Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress 2023 EHA Congress 2023 ASCO Annual Meeting
Clinical Collections
Advances in Alzheimer’s

Keynote webinar | Spotlight on sleep in brain health

LIVE: Thursday 2nd May 2024, 18:00-19:30 (CEST)

Quality sleep is essential for health. But what happens to our brains when sleep patterns are disturbed? Join our experts to explore the interplay between sleep disruption and neurological diseases, and the questions that you need to be asking your patients to help you prevent the harmful effects of sleep deprivation.
ADVANCED SEARCH
Log in
Top
BMC Health Services Research
Published in: BMC Health Services Research 1/2018

Open Access 01-12-2018 | Study protocol

A municipality-based vocational rehabilitation programme for occupationally marginalized citizens: a study protocol for a mixed methods study

Authors: Lotte Nygaard Andersen, Mette Jensen Stochkendahl, Kirsten Kaya Roessler

Published in: BMC Health Services Research | Issue 1/2018

Login to get access

Abstract

Background

In 2013 vocational rehabilitation programmes (VRP) were given official and legal approval under Danish law to assist occupationally marginalized citizens in gaining general life skills, building their work ability, and increasing their chances of entering the work force. The project’s aim is to develop a detailed understanding of the health, psychosocial and work circumstances of participating citizens, and of the important processes and mechanisms underlying the potential effects of participating in the VRP.

Methods

This study uses an exploratory mixed methods approach with sequential use of quantitative and qualitative methods. Participants are citizens assigned to an individually tailored VRP in the municipality of Sonderborg, Denmark. The quantitative part of the study consists of a longitudinal survey in which participants complete questionnaires at baseline and at follow-up one year later. Variables include demographic and personal characteristics, the latter ascertained through validated questionnaires on well-being, physical activity, interpersonal problems, general health, work ability, kinesiophobia, self-efficacy, depression and anxiety. The qualitative part of the study consists of semi-structured interviews and observations that explore experiences related to VRP. Participants will be recruited and data collected from questionnaires, interviews and observations in the period February 2016 – March 2018.

Discussion

This research will assemble a unique corpus of knowledge about the characteristics, experiences and outcomes of occupationally marginalized citizens participating in a VRP. It will identify potential enablers and barriers to a successful outcome, and ultimately this knowledge will help inform the future design of individually tailored VRP’s.

Trial registration

ClinicalTrials.gov Identifier: NCT02641704, date of registration December 29, 2015.
Literature
1.
Bond GR, Drake RE. Making the case for IPS supported employment. Admin Pol Ment Health. 2014;41(1):69–73.CrossRef
2.
Harnois G, Gabriel P. Mental health and work: impact, issues and good practices: World Health Organization; 2000.
3.
Marwaha S, Johnson S, Bebbington P, Stafford M, Angermeyer MC, Brugha T, et al. Rates and correlates of employment in people with schizophrenia in the UK, France and Germany. Br J Psychiatry. 2007;191:30–7.CrossRefPubMed
4.
Ahlgren A, Broman L, Bergroth A, Ekholm J. Disability pension despite vocational rehabilitation? A study from six social insurance offices of a county. International journal of rehabilitation research Internationale Zeitschrift fur Rehabilitationsforschung Revue internationale de recherches de readaptation. 2005;28(1):33–42.CrossRefPubMed
5.
McGurk SR, Mueser KT, DeRosa TJ, Wolfe R. Work, recovery, and comorbidity in schizophrenia: a randomized controlled trial of cognitive remediation. Schizophr Bull. 2009;35(2):319–35.CrossRefPubMedPubMedCentral
6.
Sickness and Disability Schemes in the Netherlands. Country memo as a background paper for the OECD Disability Review. 2007. In. Paris: OECD; 2007.
7.
Modini M, Tan L, Brinchmann B, Wang MJ, Killackey E, Glozier N, et al. Supported employment for people with severe mental illness: systematic review and meta-analysis of the international evidence. Br J Psychiatry. 2016;209(1):14–22.CrossRefPubMed
8.
Bond GR, Drake RE, Becker DR. Generalizability of the individual placement and support (IPS) model of supported employment outside the US. World Psychiatry. 2012;11(1):32–9.CrossRefPubMedPubMedCentral
9.
Bond GR, Drake RE, Campbell K. Effectiveness of individual placement and support supported employment for young adults. Early intervention in psychiatry. 2016;10(4):300–7.CrossRefPubMed
10.
Høgelund J. Effekter af den beskæftigelsesrettede indsats for sygemeldte. En litteraturoversigt. In. SFI - Det Nationale Forskningscenter for Velfærd: København; 2012.
11.
Brussig M, Dragano N, Mumken S. Health promotion for unemployed jobseekers: new developments in Germany. Health Policy. 2014;114(2–3):192–9.CrossRefPubMed
12.
Kellett S, Bickerstaffe D, Purdie F, Dyke A, Filer S, Lomax V, et al. The clinical and occupational effectiveness of condition management for incapacity benefit recipients. Br J Clin Psychol. 2011;50(2):164–77.CrossRefPubMed
13.
Wltavsky Z, Lebar L, Bitenc C. Evaluation of competencies in the field of vocational rehabilitation and the employment of persons with disabilities. International journal of rehabilitation research Internationale Zeitschrift fur Rehabilitationsforschung Revue internationale de recherches de readaptation. 2014;37(2):144–51.CrossRefPubMed
14.
15.
16.
17.
Creswell JW, Plano Clark VL. Designing and conducting mixed methods research. In: SAGE Publications. 2014;
18.
Ilmarinen J. The work ability index (WAI). Occup Med. 2007;57(2):160–0.
19.
Ilmarinen J. Work ability - a comprehensive concept for occupational health research and prevention. Scand Journal of Work Environment & Health. 2009;35(1):1–5.CrossRef
20.
Ahlstrom L, Grimby-Ekman A, Hagberg M, Dellve L. The work ability index and single-item question: associations with sick leave, symptoms, and health - a prospective study of women on long-term sick leave. Scand Journal of Work Environment & Health. 2010;36(5):404–12.CrossRef
21.
Bjorner JB, Thunedborg K, Kristensen TS, Modvig J, Bech P. The Danish SF-36 health survey: translation and preliminary validity studies. J Clin Epidemiol. 1998;51(11):991–9.CrossRefPubMed
22.
Bjorner JB, Damsgaard MT, Watt T, Groenvold M. Tests of data quality, scaling assumptions, and reliability of the Danish SF-36. J Clin Epidemiol. 1998;51(11):1001–11.CrossRefPubMed
23.
Stroyer J, Essendrop M, Jensen LD, Warming S, Avlund K, Schibye B. Validity and reliability of self-assessed physical fitness using visual analogue scales. Percept Mot Skills. 2007;104(2):519–33.CrossRefPubMed
24.
Rasmussen CDNM, Andersen LLP, Clausen TP, Stroyer JP, Jorgensen MBP, Holtermann AP. Physical capacity and risk for long-term sickness absence: a prospective cohort study among 8664 female health care workers. Journal of Occupational & Environmental Medicine.
25.
Saltin B, Grimby G. Physiological analysis af middle-aged and old former athletes. Circulation. 1968;38
26.
Rodjer L, Jonsdottir IH, Rosengren A, Bjorck L, Grimby G, Thelle DS, et al. Self-reported leisure time physical activity: a useful assessment tool in everyday health care. BMC Public Health. 2012;12:693.CrossRefPubMedPubMedCentral
27.
Grimby G, Borjesson M, Jonsdottir IH, Schnohr P, Thelle DS, Saltin B. The "Saltin-Grimby physical activity level scale" and its application to health research. Scand J Med Sci Sports. 2015;25(Suppl 4):119–25.CrossRefPubMed
28.
29.
Christensen TN, Hansen ML. Validerede instrumenter ved måling af mental sundhed - til evalueringer på det sociale område. Socialstyrelsen. 2014;
30.
31.
Bech P, Olsen LR, Kjoller M, Rasmussen NK. Measuring well-being rather than the absence of distress symptoms: a comparison of the SF-36 mental health subscale and the WHO-five well-being scale. Int J Methods Psychiatr Res. 2003;12(2):85–91.CrossRefPubMed
32.
Kroenke K, Spitzer RL, Williams JB, Lowe B. An ultra-brief screening scale for anxiety and depression: the PHQ-4. Psychosomatics. 2009;50(6):613–21.PubMed
33.
Lowe B, Wahl I, Rose M, Spitzer C, Glaesmer H, Wingenfeld K, et al. A 4-item measure of depression and anxiety: validation and standardization of the patient health Questionnaire-4 (PHQ-4) in the general population. J Affect Disord. 2010;122(1–2):86–95.CrossRefPubMed
34.
Hughes ME, Waite LJ, Hawkley LC, Cacioppo JT. A short scale for measuring loneliness in large surveys: results from two population-based studies. Research on aging. 2004;26(6):655–72.CrossRefPubMedPubMedCentral
35.
Russell DW. UCLA loneliness scale (version 3): reliability, validity, and factor structure. J Pers Assess. 1996;66(1):20–40.CrossRefPubMed
36.
Lasgaard M. Reliability and validity of the Danish version of the UCLA loneliness scale. Personal Individ Differ. 2007;42(7):1359–66.CrossRef
37.
38.
Luszczynska A, Scholz U, Schwarzer R. The general self-efficacy scale: multicultural validation studies. The Journal of psychology. 2005;139(5):439–57.CrossRefPubMed
39.
Schwarzer R, Jerusalem M. Generalized self-efficacy scale. Measures in health psychology: A user’s portfolio Causal and control beliefs. 1995;1:35–7.
40.
Vlaeyen JWS, Kole-Snijders AMJ, Rotteweel AM, Ruesink R, Heuts PHTG. The role of fear of movement/(re)injury in pain disability. J Occup Rehabil. 1995;5(4):235–52.CrossRefPubMed
41.
Leeuw M, Goossens ME, Linton SJ, Crombez G, Boersma K, Vlaeyen JW. The fear-avoidance model of musculoskeletal pain: current state of scientific evidence. J Behav Med. 2007;30(1):77–94.CrossRefPubMed
42.
Kori S, Miller R, Todd D. Kinesiophobia: a new view of chronic pain behavior. Pain management. 1990;3(1):35–43.
43.
Jorgensen MB, Damsgard E, Holtermann A, Anke A, Sogaard K, Roe C. Properties of the Tampa scale for Kinesiophobia across workers with different pain experiences and cultural backgrounds: a Rasch analysis. Journal of applied measurement. 2015;16(2):218–27.PubMed
44.
Vlaeyen JW, Kole-Snijders AM, Boeren RG, van Eek H. Fear of movement/(re)injury in chronic low back pain and its relation to behavioral performance. Pain. 1995;62(3):363–72.CrossRefPubMed
45.
Lundberg MKE, Styf J. Carlsson SG. A psychometric evaluation of the Tampa scale for Kinesiophobia - from a physiotherapeutic perspective. Physiotherapy theory and practice. 2003;20:121–33.CrossRef
46.
Horowitz LM, Rosenberg SE, Baer BA, Ureno G, Villasenor VS. Inventory of interpersonal problems: psychometric properties and clinical applications. J Consult Clin Psychol. 1988;56(6):885–92.CrossRefPubMed
47.
Alden LE, Wiggins JS, Pincus AL. Construction of circumplex scales for the inventory of interpersonal problems. J Pers Assess. 1990;55(3–4):521–36.CrossRefPubMed
48.
Maxwell JA. Qualitative research design: an interactive approach, vol. 41: Sage; 2013.
49.
Palinkas LA, Horwitz SM, Green CA, Wisdom JP, Duan N, Hoagwood K. Purposeful sampling for qualitative data collection and analysis in mixed method implementation research. Admin Pol Ment Health. 2015;42(5):533–44.CrossRef
50.
Scholl I, Zill JM, Harter M, Dirmaier J. How do health services researchers understand the concept of patient-centeredness? Results from an expert survey. Patient Preference and Adherence. 2014;8:1153–60.CrossRefPubMedPubMedCentral
51.
Le Boutillier C, Leamy M, Bird VJ, Davidson L, Williams J, Slade M. What does recovery mean in practice? A qualitative analysis of international recovery-oriented practice guidance. Psychiatric services (Washington, DC) 2011;62(12):1470–1476.
52.
Leamy M, Bird V, Le Boutillier C, Williams J, Slade M. Conceptual framework for personal recovery in mental health: systematic review and narrative synthesis. Br J Psychiatry. 2011;199(6):445–52.CrossRefPubMed
53.
Jesus TS, Bright F, Kayes N, Cott CA. Person-centred rehabilitation: what exactly does it mean? Protocol for a scoping review with thematic analysis towards framing the concept and practice of person-centred rehabilitation. BMJ Open. 2016;6(7):e011959.CrossRefPubMedPubMedCentral
54.
Malterud K, Siersma VD, Guassora AD. Sample size in qualitative interview studies: guided by information power. Qual Health Res. 2016;26(13):1753–60.CrossRef
55.
Leech NL, Onwuegbuzie AJ. Guidelines for conducting and reporting mixed research in the field of counseling and beyond. Journal of Counseling and Development: JCD. 2010;88(1):61.CrossRef
56.
Malterud K. Systematic text condensation: a strategy for qualitative analysis. Scandinavian Journal of Public Health. 2012;40(8):795–805.CrossRefPubMed
57.
58.
von Elm E, Altman DG, Egger M, Pocock SJ, Gøtzsche PC, Vandenbroucke JP. The strengthening the reporting of observational studies in epidemiology (STROBE) statement: guidelines for reporting observational studies. Ann Intern Med. 2007;147(8):573–7.CrossRefPubMed
Metadata
Title
A municipality-based vocational rehabilitation programme for occupationally marginalized citizens: a study protocol for a mixed methods study
Authors
Lotte Nygaard Andersen
Mette Jensen Stochkendahl
Kirsten Kaya Roessler
Publication date
01-12-2018
Publisher
BioMed Central
Published in
BMC Health Services Research / Issue 1/2018
Electronic ISSN: 1472-6963
DOI
https://doi.org/10.1186/s12913-018-3322-4

Other articles of this Issue 1/2018

BMC Health Services Research 1/2018 Go to the issue

Research article

Team interventions in acute hospital contexts: a systematic search of the literature using realist synthesis

Research article

Cultural orientations and information systems success in public and private hospitals: preliminary evidences from Italy

Study protocol

Protocol for a longitudinal mixed methods realist evaluation of holistic needs assessment and care planning for people affected by cancer

Research article

Qualitative approaches to use of the RE-AIM framework: rationale and methods

Research article

A simple metric for a complex outcome: proposing a sustainment index for health indicators

Research article

Implementation of clinical practice guidelines on lifestyle interventions in Swedish primary healthcare – a two-year follow up