Screening Clinical Trial
Official title:
Economic Evaluation of an Online Screening Tool With Selective Follow-up Versus Periodic Health Screening by the Occupational Physician
Verified date | January 2021 |
Source | KU Leuven |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
In Belgium, Periodic Health Screenings (PHS) are obliged by law for several occupations, including safety functions, jobs with heightened vigilance, work that involves physical, biological or chemical agents or tasks that are an ergonomic or mental burden. Scientifically it remains an open question whether these screenings guarantee the prevention of later health problems or problems with functioning at work. The objective of this study is to compare the cost-effectiveness of PHS with an online health screening tool with selective follow-up. In five Flemish hospitals, the employees eligible for PHS (exempting frequent exposure to ionizing radiation, preparation of cytostatics, or exposure to carcinogens, mutagens, or reprotoxic substances) are randomly assigned to a control group (receiving classical PHS at the occupational physician), or an intervention group (e-tool with selective follow-up by the physician). In the intervention group, 20% of the employees is seen by the occupational physician, based on their responses to the questionnaire. The intervention- and control group complete the questionnaire three times: before the study start (June 2019), in February 2020, and in September 2020. The study ends in March 2021. The survey is developed as part of the study. On the one hand it contains questions for the cost-effectiveness analysis: health care use, absenteeism and presenteeism, and health literacy. On the other hand, a validated questionnaire is developed based on a systematic review of existing validated and reliable instruments, a Delphi panel of occupational physicians, and a pilot- and field study that test the reliability and validity of the survey (and its referral to the occupational physician). For the latter, the employees' health, occupational risks, work ability, and lifestyle (alcohol abuse, drug abuse, physical activity, and nutrition) are surveyed. Access to the occupational physician remains guaranteed by means of an additional question ("Do you wish to discuss the results of your survey with the occupational physician?") and as spontaneous consultations with the occupational physicians remain possible before, during, and after the trial. The survey platform Qualtrics is used for data collection. Researchers have no insight in personal data, nor the medical files of employees, and only analyse the coded data from the surveys. Invitations for the survey are sent by the occupational physician. The coded questionnaires are saved on a KU Leuven survey, following the ISO-9001-procedure and the legal data storage period. The employer has no insight in the data. The study is performed by Jonas Steel, supervised by prof. dr. Jeroen Luyten and prof. dr. Lode Godderis, and financed by the Belgian Association for Occupational Physicians, and three external services for prevention and protection at work: IDEWE, Liantis, and Mensura.
Status | Completed |
Enrollment | 889 |
Est. completion date | December 31, 2020 |
Est. primary completion date | December 31, 2020 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | All |
Age group | 18 Years to 70 Years |
Eligibility | Inclusion Criteria: - all personnel types that are eligible for periodic health screenings: personnel with safety functions, jobs with heightened vigilance, work that involves physical, biological or chemical agents or tasks that are an ergonomic or mental burden - working age (18-70 years old) - able to understand and answer the questionnaire in Dutch Exclusion Criteria: - occupational groups that perform especially risky activities (frequent exposure to ionizing radiation, preparation of cytostatics, or exposure to carcinogens, mutagens, or reprotoxic substances) |
Country | Name | City | State |
---|---|---|---|
Belgium | Heilig Hart Leuven | Leuven | Flanders |
Belgium | AZ Nikolaas | Sint-Niklaas | Flanders |
Belgium | Heilig Hart Tienen | Tienen | Flanders |
Belgium | AZ Vesalius | Tongeren | Flanders |
Lead Sponsor | Collaborator |
---|---|
KU Leuven | Belgian Association for Occupational Physicians, IDEWE Occupational Health Services, Liantis, Mensura |
Belgium,
Krogsbøll LT, Jørgensen KJ, Gøtzsche PC. General health checks in adults for reducing morbidity and mortality from disease. Cochrane Database Syst Rev. 2019 Jan 31;1:CD009009. doi: 10.1002/14651858.CD009009.pub3. — View Citation
Larsen AK, Holtermann A, Mortensen OS, Punnett L, Rod MH, Jørgensen MB. Organizing workplace health literacy to reduce musculoskeletal pain and consequences. BMC Nurs. 2015 Sep 17;14:46. doi: 10.1186/s12912-015-0096-4. eCollection 2015. — View Citation
Sørensen K, Van den Broucke S, Fullam J, Doyle G, Pelikan J, Slonska Z, Brand H; (HLS-EU) Consortium Health Literacy Project European. Health literacy and public health: a systematic review and integration of definitions and models. BMC Public Health. 2012 Jan 25;12:80. doi: 10.1186/1471-2458-12-80. Review. — View Citation
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Self-perceived health | Self-perceived health using a visual analog score: 0-100 (from worst health the employee can imagine to the best health the employee can imagine) | change after 15 months | |
Primary | Incidence of musculoskeletal health functioning problems | Count of how many respondents indicated to have musculoskeletal health functioning problems | change after 15 months | |
Primary | Stress | Score that represents the risk of stress based on the Copenhagen Psychosocial Questionnaire: 0-12 (from low to high risk of stress) | change after 15 months | |
Primary | Burnout | Score that represents the risk of burnout based on the Copenhagen Psychosocial Questionnaire: 0-16 (from low to high risk of burnout) | change after 15 months | |
Primary | Sleep problems | Score that represents the risk of sleep problems based on the Copenhagen Psychosocial Questionnaire: 0-16 (from low to high risk of burnout) | change after 15 months | |
Primary | General mental health | Score that represents the general mental health based on the General Health Questionnaire: 0-12 (from worst to best mental health) | change after 15 months | |
Primary | Need for recovery after work | Score that represents the need for recovery after work, based on the Need for Recovery scale: 0-11 (from lowest to highest need for recovery after work) | change after 15 months | |
Primary | Absenteeism | Absenteeism in days absent using the IMTA Productivity Cost Questionnaire (iPCQ) | change after 15 months | |
Primary | Presenteeism | Presenteeism using the IMTA Productivity Cost Questionnaire (iPCQ), which uses a visual analog score to indicate how much work the employee could perform compared to a normal working day | change after 15 months | |
Primary | Spontaneous consultations with the occupational physician | Self-reported number of spontaneous consultations the employee had with the occupational physician | change after 15 months | |
Primary | Referrals to other health providers | Number of contact moments with other healthcare providers based on a referral by the occupational physician | change after 15 months | |
Secondary | Health literacy | Score representing the health literacy of the employee, based on an adapted version of the European Health Literacy Survey (EU-HLS): 0-64 (low to high health literacy) | change after 15 months | |
Secondary | Help-seeking behaviour | Score representing the help-seeking behaviour of the employee, based on the General Help-Seeking Questionnaire: 0-128 (high self-assessed probability of seeking help to low self-assessed probability of seeking help) | change after 15 months |
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