The effect on work presenteeism of job retention vocational rehabilitation compared to a written self-help work advice pack for employed people with inflammatory arthritis: protocol for a multi-centre randomised controlled trial (the WORKWELL trial)

Hammond, A ORCID: https://orcid.org/0000-0002-5266-9991, Sutton, C, Cotterill, S, Woodbridge, S, O’Brien, R, Radford, K, Forshaw, D, Verstappen, S, Jones, C, Marsden, A, Eden, M, Prior, Y ORCID: https://orcid.org/0000-0001-9831-6254, Culley, J, Holland, P, Walker-Bone, K, Hough, Y, O’Neill, TW, Ching, A and Parker, J 2020, 'The effect on work presenteeism of job retention vocational rehabilitation compared to a written self-help work advice pack for employed people with inflammatory arthritis: protocol for a multi-centre randomised controlled trial (the WORKWELL trial)' , BMC Musculoskeletal Disorders, 21 (1) , p. 607.

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Abstract

Background: Work problems are common in people with inflammatory arthritis. Up to 50% stop work within 10 years due to their condition and up to 67% report presenteeism (i.e. reduced work productivity), even amongst those with low disease activity. Job retention vocational rehabilitation (JRVR) may help prevent or postpone job loss and reduce presenteeism through work assessment, work-related rehabilitation and enabling job accommodations. This aims to create a better match between the person’s abilities and their job demands. The objectives of the Workwell trial are to test the overall effectiveness and cost-effectiveness of JRVR (WORKWELL) provided by additionally trained National Health Service (NHS) occupational therapists compared to a control group who receive self-help information both in addition to usual care.

Methods: Based on the learning from a feasibility trial (the WORK-IA trial: ISRCTN76777720), the WORKWELL trial is a multi-centre, pragmatic, individually-randomised parallel group superiority trial, including economic evaluation, contextual factors analysis and process evaluation. Two hundred forty employed adults with rheumatoid arthritis, undifferentiated inflammatory arthritis or psoriatic arthritis (in secondary care), aged 18 years or older with work instability will be randomised to one of two groups: a self-help written work advice pack plus usual care (control intervention); or WORKWELL JRVR plus a self-help written work advice pack and usual care. WORKWELL will be delivered by occupational therapists provided with additional JRVR training from the research team. The primary outcome is presenteeism as measured using the Work Limitations Questionnaire-25. A comprehensive range of secondary outcomes of work, health, contextual factors and health resource use are included. Outcomes are measured at 6- and 12- months (with 12-months as the primary end-point). A multi-perspective within-trial cost-effectiveness analyses will also be conducted.

Discussion: This trial will contribute to the evidence base for provision of JRVR to people with inflammatory arthritis. If JRVR is found to be effective in enabling people to keep working, the findings will support decision-making about provision of JRVR by rheumatology teams, therapy services and healthcare commissioners, and providing evidence of the effectiveness of JRVR and the economic impact of its implementation.

Trial registration: Clinical Trials.Gov: NCT03942783. Registered 08/05/2019 (https://clinicaltrials.gov/ct2/show/NCT03942783); ISRCTN Registry: ISRCTN61762297. Registered:13/05/2019 (http://www.isrctn.com/ISRCTN61762297). Retrospectively registered.

Item Type: Article
Additional Information: ** From Springer Nature via Jisc Publications Router ** Licence for this article: https://creativecommons.org/licenses/by/4.0/ **Journal IDs: eissn 1471-2474 **Article IDs: publisher-id: s12891-020-03619-1; manuscript: 3619 **History: collection 12-2020; online 10-09-2020; published_online 10-09-2020; registration 31-08-2020; accepted 31-08-2020; submitted 03-07-2020
Schools: Schools > School of Health and Society
Journal or Publication Title: BMC Musculoskeletal Disorders
Publisher: BioMed Central
ISSN: 1471-2474
Related URLs:
Funders: Versus Arthritis, National Institute for Health Research (NIHR) Manchester Biomedical Research Centre
SWORD Depositor: Publications Router
Depositing User: Publications Router
Date Deposited: 11 Sep 2020 10:02
Last Modified: 14 Sep 2020 08:27
URI: http://usir.salford.ac.uk/id/eprint/58248

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