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Trials
Published in: Trials 1/2013

Open Access 01-12-2013 | Research

Effectiveness of a web-based intervention for injured claimants: a randomized controlled trial

Authors: Nieke A Elbers, Arno J Akkermans, Pim Cuijpers, David J Bruinvels

Published in: Trials | Issue 1/2013

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Abstract

Background

There is considerable evidence showing that injured people who are involved in a compensation process show poorer physical and mental recovery than those with similar injuries who are not involved in a compensation process. One explanation for this reduced recovery is that the legal process and the associated retraumatization are very stressful for the claimant. The aim of this study was to empower injured claimants in order to facilitate recovery.

Methods

Participants were recruited by three Dutch claims settlement offices. The participants had all been injured in a traffic crash and were involved in a compensation process. The study design was a randomized controlled trial. An intervention website was developed with (1) information about the compensation process, and (2) an evidence-based, therapist-assisted problem-solving course. The control website contained a few links to already existing websites. Outcome measures were empowerment, self-efficacy, health status (including depression, anxiety, and somatic symptoms), perceived fairness, ability to work, claims knowledge and extent of burden. The outcomes were self-reported through online questionnaires and were measured four times: at baseline, and at 3, 6, and 12 months.

Results

In total, 176 participants completed the baseline questionnaire after which they were randomized into either the intervention group (n = 88) or the control group (n = 88). During the study, 35 participants (20%) dropped out. The intervention website was used by 55 participants (63%). The health outcomes of the intervention group were no different to those of the control group. However, the intervention group considered the received compensation to be fairer (P <0.01). The subgroup analysis of intervention users versus nonusers did not reveal significant results. The intervention website was evaluated positively.

Conclusions

Although the web-based intervention was not used enough to improve the health of injured claimants in compensation processes, it increased the perceived fairness of the compensation amount.

Trial registration

Netherlands Trial Register NTR2360
Appendix
Available only for authorised users
Literature
1.
Elbers NA, Hulst L, Cuijpers P, Akkermans AJ, Bruinvels DJ: Do compensation processes impair mental health? A meta-analysis. Injury. 2012, 44: 674-683.CrossRefPubMed
2.
The Royal Australasian College of Physicians: Compensable injuries and health outcomes. 2001, Sydney: The Royal Australasian College of Physicians
3.
Cotti A, Magalhães T, Pinto Da Costa D, Matos E: Road traffic accidents and secondary victimisation: the role of law professionals. Med Law. 2004, 23: 259-268.PubMed
4.
Alexander DA, Badial R, Klein S: Personal injury compensation: no claim without pain?. Psychiatr Bull. 2006, 30: 373-375. 10.1192/pb.30.10.373.CrossRef
5.
Murgatroyd DF, Cameron ID, Harris IA: Understanding the effect of compensation on recovery from severe motor vehicle crash injuries: a qualitative study. Inj Prev. 2011, 17: 222-227. 10.1136/ip.2010.029546.CrossRefPubMed
6.
O’Donnell ML, Creamer MC, McFarlane AC, Silove D, Bryant RA: Does access to compensation have an impact on recovery outcomes after injury?. Med J Aust. 2010, 192: 328-333.PubMed
7.
Schaafsma F, De Wolf A, Kayaian A, Cameron ID: Changing insurance company claims handling processes improves some outcomes for people injured in road traffic crashes. BMC Publ Health. 2012, 12: 36-10.1186/1471-2458-12-36.CrossRef
8.
Van Driel M: Eindrapportage kwaliteitsmeting Pandora. 2011, Arnhem: Q-consult
9.
Aujoulat I, D’Hoore W, Deccache A: Patient empowerment in theory and practice: polysemy or cacophony?. Patient Educ Couns. 2007, 66: 13-20. 10.1016/j.pec.2006.09.008.CrossRefPubMed
10.
Cuijpers P, Van Straten A, Andersson G: Internet-administered cognitive behavior therapy for health problems: a systematic review. J Behav Med. 2008, 31: 169-177. 10.1007/s10865-007-9144-1.CrossRefPubMed
11.
Spek V, Cuijpers P, Nyklicek I, Riper H, Keyzer J, Pop V: Internet-based cognitive behaviour therapy for symptoms of depression and anxiety: a meta-analysis. Psychol Med. 2007, 37: 319-328. 10.1017/S0033291706008944.CrossRefPubMed
12.
Samoocha D, Bruinvels DJ, Elbers NA, Anema JR, van der Beek AJ: Effectiveness of web-based interventions on patient empowerment: a systematic review and meta-analysis. J Med Internet Res. 2010, 12: e23-10.2196/jmir.1286.CrossRefPubMedPubMedCentral
13.
14.
Carlbring P, Nilsson-Ihrfelt E, Waara J, Kollenstam C, Buhrman M, Kaldo V, Soderberg M, Ekselius L, Andersson G: Treatment of panic disorder: live therapy vs. self-help via the Internet. Behav Res Ther. 2005, 43: 1321-1333. 10.1016/j.brat.2004.10.002.CrossRefPubMed
15.
Kaltenthaler E, Brazier J, De Nigris E, Tumur I, Ferriter M, Beverley C, Parry G, Rooney G, Sutcliffe P: Computerised cognitive behaviour therapy for depression and anxiety update: a systematic review and economic evaluation. Health Technol Assess. 2006, 10: 1-168.CrossRef
16.
Griffiths F, Lindenmeyer A, Powell J, Lowe P, Thorogood M: Why are health care interventions delivered over the internet? A systematic review of the published literature. J Med Internet Res. 2006, 8: e10-10.2196/jmir.8.2.e10.CrossRefPubMedPubMedCentral
17.
Andersson G, Cuijpers P: Pros and cons of online cognitive-behavioural therapy. Br J Psychiatry. 2008, 193: 270-271. 10.1192/bjp.bp.108.054080.CrossRefPubMed
18.
Elbers NA, Akkermans AJ, Cuijpers P, Bruinvels DJ: Empowerment of personal injury victims through the internet: design of a randomized controlled trial. Trials. 2011, 12: 29-10.1186/1745-6215-12-29.CrossRefPubMedPubMedCentral
19.
Van Straten A, Cuijpers P, Smits N: Effectiveness of a web-based self-help intervention for symptoms of depression, anxiety, and stress: randomized controlled trial. J Med Internet Res. 2008, 10: e7-10.2196/jmir.954.CrossRefPubMedPubMedCentral
20.
Bowman D, Scogin F, Lyrene B: The efficacy of self-examination therapy and cognitive bibliotherapy in the treatment of mild to moderate depression. Psychother Res. 1995, 5: 131-140. 10.1080/10503309512331331256.CrossRef
21.
Pearlin L, Schooler C: The structure of coping. J Health Soc Behav. 1978, 19: 2-21. 10.2307/2136319.CrossRefPubMed
22.
Bandura A: Guide for constructing self-efficacy scales. Self-Efficacy Beliefs of Adolescents. Edited by: Pajares F, Urdan TC. 2006, Scottsdale, Arizona, USA: Information Age Publishing, 307-337.
23.
The EuroQol Group: EuroQol - a new facility for the measurement of health-related quality of life. Health Policy. 1990, 16: 199-208.CrossRef
24.
Arrindell WA, Ettema JHM: SCL-90. Handleiding bij een multidimensionele psychopathologie-indicator. 2003, Lisse: Swets Test Publishers
25.
Colquitt JA: On the dimensionality of organizational justice: a construct validation of a measure. J App Psychol. 2001, 86: 386-400.CrossRef
26.
Tuomi K, Ilmarinen J, Jahkola A, Katajarinne L, Tulkki A: Work Ability Index. 2nd revised edn. 1998, Helsinki: Finnish Institute of Occupational Health
27.
Twisk J, De Vente W: Attrition in longitudinal studies. How to deal with missing data. J Clin Epidemiol. 2002, 55: 329-337. 10.1016/S0895-4356(01)00476-0.CrossRefPubMed
28.
Elbers NA, Akkermans AJ, Cuijpers P, Bruinvels DJ: Procedural justice and quality of life in compensation processes. Injury. 2012, 1008: 1034-10.1016/j.injury.2012.08.034.
29.
Samoocha D, Snels IA, Bruinvels DJ, Anema JR, van der Beek AJ: Effectiveness of an interactive website aimed at empowerment of disability benefit claimants: results of a pragmatic randomized controlled trial. J Occup Rehabil. 2011, 21: 410-420. 10.1007/s10926-010-9283-z.CrossRefPubMedPubMedCentral
30.
Shuman DW: The psychology of compensation in tort law. Kans Law Rev. 1994, 43: 39-77.
31.
Taylor S, Fedoroff IC, Koch WJ, Thordarson DS, Fecteau G, Nicki RM: Posttraumatic stress disorder arising after road traffic collisions: patterns of response to cognitive-behavior therapy. J Consult Clin Psychol. 2001, 69: 541-551.CrossRefPubMed
32.
Laffaye C, Rosen CS, Schnurr PP, Friedman MJ: Does compensation status influence treatment participation and course of recovery from post-traumatic stress disorder?. Mil Med. 2007, 172: 1039-1045.CrossRefPubMed
33.
Eysenbach G: Issues in evaluating health websites in an Internet-based randomized controlled trial. J Med Internet Res. 2002, 4: e17-10.2196/jmir.4.3.e17.CrossRefPubMedPubMedCentral
34.
Carroll LJ, Connelly LB, Spearing NM, Cote P, Buitenhuis J, Kenardy J: Complexities in understanding the role of compensation-related factors on recovery from whiplash-associated disorders: discussion paper 2. Spine. 2011, 36: S316-S321.CrossRefPubMed
35.
Grant G, Studdert DM: Poisoned chalice? A critical analysis of the evidence linking personal injury compensation processes with adverse health outcomes. Melb Univ Law Rev. 2009, 33: 865-885.
36.
Lippel K: Workers describe the effect of the workers’ compensation process on their health: a Quebec study. Int J Law Psychiatry. 2007, 30: 427-443. 10.1016/j.ijlp.2007.06.013.CrossRefPubMed
37.
Wayte T, Samra J, Robbennolt J, Heuer L, Koch WJ: Psychological issues in civil law. Taking psychology and law into the twenty-first century. Edited by: Ogloff JRP. 2002, New York: Kluwer Academic/Plenum, 323-369.
Metadata
Title
Effectiveness of a web-based intervention for injured claimants: a randomized controlled trial
Authors
Nieke A Elbers
Arno J Akkermans
Pim Cuijpers
David J Bruinvels
Publication date
01-12-2013
Publisher
BioMed Central
Published in
Trials / Issue 1/2013
Electronic ISSN: 1745-6215
DOI
https://doi.org/10.1186/1745-6215-14-227

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