland
Recruitment period and number of participants
- Planned study start date:
- 2014-09-22
- Actual study start date:
- 2014-09-22
- Planned study completion date:
- No Entry
- Actual Study Completion Date:
- No Entry
- Target Sample Size:
- 16000
- Final Sample Size:
- No Entry
Inclusion Criteria
- Sex:
- All
- Minimum Age:
- 40 Years
- Maximum Age:
- 59 Years
- Additional Inclusion Criteria:
- Persons aged 40 to 59 years with prior sick leave benefits and regular employment of at least six months in the year before the beginning of the study will be included. Samples will be drawn from the registers of three pension insurance agencies (Federal German Pension Insurance, German Pension Insurance Westfalen and German Pension Insurance Rheinland-Pfalz). Sampling will be stratified for pension insurance agency, sex and duration of sick leave benefits.
Exclusion Criteria
receipt of pension benefits; receipt of rehabilitation services during the last four years
Addresses
Primary Sponsor
- Address:
- Deutsche Rentenversicherung BundMarco StreibeltHohenzollerndamm 46/4710713 BerlinGermany
- Telephone:
- +4903086581591
- Fax:
- No Entry
- Contact per E-Mail:
- Contact per E-Mail
- URL:
- http://www.deutsche-rentenverischerung-bund.de
- Investigator Sponsored/Initiated Trial (IST/IIT):
- Yes
Contact for Scientific Queries
- Address:
- Institut für Sozialmedizin und EpidemiologieProf. Dr. Matthias BethgeRatzeburger Allee 16023562 LübeckGermany
- Telephone:
- +4945150051280
- Fax:
- No Entry
- Contact per E-Mail:
- Contact per E-Mail
- URL:
- No Entry
Contact for Public Queries
- Address:
- Deutsche Rentenversicherung BundDr. Marco StreibeltHohenzollerndamm 46/4710713 BerlinGermany
- Telephone:
- +4903086581591
- Fax:
- No Entry
- Contact per E-Mail:
- Contact per E-Mail
- URL:
- http://www.deutsche-rentenverischerung-bund.de
Principal Investigator
- Address:
- Institut für Sozialmedizin und EpidemiologieProf. Dr. Matthias BethgeRatzeburger Allee 16023562 LübeckGermany
- Telephone:
- +4945150051280
- Fax:
- No Entry
- Contact per E-Mail:
- Contact per E-Mail
- URL:
- No Entry
Sources of Monetary or Material Support
Public funding institutions financed by tax money/Government funding body (German Research Foundation (DFG), Federal Ministry of Education and Research (BMBF), etc.)
- Address:
- Deutsche Rentenversicherung BundRuhrstraße 210704 BerlinGermany
- Telephone:
- No Entry
- Fax:
- No Entry
- Contact per E-Mail:
- Contact per E-Mail
- URL:
- No Entry
Ethics Committee
Address Ethics Committee
- Address:
- Ethikkommission der Medizinischen Hochschule HannoverCarl-Neuberg-Str. 130625 HannoverGermany
- Telephone:
- +49-511-5323443
- Fax:
- +49-511-5325423
- Contact per E-Mail:
- Contact per E-Mail
- URL:
- No Entry
Vote of leading Ethics Committee
- Vote of leading Ethics Committee
- Date of ethics committee application:
- 2013-11-20
- Ethics committee number:
- 2060-2013
- Vote of the Ethics Committee:
- Approved
- Date of the vote:
- 2013-11-22
Further identification numbers
- Other primary registry ID:
- No Entry
- EudraCT Number:
- No Entry
IPD - Individual Participant Data
- Do you plan to make participant-related data (IPD) available to other researchers in an anonymized form?:
- No Entry
- IPD Sharing Plan:
- No Entry
Study protocol and other study documents
- Study protocols:
- No Entry
- Study abstract:
- No Entry
- Other study documents:
- No Entry
- Background literature:
- No Entry
- Related DRKS studies:
- No Entry
Publication of study results
- Planned publication:
- No Entry
- Publikationen/Studienergebnisse:
- Spanier K, Streibelt M, Unalan F et al. A web-based intervention to promote applications for rehabilitation: a study protocol for a randomized controlled trial. Trials 2015;16:436; 10.1186/s13063-015-0968-7
- Date of first publication of study results:
- No Entry
- DRKS entry published for the first time with results:
- No Entry
Basic reporting
- Basic Reporting / Results tables:
- No Entry
- Brief summary of results:
- No Entry