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The objective of this observational study is to gain insight into a new approach to rehabilitation in Austria, with a particular focus on work-specific exercises that are dependent on the specific work-related needs of the patients. Two groups are being observed: one was referred to a three-week work-specific rehabilitation programme immediately upon arrival at the rehabilitation centre, while the other group underwent a three-week medical-focused rehabilitation programme before starting a four-week work-specific rehabilitation programme.
Researchers will monitor for indications of improvement following completion of the rehabilitation program. As the two forms of rehabilitation are not directly comparable, they will be observed and analysed as two distinct entities.
As part of their regular inpatient rehabilitation, participants will complete questionnaires at designated intervals (beginning and end of stay), with follow-up assessments scheduled at six and 12 months post-rehabilitation.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 3-week work-specific rehabilitation | This group is referred to the work-specific rehabilitation programme immediately upon arrival at the rehabilitation centre. |
| |
| 4-week work-specific rehabilitation | This group first underwent a three-week medical-focused rehabilitation programme prior to commencing the work-specific rehabilitation programme. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Multimodal rehabilitation with additional work specific training | Behavioral | The rehabilitation is based on the biopsychosocial ICF model of the WHO. Taking into account the physical and psychological condition of the patients, an individual therapy plan is created that is tailored to the needs of the patients. |
| Measure | Description | Time Frame |
|---|---|---|
| IMBA - Profile comparison | IMBA is a profile comparison method for prevention and rehabilitation. Job requirements and human capabilities are described by standardised, defined characteristics and compared directly with each other. The respective profile sheets consist, among other things, of 70 function-, activity- and context-related main characteristics in which the extent of excessive demands for each characteristic is documented on a scale of 0 - 6 (Min. = 0, Max = 420). Lower values indicate less excessive demands. | 3 or 4 weeks of inpatient rehabilitation |
| Employment history | The existence of gainful employment subject to social insurance contributions in a specific period allows conclusions to be drawn about the employment history of the rehabilitants. | 6 and 12 months after finishing rehabilitation |
| Measure | Description | Time Frame |
|---|---|---|
| Work ability index (WAI) | The Work Ability Index (WAI) is an instrument for assessing work ability. (Min. = 7, Max = 49). Lower values indicate less subjective work ability. | 3 or 4 weeks of inpatient rehabilitation + 6 and 12 months after finishing rehabilitation |
| Patient Health Questionnaire-4 (PHQ-4) |
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Inclusion Criteria:
Exclusion Criteria:
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Patients with specific work-related rehabilitation needs
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| Name | Affiliation | Role |
|---|---|---|
| Doreen Stöhr, Mag. | Pensionsversicherungsanstalt | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Rehabilitationszentrum Bad Hofgastein | Bad Hofgastein | State of Salzburg | 5630 | Austria |
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| ID | Term |
|---|---|
| D009140 | Musculoskeletal Diseases |
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The Patient Health Questionnaire-4 (PHQ-4) operationalizes core criteria for anxiety and depression on a 4 point likert scale (Min. = 0, Max = 4). Lower values indicate less impairments. |
| 3 or 4 weeks of inpatient rehabilitation + 6 and 12 months after finishing rehabilitation |
| European Quality of Life 5 Dimensions 5 Level (EQ-5D-5L) | The EQ-5D-5L is a general instrument for measuring patient-reported outcomes (PROs), which can be used to assess the quality of life of patients on different dimensions (mobility, self-care, usual activities, pain/discomfort) on a 5-level scale (Min. = 0, Max. = 5). Lower values indicate less impairments in the respective dimensions. Moreover, the EQ-5D-5L assesses the patient's self-rated health on a 100 point visual analog scale (Min. = 0, Max. = 100). Lower values indicate less positive ratings of health. | 3 or 4 weeks of inpatient rehabilitation + 6 and 12 months after finishing rehabilitation |