15 research outputs found

    Cost-effectiveness of 40-hour versus 100-hour vocational rehabilitation on work participation for workers on sick leave due to subacute or chronic musculoskeletal pain: study protocol for a randomized controlled trial

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    Although vocational rehabilitation is a widely advocated intervention for workers on sick leave due to subacute or chronic nonspecific musculoskeletal pain, the optimal dosage of effective and cost-effective vocational rehabilitation remains unknown. The objective of this paper is to describe the design of a non-inferiority trial evaluating the effectiveness and cost-effectiveness of 40-h multidisciplinary vocational rehabilitation compared with 100-h multidisciplinary vocational rehabilitation on work participation for workers on sick leave due to subacute or chronic musculoskeletal pain. A non-inferiority study design will be applied. The study population consists of workers who are on part-time or full-time sick leave due to subacute or chronic nonspecific musculoskeletal pain. Two multidisciplinary vocational rehabilitation programs following the bio-psychosocial approach will be evaluated in this study: 40-h vocational rehabilitation and 100-h vocational rehabilitation, both delivered over a maximum of 15 weeks. The 100-h vocational rehabilitation comprises five modules: work participation coordination, graded activity, cognitive behavioral therapy, group education, and relaxation. The 40-h vocational rehabilitation comprises work participation coordination and a well-reasoned choice from the other four modules. Four rehabilitation centers will participate in this study, each delivering both interventions. Patients will be randomized into one of the interventions, stratified for the duration of sick leave ( <6 weeks or ≥ 6 weeks) and type of sick leave (part-time or full-time). The primary outcome is work participation, measured by self-reported sick leave days, and will be assessed at baseline, mid-term, discharge, and at 2, 4, 6, 8, 10, and 12 months follow-up. Secondary outcomes are work ability, disability, quality of life, and physical functioning and will be assessed at baseline, discharge, and at 6 and 12 months follow-up. Cost outcomes are absenteeism, presenteeism, healthcare usage, and travelling costs. Cost-effectiveness will be evaluated from the societal and employer perspectives. The results obtained from this study will be useful for vocational rehabilitation practice and will provide stakeholders with relevant insights into two versions of vocational rehabilitation. Dutch Trial Register identifier: NTR4362 (registered 17 March 2014

    Team Learning Behaviours and Team Affective Reactions: an Empirical Study on Interdisciplinary Work Teams

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    This study examined interdisciplinary vocational educator teams to identify differences in their team learning behaviours and examined whether their team affective reactions could explain these differences. We used a mixed-methods approach comprising a survey of 117 interdisciplinary work teams with 604 members and a qualitative analysis of our observations of the meetings of six of these teams. The team-level cluster analysis to identify differences in team learning behaviours revealed three clusters that differed significantly (p=.00) regarding nearly all team learning behaviours. We named these clusters according to their patterns in team learning behaviours: very active all-round teams', active all-round teams' and active teams with high knowledge sharing'. These differences in team learning behaviours could be explained by significant differences in team affective reactions (p<.05). Each cluster was represented by two teams whose team meetings (five per team) were audio- and videotaped. The overall findings of this study indicate that team affective reactions are related to team learning behaviours. The results of the qualitative analysis of the observation data provide additional information that not only positive but also negative team affective reactions can stimulate the engagement in team learning behaviours
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