OTRCTJournal of occupational rehabilitation2016

Process Evaluation of a Workplace Integrated Care Intervention for Workers with Rheumatoid Arthritis.

M van Vilsteren, C R L Boot, A E Voskuyl and 3 others

PMID 26811171

WHAT IT FOUND

The workplace part of a programme for workers with rheumatoid arthritis was delivered more successfully than integrated care, but patients were satisfied.

Key findings

01Only 81.3% of intervention-group patients attended the initial intake, and integrated care reached 46.7% of planned meetings.

02The workplace intervention was delivered to 85.3% of those who started, and patients said 69.5% of proposed solutions were implemented.

03Care managers communicated poorly: only 45.8% of planned communication was delivered, and the general practitioner was never informed.

STILL TO COME

How it was doneWhat they foundWhat it means for OTs

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What it does not show

It is a process evaluation, so it reports delivery and satisfaction, not whether the programme improved work productivity. Data were mostly self-reported or taken from notes, with no objective observation of the consultations. The study could not calculate true reach because invited patients were not known to have paid jobs. Only the intervention group was assessed. Most participants were women, and men may be underrepresented. One care manager performed most intakes and evaluations, so results may reflect that person's skills. The study did not collect reasons why integrated care was not delivered as planned. Fidelity scoring depended on medical records, and care-manager communication reports may have been socially desirable.

Declared interests

The paper states that funding was provided by Instituut Gak. No additional conflicts of interest are reported in the supplied text.

The easy way to misread this

Do not read this as evidence that Care for Work improved work productivity. It evaluated implementation and satisfaction only, and the programme combined integrated care with a workplace intervention. This paper cannot separate the contribution of either component.

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