Long Term Social Assistance Recipient in South Eastern Sweden - a Description of Health, Function, and Activity

Vocational Rehabilitation Clinical Trial

Official title:

Long Term Social Assistance Receipt - An Observational Study of Health, Function, and Activity

Clinical Trial Details — Status: Not yet recruiting

Administrative data

• NCT number: NCT03752281
• Other study ID #: TU-001-1811
• Status: Not yet recruiting
• Start date: December 2018
• Est. completion date: January 2021

Study information

• Verified date: November 2018
• Source: Linkoeping University
• Contact: Linn Karlsson, PhD
• Phone: +46 13206675
• Email: linn.b.karlsson[@]linkoping.se
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

There is a group of social assistance recipients which have difficulties in entering the labor market and thus remains in a long-term dependency on social assistance. More knowledge about individuals receiving long-term social assistance is needed in order to improve into work interventions for this group. Therefore, this study aims to describe variables of health, function and activity in participants receiving long-term social assistance.

Description:

There is a group of social assistance recipients who have difficulties in entering the labor market and thus remains in a long-term dependency on social assistance. More knowledge about individuals receiving long-term social assistance is needed in order to improve into-work interventions for this group. Therefore, this study aims to describe variables of health, function and activity in participants receiving long-term social assistance. Individuals who have received social assistance during more than three years, who report physical and/or psychological difficulties, and/or have a complex social situation will be asked for participation in a six months activity-based investigation including contact with social worker, psychologist, occupational therapist, physical therapist and labor market consultant. The intervention aims to clarify the participants hinders and resources for entering the labor market. The participants are going to answer a questionnaire about health, function, and activity before and after the investigation. In addition, the participants function and ability to perform activities will be classified using the International Classification of Functioning (ICF). Data from the questionnaires and from ICF recordings will be used to describe variables of health, function and ability to be active. Participants who manage to get closer to, or enter into, the labor market will be asked to participate in a qualitative interview study about the experiences of the change. In addition, social workers will be asked to participate in focus-group interviews about experiences from the professional contact and work with the participants. The quantitative data will be analysed using traditional statistics and multivariate data analysis. Qualitative data will be analysed using qualitative content analysis.

Recruitment information / eligibility

• Status: Not yet recruiting
• Enrollment: 100
• Est. completion date: January 2021
• Est. primary completion date: January 2021
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years to 65 Years

Eligibility

Inclusion Criteria:

• Long-term social assistance recipient (more than three years)

• Putative ill-health (physical, psychological and/or social)

• No present plan how to reach the labor market

• Need of clarifying the working ability

Exclusion Criteria:

• Homelessness

• Severe psychiatric illness

• Abuse of alcohol or substances

Related Conditions & MeSH terms

• Vocational Rehabilitation

Intervention

Other:
• Investigation of health and activity
During a six months multidisciplinary investigation of health status, activity and working ability for individuals receiving long-term social assistance, the health and activity status as well as function will be described using established questionnaires and the International Classification of Functioning

Locations

Country	Name	City	State
Sweden	Faculty of Health Sciences, Linköping University	Linköping	Östergötland

Sponsors (2)

Lead Sponsor	Collaborator
Linkoeping University	Linkoeping Municipality

Country where clinical trial is conducted

Sweden, 

References & Publications (5)

Arends I, Bruinvels DJ, Rebergen DS, Nieuwenhuijsen K, Madan I, Neumeyer-Gromen A, Bültmann U, Verbeek JH. Interventions to facilitate return to work in adults with adjustment disorders. Cochrane Database Syst Rev. 2012 Dec 12;12:CD006389. doi: 10.1002/14651858.CD006389.pub2. Review. — View Citation

Madden RH, Dune T, Lukersmith S, Hartley S, Kuipers P, Gargett A, Llewellyn G. The relevance of the International Classification of Functioning, Disability and Health (ICF) in monitoring and evaluating Community-based Rehabilitation (CBR). Disabil Rehabil. 2014;36(10):826-37. doi: 10.3109/09638288.2013.821182. Epub 2013 Aug 14. Review. — View Citation

Prodinger B, Stucki G, Coenen M, Tennant A; ; on behalf of the ICF INFO Network. The measurement of functioning using the International Classification of Functioning, Disability and Health: comparing qualifier ratings with existing health status instruments. Disabil Rehabil. 2017 Oct 8:1-8. doi: 10.1080/09638288.2017.1381186. [Epub ahead of print] — View Citation

van Vilsteren M, van Oostrom SH, de Vet HC, Franche RL, Boot CR, Anema JR. Workplace interventions to prevent work disability in workers on sick leave. Cochrane Database Syst Rev. 2015 Oct 5;(10):CD006955. doi: 10.1002/14651858.CD006955.pub3. Review. — View Citation

Vogel N, Schandelmaier S, Zumbrunn T, Ebrahim S, de Boer WE, Busse JW, Kunz R. Return-to-work coordination programmes for improving return to work in workers on sick leave. Cochrane Database Syst Rev. 2017 Mar 30;3:CD011618. doi: 10.1002/14651858.CD011618.pub2. Review. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Change in quality of life	The change in participants self-rated experience of quality of life is going to be described using EuroQol 5 Dimensions which contains a rating of the ability to perform activities, and also a score of the total quality of life experience.	Change between the beginning and the end of the six months intervention
Primary	Change in self-rated function and ability to be active	The change in participants self-rated function and ability to be active is going to be described using the World Health Organisation Disability Assessment Schedule (WHODAS) which contains five-grade ratings of factors including functioning, activity and participation.	Change between the beginning and the end of the six months intervention
Primary	Change in objective description of function and ability to be active	The change in an objective classification of function, activity, participation and environmental factors affecting disability will be described according to the International Classification of Functioning (ICF) in the beginning and at the end of the six month intervention. The ICF contains a number of components, where each component can be scored using a five-grade scale to clarify the magnitude of disability.	Change between the beginning and the end of the six months intervention
Secondary	Qualitative description of experiences about an increase in activity ability	Participants experiences about a change towards higher ability to be active will be described using qualitative interviews.	After the six moths intervention
Secondary	Qualitative description of social workers experiences from the work with long-term social assistance recipients	Social workers experiences from their work with helping clients to get closer to the labor market will be described using qualitative interviews.	After the six moths intervention

External Links

•   The national board of health and welfare in Sweden
•   The social service act