WORK-IA: Developing a trial of work rehabilitation in inflammatory arthritis (IA).
Hammond, A & Greenhill, Y & O'Brien, R & Woodbridge, S 2013, 'WORK-IA: Developing a trial of work rehabilitation in inflammatory arthritis (IA).', British Journal of Occupational Therapy, 76(Suppl 1), p.73.
Work disability, sickness absence and reduced productivity are common in IA. Most with IA rate employment support as the least effective part of Rheumatology care (National Audit Report, 2009). Guidelines concluded there is insufficient evidence for vocational rehabilitation (VR) in IA in the UK (National Institute of Clinical Evidence, 2009), with only one small, short-term UK trial of OT and VR, which reduced work instability in long-standing RA (Macedo et al, 2009). A US trial showed a brief VR intervention reduced job losses in a variety of arthritis conditions (Allaire et al 2003). Is this VR intervention effective in the UK?
In this session, we will discuss the design and implementation of a feasibility study to evaluate VR for employed people with IA (n=100). This will include:
1. Intervention development and delivery: reviewing VR interventions in RA; identifying VR needs of clients with IA; developing the US work assessment and VR intervention for the UK; identifying current Rheumatology OT VR provision; developing an OT VR training course and resource manual; training evaluation; mentoring and monitoring.
2. Trial procedures: outcome measure selection; site selection; trial design; treatment and control interventions; trial procedures; recruitment.
3. Intervention content: problems identified and solutions offered
4. Participants’ and OTs’ views of the interventions.
Practical problems encountered and how these are being overcome will be discussed
British Journal of Occupational Therapy, 76(Suppl 1), p.73.