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Prevention of Arthritis-Related Work Disability

This study has been completed.
Sponsor:
ClinicalTrials.gov Identifier:
NCT00000416
First Posted: November 4, 1999
Last Update Posted: July 26, 2017
The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
Collaborators:
National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS)
Boston University Medical Campus
Information provided by (Responsible Party):
Saralynn J. Allaire, Boston University
  Purpose

People with rheumatic disorders (arthritis) often have trouble keeping their jobs. This study will look at whether vocational rehabilitation (VR) will improve the ability of employed people with arthritis to keep their jobs. Job retention VR services target key factors that increase the risk of job loss. They aim to modify jobs to reduce barriers caused by functional limitations and disease symptoms, future career planning, and establish a partnership with a VR counselor for ongoing help.

We will conduct the study among patients with rheumatic disorders recruited in eastern Massachusetts. We will give 120 study participants job retention services provided by VR counselors. We will give another 120 participants literature about employment- related resources. We will compare the outcomes of the two groups to evaluate the usefulness of job retention services in preventing job loss in people with rheumatic disorders.


Condition Intervention
Rheumatoid Arthritis Systemic Lupus Erythematosus Osteoarthritis, Knee Ankylosing Spondylitis Other: Rehabilitation counseling

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Single Group Assignment
Masking: Triple (Participant, Investigator, Outcomes Assessor)
Primary Purpose: Prevention
Official Title: Prevention of Arthritis-Related Work Disability: A Trial of Job Retention Services Provided to Employed Persons With Arthritis

Resource links provided by NLM:


Further study details as provided by Saralynn J. Allaire, Boston University:

Primary Outcome Measures:
  • job losses [ Time Frame: every 6 months for up to 42 months ]
    Periods of work cessation of at least 6 months.


Secondary Outcome Measures:
  • limitation in ability to work [ Time Frame: every 6 months for up to 42 months ]
    Extent of on the job limitation due to health condition as measured by the Work Limitations Questionnaire.


Enrollment: 242
Study Start Date: September 1997
Study Completion Date: August 2001
Primary Completion Date: August 2001 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Rehabilitation counseling

Rehabilitation counseling

Experimental

Rehabilitation counseling was provided by rehabilitation counselors. They administered the Work Experience Survey; provided and discussed disability rights and responsibilities and provided career counseling they as needed.

Other: Rehabilitation counseling
Provided in 2 in-person meetings and in follow-up phone calls
Active Comparator: printed information

Active comparator

Control group participants received relevant printed information in the mail only; no rehabilitation counseling

Other: Rehabilitation counseling
Provided in 2 in-person meetings and in follow-up phone calls

Detailed Description:

Job loss commonly occurs among people with rheumatic disorders. This study will determine whether vocational rehabilitation (VR) provided to employed people with rheumatic disorders will improve their ability to remain employed. VR is applied primarily to people who have already lost their jobs. However, using job retention VR services may prevent, or delay, the onset of employment work loss among people with rheumatic disorders. Job retention VR services target important employment-loss risk factors. They do so by modifying jobs to reduce barriers posed by functional limitations and symptoms, promoting future career planning, and establishing an alliance with a VR counselor for ongoing assistance.

The study is a randomized, controlled trial conducted among patients with rheumatic disorders recruited from the practices of rheumatologists in eastern Massachusetts.

We will randomly assign 120 study participants to receive job-retention services provided by VR counselors and 120 participants (controls) to receive literature about employment-related resources. We will assess intermediate outcome variables (self-efficacy, work limitations, and job accommodation-seeking behaviors) and the endpoint outcome variable, work instability (a measure that includes employment loss), immediately prior to the interventions and at 6-month intervals over a 24-month period after the interventions are carried out. We will compare the outcomes of the two groups to evaluate the usefulness of job retention services in forestalling work instability in this population.

  Eligibility

Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years to 65 Years   (Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Must currently be employed full or part time
  • Must live in selected communities in eastern Massachusetts

Exclusion Criteria:

  • Plans to move from area
  • Plans to have joint replacement surgery in next 6 months
  • Plans to retire or go on disability within next 2 years
  Contacts and Locations
Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT00000416


Locations
United States, Massachusetts
Boston University School of Medicine
Boston, Massachusetts, United States, 02118
Sponsors and Collaborators
Boston University Charles River Campus
National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS)
Boston University Medical Campus
Investigators
Principal Investigator: Saralynn J. Allaire, Sc.D. Boston University
  More Information

Publications:
Allaire SH, Niu J, Lavalley MP. Employment and Satisfaction Outcomes From a Job Retention Intervention Delivered to Persons with Chronic Diseases. Rehabilitation Counseling Bulletin 48(2):100-109, 2005
Allaire SH, Li W, LaValley,M: Work Problems reported by employed persons with reheumatic diseases and their association with work satisfaction. Arthritis Rheumatic 43:S128,2000
Allaire SH, Li W, LaValley, M. Can job retention vocational rehabilitation services reduce work disability among employed persons with rheumatic diseases? Arthritis Rheum 44 (supplement):S813, 2001.

Responsible Party: Saralynn J. Allaire, Professor, Boston University
ClinicalTrials.gov Identifier: NCT00000416     History of Changes
Other Study ID Numbers: P60AR020613 ( U.S. NIH Grant/Contract )
NIAMS-012 ( Other Identifier: Boston University )
EEHRS Project 3 ( Other Identifier: Boston University )
First Submitted: November 3, 1999
First Posted: November 4, 1999
Last Update Posted: July 26, 2017
Last Verified: July 2017

Keywords provided by Saralynn J. Allaire, Boston University:
Arthritis
Rheumatic disorders
Work-related disability
Vocational rehabilitation (VR)
Job retention services
Work limitations
Work instability

Additional relevant MeSH terms:
Arthritis
Osteoarthritis
Arthritis, Rheumatoid
Lupus Erythematosus, Systemic
Spondylitis
Spondylitis, Ankylosing
Osteoarthritis, Knee
Joint Diseases
Musculoskeletal Diseases
Rheumatic Diseases
Connective Tissue Diseases
Autoimmune Diseases
Immune System Diseases
Bone Diseases, Infectious
Infection
Bone Diseases
Spinal Diseases
Spondylarthropathies
Spondylarthritis
Ankylosis