[SIBAR - a short screening instrument for the assessment of need for occupation related treatment in medical rehabilitation].
BACKGROUND
Due to specifications in Social Code Book IX and increasing ICF orientation, occupation-related treatment gains importance in medical rehabilitation. The quick and easy identification of patients in need of occupational rehabilitation requires adequate screening instruments. The present study was funded by the Federal Ministry of Education and Research and the German Pension Fund within a programme that focussed on "Work-related orientation within medical rehabilitation and occupational rehabilitation". The study aimed at the development and validation of a "Screening instrument work and occupation (SIBAR)".


METHODS
SIBAR considers three different problems by using three subscales: (1) social-medical/risk of early retirement; (2) occupational stress; (3) subjective need for occupation-related treatment. SIBAR was tested with regard to reliability and validity in n=2,228 applicants for medical rehabilitation and n=1,292 rehabilitation patients. Additionally, data on application for retirement up to 18 months after rehabilitation was available. The need for occupation-related treatment was analysed for these different subsamples. The prediction of risk of early retirement was examined using the data collected after rehabilitation.


RESULTS
The reliability of SIBAR was satisfying to good. Depending on the external criterion and subsample included the validity of SIBAR was good to very good respective. The agreement between subjective need for occupation-related treatment and the report by clinicians reaches 63%. Yet there is no generally accepted definition of need. For different indications, significant differences occur regarding a need for rehabilitation, which are hardly related to any personal characteristics. In comparison with other screening-instruments, SIBAR supplies a better prognostic estimation of early retirement. CONCLUSION AND FUTURE RESEARCH: The concept of SIBAR meets the methodical requirements for a screening instrument. SIBAR can serve as a generic instrument addressing various demands. It is reliable, valid, short, easy to comprehend, and capable of representing subsequent occupational reintegration and a need for occupation-related treatment.
Bürger
W
W
fbg - Forschung und Beratung im Gesundheitswesen, Karlsruhe. fbgbuerger@online.de
Deck
R
R
D004185:Disability Evaluation; D006233:Persons with Disabilities / Q000145:classification* / Q000534:rehabilitation*; D005858:Germany / Q000453:epidemiology; D006801:Humans; D008403:Mass Screening / Q000379:methods* / Q000706:statistics & numerical data*; D009784:Occupational Diseases / Q000145:classification* / Q000534:rehabilitation*; D011795:Surveys and Questionnaires