Rheumatoid Arthritis Clinical Trial
Official title:
Worksite Vocational Rehabilitation Intervention to Improve Employment Outcomes for Persons With Arthritis?
To determine if worksite based functional evaluation/intervention provided by occupational therapists improves employment outcomes for persons with arthritis.
Arthritis is second only to heart disease as a cause of work-related disability with
significant financial costs associated with the loss of work for persons with arthritis.
Many persons with arthritis have physical impairments which affect their ability to work,
with 50% of persons with rheumatoid arthritis leaving employment within 10 years of
diagnosis. Risk factors predicting employability, length of employment and worksite
accommodations for workers with arthritis have been well documented. Variables predicting
work cessation include blue collar jobs and more physically demanding jobs, an older age of
the worker, lower education, perceived job strain, social support of co-workers and
supervisors, job satisfaction, and self-efficacy. Recent studies of self-report by persons
with arthritis identified the use of worksite accommodations such as others providing
assistance at work, job autonomy, time flexibility, and use of special equipment. Unknown is
the effect of on-site work interventions. The need exists to determine if the provision of
strategies for physical accommodations, worksite modifications, and assistive technologies
at the individual's job site improves the ability of persons with arthritis to continue
working.
This is a randomized clinical trial to investigate the efficacy of a worksite based
intervention to improve the employment outcomes of persons with rheumatoid (RA) or
osteoarthritis (OA). Persons with RA or OA who have arthritis related work difficulties will
have an occupational therapist provide a worksite evaluation and subsequent training in
strategies to accommodate arthritis related physical impairments and improve job performance
and satisfaction. Participants in control group will be provided with educational printed
materials related for a self-initiated worksite evaluation of musculoskeletal and
environmental risks at the worksite for persons with arthritis.
;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Prevention
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