背景:持续疼痛是挪威病假和工作残疾的常见原因。以支持的工作实习为特征的重返工作干预,在英国开发,证明了可行性,在6个月内观察到20%的返工率。我们试图调整在挪威交付的干预措施,并在全面试验之前确认可行性。
方法:在此内部试点中,我们在挪威的国家招募中使用了实用的队列随机对照方法.我们招募了失业者(至少1个月),持续疼痛(至少3个月),年龄在18至64岁之间,并希望重返工作岗位。我们最初招募的人参加了一项观察性队列研究,研究失业持续疼痛的影响。基线测量后,我们随机抽取我们提供干预的参与者,其中包括个案管理和支持,熟悉工作的会议,并提供为期6周的兼职无偿工作安排。我们评估了招聘率(目标是在6个月内招聘66名,子样本17名);最佳招聘途径;干预接受率;数据收集的可行性;使用视频链接进行工作熟悉会议和远程病例经理支持。
结果:试点时间为2022年6月至11月。在168名表达兴趣的人中,94同意。Facebook上的招聘帖子产生了最多的“兴趣表达”(66%,n=111)。经过资格筛选,我们包括55名参与者。其中,19人被随机分配接受干预。其中,不到一半(n=8)同意参与干预。远程案例管理器和熟悉工作的会议似乎是可行的。在延迟确定位置之后,三名参与者收到了工作实习机会,在试点期间开始和完成一个。数据收集方法可行,未报告不良事件.
结论:招聘和后勤流程,例如通过视频链接进行远程管理,是可行的。然而,干预措施的实施具有挑战性。特别是,采购配售和确定适当配售所需的时间比预期的更具挑战性。全面试验是可行的,但需要改进放置识别过程。
背景:ISRCTN85437524(参考ReISE试验,这个内部飞行员是其中的一部分),2022年5月31日注册https://doi.org/10.1186/ISRCTN85437524试验资助:挪威研究委员会。
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: 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: 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: 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.
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.