title: [Employees with chronic diseases - additional results of randomized controlled trial among adult members of a German statutory health insurance with inflammatory bowel diseases].
abstract: BACKGROUND
  Chronic and prognostically doubtful diseases like inflammatory bowel diseases (IBD) often lead to reduced work ability. Whether self-management-interventions have positive effects on work related outcomes is so far unclear.
  
  
  METHODS
  Data from a randomized controlled trial of adult members of a German statutory health insurance with medically confirmed IBD were reanalyzed. We focused on 337 gainfully employed study participants. They completed a screening questionnaire enquiring about 22 disease-related bio-psycho-social problems. The intervention group (IG) received individualized (problem-adapted) written recommendations; the control group remained under usual care. 12 months later a follow-up questionnaire was employed, data on sick leave were made available by the health insurance.
  
  
  RESULTS
  The IG showed beneficial effects in all primary outcomes (EuroQol visual analog scale score, index for measuring participation restriction and number of self-reported disability days). At baseline one in four of the employed participants reported a negative subjective prognosis of their work capacity (assessed by means of a 3-item Likert scale, SPE scale). No positive intervention effects on work-related outcomes (subjective prognosis of gainful employment, episodes and days of sick leave) could be detected.
  
  
  CONCLUSIONS
  In IBD patients work and earning capacity is often at risk and should be regularly assessed. Effective interventions to protect or restore gainful employment are needed. Medical-vocational rehabilitation could be a treatment option; its efficacy and benefit (in IBD) are still to be demonstrated.
authors: Institut für Sozialmedizin und Epidemiologie, Universität zu Lübeck, Germany.
authors: J
authors: J
authors: Langbrandtner
authors: Seniorprofessur für Bevölkerungsmedizin, Universität zu Lübeck, Germany.
authors: H
authors: H
authors: Raspe
authors: Institut für Sozialmedizin und Epidemiologie, Universität zu Lübeck, Germany.
authors: A
authors: A
authors: Hüppe
mesh_terms: D000293:Adolescent; D000328:Adult; D002908:Chronic Disease / Q000453:epidemiology / Q000523:psychology; D004651:Employment / Q000523:psychology / Q000706:statistics & numerical data*; D005260:Female; D005858:Germany / Q000453:epidemiology; D006801:Humans; D015212:Inflammatory Bowel Diseases / Q000453:epidemiology*; D008297:Male; D009313:National Health Programs / Q000706:statistics & numerical data*; D009784:Occupational Diseases / Q000175:diagnosis / Q000453:epidemiology* / Q000523:psychology; D015995:Prevalence; D011788:Quality of Life / Q000523:psychology*; D012307:Risk Factors; D018582:Sick Leave / Q000706:statistics & numerical data*; D014938:Work Capacity Evaluation; D055815:Young Adult