title: One Year Effects of a Workplace Integrated Care Intervention for Workers with Rheumatoid Arthritis: Results of a Randomized Controlled Trial.
abstract: Purpose To evaluate the effectiveness of a workplace integrated care intervention on at-work productivity loss in workers with rheumatoid arthritis (RA) compared to usual care. Methods In this randomized controlled trial, 150 workers with RA were randomized into either the intervention or control group. The intervention group received an integrated care and participatory workplace intervention. Outcome measures were the Work Limitations Questionnaire, Work Instability Scale for RA, pain, fatigue and quality of life (RAND 36). Participants filled out a questionnaire at baseline, and after 6 and 12 months. We performed linear mixed models to analyse the outcomes. Results Participants were on average 50 years of age, and mostly female. After 12 months, no significant intervention effect was found on at-work productivity loss. We also found no significant intervention effects on any of the secondary outcomes. Conclusions We did not find evidence for the effectiveness of our workplace integrated care intervention after 12 months of follow up. Future studies should focus on investigating the intervention in groups of workers with severe limitations in work functioning, and an unstable work situation.
authors.affiliation: Department of Public and Occupational Health, EMGO Institute for Health and Care Research, VU University Medical Center, Room BS7-C573, Van der Boechorststraat 7, 1081 BT, Amsterdam, The Netherlands.|Body@Work, Research Center on Physical Activity, Work, and Health, TNO-VU University Medical Center, Amsterdam, The Netherlands.
authors.forename: M
authors.initials: M
authors.lastname: van Vilsteren
authors.affiliation: Department of Public and Occupational Health, EMGO Institute for Health and Care Research, VU University Medical Center, Room BS7-C573, Van der Boechorststraat 7, 1081 BT, Amsterdam, The Netherlands. crl.boot@vumc.nl.|Body@Work, Research Center on Physical Activity, Work, and Health, TNO-VU University Medical Center, Amsterdam, The Netherlands. crl.boot@vumc.nl.
authors.forename: C R L
authors.initials: CR
authors.lastname: Boot
authors.affiliation: Department of Health Sciences Section Methodology and Applied Biostatistics, VU University, Amsterdam, The Netherlands.
authors.forename: J W R
authors.initials: JW
authors.lastname: Twisk
authors.affiliation: Body@Work, Research Center on Physical Activity, Work, and Health, TNO-VU University Medical Center, Amsterdam, The Netherlands.|TNO Work, Health and Care, Leiden, The Netherlands.
authors.forename: R
authors.initials: R
authors.lastname: Steenbeek
authors.affiliation: Department of Rheumatology, VU University Medical Center, Amsterdam, The Netherlands.
authors.forename: A E
authors.initials: AE
authors.lastname: Voskuyl
authors.affiliation: Jan van Breemen Research Institute | Reade, Amsterdam, The Netherlands.
authors.forename: D
authors.initials: D
authors.lastname: van Schaardenburg
authors.affiliation: Department of Public and Occupational Health, EMGO Institute for Health and Care Research, VU University Medical Center, Room BS7-C573, Van der Boechorststraat 7, 1081 BT, Amsterdam, The Netherlands.|Body@Work, Research Center on Physical Activity, Work, and Health, TNO-VU University Medical Center, Amsterdam, The Netherlands.|Research Center for Insurance Medicine, AMC-UMCG-UWV-VU University Medical Center, Amsterdam, The Netherlands.
authors.forename: J R
authors.initials: JR
authors.lastname: Anema
mesh_terms: D000293:Adolescent; D000328:Adult; D001172:Arthritis, Rheumatoid / Q000503:physiopathology / Q000534:rehabilitation*; D004185:Disability Evaluation; D016832:Employment, Supported / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009786:Occupational Health Services / Q000379:methods*; D011788:Quality of Life; D055815:Young Adult
keywords: Randomized controlled trial; Rheumatoid arthritis; Work; Workplace intervention