Individual supported work placements (ReISE) for improving sustained return to work in unemployed people with persistent pain: an internal pilot study of a cohort randomised controlled approach.

Case management Chronic pain Cohort randomised approach Health-related quality of life Persistent pain Return to work Supported employment Vocational rehabilitation Work disability

Journal

Pilot and feasibility studies
ISSN: 2055-5784
Titre abrégé: Pilot Feasibility Stud
Pays: England
ID NLM: 101676536

Informations de publication

Date de publication:
13 Aug 2024
Historique:
received: 02 11 2023
accepted: 05 08 2024
medline: 14 8 2024
pubmed: 14 8 2024
entrez: 13 8 2024
Statut: epublish

Résumé

Persistent pain is a frequent cause of sick leave and work disability in Norway. A return-to-work intervention featuring supported work placements, developed in the UK, demonstrated feasibility, and a return-to-work rate of 20% within 6 months was observed in the sample. We sought to adapt the intervention for delivery in Norway and to confirm feasibility prior to a full-scale trial. In this internal pilot, we used a pragmatic cohort randomised controlled approach with national recruitment in Norway. We recruited people who were unemployed (for at least 1 month), having persistent pain (for at least 3 months), aged between 18 and 64, and wanting to return to work. We initially recruited people to an observational cohort study of the impact of being unemployed with persistent pain. After baseline measurement, we randomly sub-sampled participants to whom we offered the intervention, which featured individual case management and support, work-familiarisation sessions, and the offer of a 6-week part-time unpaid work placement. We assessed recruitment rates (aiming to recruit 66, and sub-sample 17 within 6 months); optimal recruitment pathways; intervention acceptance rates; the feasibility of data collection; using video links for work-familiarisation sessions and remote case manager support. The pilot ran from June to November 2022. Of 168 people expressing interest, 94 consented. Recruitment posts on Facebook yielded the most 'expressions of interest' (66%, n = 111). After screening for eligibility, we included 55 participants. Of these, 19 were randomised to be offered the intervention. Of these, less than half (n = 8) consented to intervention participation. Remote case manager and work-familiarisation sessions appeared feasible. Following a delay in identifying placements, three participants received offers of work placements, with one starting and completing during the pilot period. Data collection methods were feasible, and no adverse events were reported. Recruitment and logistical processes, such as remote management by video link, are feasible. However, delivery of the intervention is challenging. In particular, sourcing placements and the time required for identifying appropriate placements was more challenging than anticipated. A full-scale trial is feasible but will require improvements to the placement identification processes. ISRCTN85437524 (Referring to the ReISE trial, of which this internal pilot was a part), Registered 31 of May 2022 https://doi.org/10.1186/ISRCTN85437524 TRIAL FUNDING: Norwegian Research Council.

Sections du résumé

BACKGROUND BACKGROUND
Persistent pain is a frequent cause of sick leave and work disability in Norway. A return-to-work intervention featuring supported work placements, developed in the UK, demonstrated feasibility, and a return-to-work rate of 20% within 6 months was observed in the sample. We sought to adapt the intervention for delivery in Norway and to confirm feasibility prior to a full-scale trial.
METHODS METHODS
In this internal pilot, we used a pragmatic cohort randomised controlled approach with national recruitment in Norway. We recruited people who were unemployed (for at least 1 month), having persistent pain (for at least 3 months), aged between 18 and 64, and wanting to return to work. We initially recruited people to an observational cohort study of the impact of being unemployed with persistent pain. After baseline measurement, we randomly sub-sampled participants to whom we offered the intervention, which featured individual case management and support, work-familiarisation sessions, and the offer of a 6-week part-time unpaid work placement. We assessed recruitment rates (aiming to recruit 66, and sub-sample 17 within 6 months); optimal recruitment pathways; intervention acceptance rates; the feasibility of data collection; using video links for work-familiarisation sessions and remote case manager support.
RESULTS RESULTS
The pilot ran from June to November 2022. Of 168 people expressing interest, 94 consented. Recruitment posts on Facebook yielded the most 'expressions of interest' (66%, n = 111). After screening for eligibility, we included 55 participants. Of these, 19 were randomised to be offered the intervention. Of these, less than half (n = 8) consented to intervention participation. Remote case manager and work-familiarisation sessions appeared feasible. Following a delay in identifying placements, three participants received offers of work placements, with one starting and completing during the pilot period. Data collection methods were feasible, and no adverse events were reported.
CONCLUSIONS CONCLUSIONS
Recruitment and logistical processes, such as remote management by video link, are feasible. However, delivery of the intervention is challenging. In particular, sourcing placements and the time required for identifying appropriate placements was more challenging than anticipated. A full-scale trial is feasible but will require improvements to the placement identification processes.
TRIAL REGISTRATION BACKGROUND
ISRCTN85437524 (Referring to the ReISE trial, of which this internal pilot was a part), Registered 31 of May 2022 https://doi.org/10.1186/ISRCTN85437524 TRIAL FUNDING: Norwegian Research Council.

Identifiants

pubmed: 39138502
doi: 10.1186/s40814-024-01538-9
pii: 10.1186/s40814-024-01538-9
doi:

Types de publication

Journal Article

Langues

eng

Pagination

110

Subventions

Organisme : Norges Forskningsråd
ID : 326732/ABHO

Informations de copyright

© 2024. The Author(s).

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Auteurs

Pål André Amundsen (PA)

School of Health Sciences, Kristiana University College, PB 1190, 0107, Sentrum, Oslo, Norway. palandre.amundsen@kristiania.no.

Martin Underwood (M)

Warwick Clinical Trials Unit, Warwick Medical School, University of Warwick, Coventry, CV4 7AL, UK.

Kim Burton (K)

University of Huddersfield, Queensgate Huddersfield, Huddersfield, HD1 3DH, UK.
University Hospitals Coventry and Warwickshire, Coventry, CV2 2DX, UK.

Margreth Grotle (M)

Department of Rehabilitation Science and Health Technology, Oslo Metropolitan University, St. Olavs Plass, P.O. Box 4, 0130, Oslo, Norway.
Department of Research, Innovation and Education, Division of Clinical Neuroscience, Research and Communication Unit for Musculoskeletal Health (FORMI), Oslo University Hospital, Building 37BNydalen, P.O. Box 4956, 0424, Ullevål Oslo, Norway.

Martin Stav Engedahl (MS)

School of Health Sciences, Kristiana University College, PB 1190, 0107, Sentrum, Oslo, Norway.

Ira Malmberg-Heimonen (I)

Department of Social Work, Child Welfare and Social Policy, Oslo Metropolitan University, St. Olavs Plass, P.O. Box 4, 0130, Oslo, Norway.

Pernille Marie Stähr Irgens (PMS)

School of Health Sciences, Kristiana University College, PB 1190, 0107, Sentrum, Oslo, Norway.

Magnus Højen (M)

School of Health Sciences, Kristiana University College, PB 1190, 0107, Sentrum, Oslo, Norway.

Adnan Kisa (A)

School of Health Sciences, Kristiana University College, PB 1190, 0107, Sentrum, Oslo, Norway.
Department of International Health and Sustainable Development, School of Public Health and Tropical Medicine, Tulane University, 1440 Canal Street, New Orleans, LA, 70112, USA.

Milada Hagen (M)

Department of Nursing and Health Promotion, Faculty of Health Science, Oslo Metropolitan University, St. Olavs Plass, P.O. Box 4, 0130, Oslo, Norway.

Thor Einar Holmgard (TE)

Norwegian Back Pain Association, Fjellhagen, P.O.Box 9612, 3065, Drammen, Norway.

Amy Martinsen (A)

Department of Research, Innovation and Education, Division of Clinical Neuroscience, Research and Communication Unit for Musculoskeletal Health (FORMI), Oslo University Hospital, Building 37BNydalen, P.O. Box 4956, 0424, Ullevål Oslo, Norway.
Co/FORMI, The Norwegian Council for Musculoskeletal Health, Oslo Universitetssykehus, 4956 Nydalen, P.O. Box , 0424, Oslo, Norway.

Jakob Lothe (J)

Co/FORMI, The Norwegian Council for Musculoskeletal Health, Oslo Universitetssykehus, 4956 Nydalen, P.O. Box , 0424, Oslo, Norway.

Sølvi Spilde Monsen (SS)

, Manpower Lakkegata 53, 0187, Oslo, Norway.

Robert Froud (R)

School of Health Sciences, Kristiana University College, PB 1190, 0107, Sentrum, Oslo, Norway.
Warwick Clinical Trials Unit, Warwick Medical School, University of Warwick, Coventry, CV4 7AL, UK.

Classifications MeSH