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Cited by 15Medical Practices and RehabilitationDigital Mental Health InterventionsWorkplace Health and Well-being

Evaluation of an internet-based aftercare program to improve vocational reintegration after inpatient medical rehabilitation: study protocol for a cluster-randomized controlled trial

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Zwerenz, Rüdiger, Gerzymisch, Katharina, Edinger, Jens, Holme, Martin, Knickenberg, Rudolf J, Spörl-Dönch, Sieglinde, Kiwus, Ulrich, Beutel, Manfred E·2013·Trials
DOI 10.1186/1745-6215-14-26PMC PMC3598370
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Abstract

BACKGROUND: Mental disorders are the main reasons for rising proportions of premature pension in most high-income countries. Although inpatient medical rehabilitation has increasingly targeted work-related stress, there is still a lack of studies on the transfer of work-specific interventions into work contexts. Therefore, we plan to evaluate an online aftercare program aiming to improve vocational reintegration after medical rehabilitation. METHODS: Vocationally strained patients (n = 800) aged between 18 and 59 years with private internet access are recruited in psychosomatic, orthopedic and cardiovascular rehabilitation clinics in Germany. During inpatient rehabilitation, participants in stress management group training are cluster-randomized to the intervention or control group. The intervention group (n = 400) is offered an internet-based aftercare with weekly writing tasks and therapeutic feedback, a patient forum, a self-test and relaxation exercises. The control group (n = 400) obtains regular e-mail reminders with links to publicly accessible information about stress management and coping. Assessments are conducted at the beginning of inpatient rehabilitation, the end of inpatient rehabilitation, the end of aftercare, and 9 months later. The primary outcome is a risk score for premature pension, measured by a screening questionnaire at follow-up. Secondary outcome measures include level of vocational stress, physical and mental health, and work capacity at follow-up. DISCUSSION: We expect the intervention group to stabilize the improvements achieved during inpatient rehabilitation concerning stress management and coping, resulting in an improved vocational reintegration. The study protocol demonstrates the features of internet-based aftercare in rehabilitation. TRIAL REGISTRATION: International Standard Randomised Controlled Trial Number Register (ISRCTN:ISRCTN33957202).

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  • Zwerenz et al. documented an incremental effectiveness (d = 0.44; n = 229) of an Internet-based self-help program in addition to psychodynamic inpatient psychotherapy for depression compared to inpatient psychotherapy only.

    “Similarly, Zwerenz et al. (30) documented an incremental effectiveness (d = 0.44; n = 229) of an Internet-based self-help program in addition to psychodynamic inpatient psychotherapy for depression compared to inpatient psychotherapy only.”

    From Clinical and Cost-Effectiveness of PSYCHOnlineTHERAPY: Study Protocol of a Multicenter Blended Outpatient Psychotherapy Cluster Randomized Controlled Trial for Patients With Depressive and Anxiety Disorders (2021) · cites this paper as [30]

    The Methods (Sample size calculation; page not provided) describe a planned vocational-reintegration trial with an expected effect size of d = 0.30 and anticipated enrollment of n = 800, not a completed depression trial of n = 229. The Methods (Statistical methods; page not provided) say effect sizes will be calculated, so this protocol does not document the claimed d = 0.44 improvement over inpatient psychotherapy alone. (LLM, conf=0.88)

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Research works printed but not linked: 2

  1. Schaarschmidt U Fischer A AVEM Arbeitsbezogenes Verhaltens- und Erlebensmuster - Manual 1996 Frankfurt: Pearson Assessment & Information GmbH
  2. Jacobson E Progressive Relaxation 1938 Oxford: University of Chicago Press

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Authors
Zwerenz, R., Gerzymisch, K., Edinger, J., Holme, M., Knickenberg, R. J., Spörl-Dönch, S., Kiwus, U., & Beutel, M. E.
Affiliations
  • Johannes Gutenberg University Mainz (DE)
  • Deutsche Rentenversicherung Bund (DE)
  • Rhön-Klinikum (DE)
Corresponding author
Zwerenz, Rüdiger
ORCID
Venue
Trials
Publisher
Springer Science and Business Media LLC
Published
2013
Volume
14
Issue
1
Pages
26
ISSN
1745-6215 (ISSN-L)
DOI
10.1186/1745-6215-14-26
PMC
PMC3598370
OpenAlex
W2091757073
Cited by
15
References
62
Citations by year
2022: 1 · 2021: 3 · 2018: 3 · 2017: 4 · 2016: 4
FWCI
3.46
Type
journal article
Language
en
Open access
Licence
cc-by
Locations
  • Trials (publishedVersion, cc-by)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Medical Practices and Rehabilitation
  • Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
  • Health Sciences › Health Professions › General Health Professions › Workplace Health and Well-being
Keywords
vocational reintegration, inpatient rehabilitation, stress management, coping, occupational stress, psychosomatic rehabilitation, orthopedic rehabilitation, cardiac rehabilitation, writing assignments, patient forums, relaxation techniques, work capacity, mental illness
MeSH terms
Adaptation, Psychological, Adolescent, Adult, Aftercare, Clinical Protocols, Disability Evaluation, Germany, Humans, Inpatients, Mental Health, Middle Aged, Occupational Diseases, Occupational Therapy, Pensions, Surveys and Questionnaires, Research Design, Retirement, Stress, Psychological, Therapy, Computer-Assisted, Time Factors, Treatment Outcome, Internet, Young Adult, Return to Work

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