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| Name | Class |
|---|---|
| Canadian Institutes of Health Research (CIHR) | OTHER_GOV |
| University of Toronto | OTHER |
| University of Calgary | OTHER |
| Simon Fraser University |
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The investigators plan to conduct a randomized controlled trial to evaluate the effectiveness and the cost effectiveness of an on-line eLearning program (entitled Employment and Arthritis: Making it Work) designed to help people with inflammatory arthritis stay employed. The program also includes assessments with 1) an occupational therapist, and 2) a vocational rehabilitation counsellor at the end of the program to help participants identify and obtain necessary changes at work. People from three provinces will be recruited from collaborators' patient and program recipient lists. The study group will receive the program intervention and the control group will receive "usual care" and printed educational material. All participants will be followed for five years. The effectiveness of the program at improving at work productivity and reducing work cessation will be evaluated compared to a control group receiving printed material on employment and arthritis.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Intervention Group | Active Comparator | The intervention group will participate in the on-line eLearning program, an ergonomic assessment by an Occupational Therapist and job retention vocational counselling by a Vocational Rehabilitation Counsellor |
|
| Control Group | No Intervention | The control group will receive "usual care" and receive printed educational materials about work and arthritis. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Employment and Arthritis: Making it Work | Behavioral | A ten week on-line eLearning program designed to help people with inflammatory arthritis stay employed. The program consists of 1) 5 interactive web-based eLearning modules that participants will complete individually in between the weekly group sessions, 2) 5 weekly group sessions conducted as virtual real-time web-based group meetings led by a trained facilitator, 3) asynchronous communications such as a message board to facilitate additional interactions among participants, 4) consultations with an occupational therapist (in-person)for an ergonomic assessment, and a vocational rehabilitation counsellor (on-line consultation using web technology) for job retention vocational counselling. |
| Measure | Description | Time Frame |
|---|---|---|
| Efficacy analysis of at work productivity | Primary outcome for efficacy analysis of at-work productivity will be measured using the Work Instability Scale (WIS) | 2 years post intervention |
| Efficacy analysis of work cessation | Primary outcome for efficacy analysis of work cessation is time to complete work cessation, defined as complete cessation of work due to any reason, for at least six months. | Over 5 years of follow up |
| Cost effectiveness analysis of at work productivity | Primary outcome for cost effectiveness analysis of at work productivity will be measured using the Work Productivity and Activity Impairment (WPAI) | 2 years post intervention |
| Measure | Description | Time Frame |
|---|---|---|
| Temporary work cessation | Time to temporary cessation of work for any reason (E.g. sick leave or temporary work disability and short periods of unemployment) for more than 2 months but less than 6 months | Up to 5 years |
| Occasional work absence |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Diane Lacaille, MD, FRCPC, MHSc | University of British Columbia and Arthritis Research Centre | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Arthritis Research Centre | Richmond | British Columbia | V6X 2C7 | Canada |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 25043631 | Derived | Carruthers EC, Rogers P, Backman CL, Goldsmith CH, Gignac MA, Marra C, Village J, Li LC, Esdaile JM, Lacaille D. "Employment and arthritis: making it work" a randomized controlled trial evaluating an online program to help people with inflammatory arthritis maintain employment (study protocol). BMC Med Inform Decis Mak. 2014 Jul 21;14:59. doi: 10.1186/1472-6947-14-59. |
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| ID | Term |
|---|---|
| D001172 | Arthritis, Rheumatoid |
| D013167 | Spondylitis, Ankylosing |
| D008180 | Lupus Erythematosus, Systemic |
| D015535 | Arthritis, Psoriatic |
| D025242 | Spondylarthropathies |
| ID | Term |
|---|---|
| D001168 | Arthritis |
| D007592 | Joint Diseases |
| D009140 | Musculoskeletal Diseases |
| D012216 | Rheumatic Diseases |
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| ID | Term |
|---|---|
| D004651 | Employment |
| ID | Term |
|---|---|
| D012959 | Socioeconomic Factors |
| D011154 | Population Characteristics |
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| OTHER |
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|
Number of days missed from work per year, measured by self report
| Up to 5 years |
| Reduction in usual amount of time worked | Reduction in hours per week worked per year, measured by self report | Up to 5 years |
| Changes in employment risk factors | Changes from baseline in job satisfaction, self-efficacy at work, work-related risk factors for work disability (physical demand, job autonomy, difficulty commuting, self-employment and support from co-workers, employers and family), job accommodations and job type, measured by self report | Up to 5 years |
| At-work productivity | Evaluating maintenance of effect on at work productivity over 5 years using the Work Instability Scale (WIS) | Up to 5 years |
| At work productivity | Evaluating maintenance of effect on at work productivity over 5 years using the Work Productivity and Activity Impairment (WPAI) | Up to 5 years |
| At work productivity | New scale being developed and validated to measure at work productivity. Based on a combination of Workplace Activity Limitations Scale (WALS) and Work Limitations Questionnaire (WLQ). | Up to 5 years |
| Cost utility analysis of at work productivity | Outcome for cost utility analysis of at work productivity will be quality adjusted life year (QALY) measured using EQ-5D. | 2 years post intervention |
| Cost utility analysis of at work productivity | Outcome for cost utility analysis of at work productivity will be quality adjusted life year (QALY) measured using SF-6D. | 2 years post intervention |
| D003240 |
| Connective Tissue Diseases |
| D017437 | Skin and Connective Tissue Diseases |
| D001327 | Autoimmune Diseases |
| D007154 | Immune System Diseases |
| D000089183 | Axial Spondyloarthritis |
| D025241 | Spondylarthritis |
| D013166 | Spondylitis |
| D013122 | Spinal Diseases |
| D001847 | Bone Diseases |
| D000844 | Ankylosis |
| D011565 | Psoriasis |
| D017444 | Skin Diseases, Papulosquamous |
| D012871 | Skin Diseases |