Evidence map›Paper›PMID 37730637›Full record

ArticleBMC rheumatology2023

Effectiveness and cost-effectiveness of a multimodal, physiotherapist-led, vocational intervention in people with inflammatory arthritis: study protocol of the Physiotherapy WORKs trial.

N F Bakker, S F E van Weely, N Hutting, Y F Heerkens, J A Engels, J B Staal, M van der Leeden, A Boonen, W B van den Hout, T P M Vliet Vlieland and 1 more

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC rheumatology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.5field-weighted citation impact, top 17% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 6 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Management of Rheumatoid Arthritis in Primary Care: A Scoping Review.International journal of environmental research and public health · 2024
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 5 institutions in 1 country.

N F BakkerDepartment of Orthopaedics, Rehabilitation and Physical Therapy, Leiden University Medical Center, Albinusdreef 2, P.O.Box 9600, 2300 RC, Leiden, the Netherlands. n.f.bakker@lumc.nl.
S F E van WeelyDepartment of Orthopaedics, Rehabilitation and Physical Therapy, Leiden University Medical Center, Albinusdreef 2, P.O.Box 9600, 2300 RC, Leiden, the Netherlands.
N HuttingResearch Group Occupation & Health, HAN University of Applied Sciences, Nijmegen, the Netherlands.
Y F HeerkensResearch Group Occupation & Health, HAN University of Applied Sciences, Nijmegen, the Netherlands.
J A EngelsResearch Group Occupation & Health, HAN University of Applied Sciences, Nijmegen, the Netherlands.
J B StaalMusculoskeletal Rehabilitation Research Group, HAN University of Applied Sciences, Nijmegen, the Netherlands.
M van der LeedenReade, Rehabilitation and Rheumatology, Amsterdam, the Netherlands.
A BoonenDepartment of Internal Medicine, Division of Rheumatology, Maastricht University Medical Centre, Maastricht, the Netherlands.
W B van den HoutDepartment of Biomedical Data Sciences, Leiden University Medical Center, Leiden, the Netherlands.
T P M Vliet VlielandDepartment of Orthopaedics, Rehabilitation and Physical Therapy, Leiden University Medical Center, Albinusdreef 2, P.O.Box 9600, 2300 RC, Leiden, the Netherlands.
J KnoopMusculoskeletal Rehabilitation Research Group, HAN University of Applied Sciences, Nijmegen, the Netherlands.
HAN University of Applied Sciences · NLLeiden University Medical Center · NLHealth & Safety in Sports · NLMaastricht University · NLRadboud University Medical Center · NL

Funding

Dutch Arthritis Society (ReumaNederland) and the Scientific College of Physical Therapy (Wetenschappelijk College Fysiotherapie; WCF) of the Royal Dutch Society for Physical Therapy (Koninklijk Nederlands Genootschap voor Fysiotherapie; KNGF) 2019-09-01
6 · The paper itself

Abstract

backgroundAlthough reduced work ability is a substantial problem among people with inflammatory arthritis (IA), work ability is an underexposed area in clinical practice. Evidence on vocational interventions in IA is limited, but favourable results of delivery by a physiotherapist (PT) warrant the need for further research. Therefore, we aim to evaluate the (cost-)effectiveness of a multimodal, PT-led, vocational intervention in (self-)employed people with IA compared to usual care.

methodsThis randomized controlled trial will include 140 people with rheumatoid arthritis (RA) or axial spondyloarthritis (axSpA) who are (self-)employed and have reduced work ability (Work Ability Index - Single Item Scale (WAS) ≤ 7/10) and/or RA/axSpA related sick leave (≤ 6 months). Participants will be randomized 1:1 to the intervention or control condition (usual care). The intervention, delivered by primary care PTs, will be personalized to each patient, consisting of 10 to 21 sessions over 12 months. The intervention will be multimodal, comprising of 1) exercise therapy and a physical activity plan, 2) education/self-management support, 3) work-roadmap to guide participants in finding relevant other care, with optionally 4) online self-management course and 5) workplace examination. Assessments will be performed at baseline and after 3, 6, and 12 months. The primary outcome measure of effectiveness is work ability, as measured with the WAS at 12 months. For the cost-effectiveness analysis, the EuroQol (EQ-5D-5L), self-reported healthcare use, sick leave and productivity while at work will be used to estimate the trial based cost-utility from a societal perspective. A process evaluation, including assessments of adherence and treatment fidelity, will be undertaken using the registrations of the PTs and semi-structured interviews at 12 months follow-up in a random sample of the intervention group. DISCUSSION: The results of this study will provide insights in the (cost-)effectiveness of a multimodal, PT-led, vocational intervention in people with IA and a reduced work ability.

trial registrationThis study is registered in the International Clinical Trial Registry Platform (ICTRP) under number NL9343.

Indexed as

Axial spondyloarthritisPhysiotherapyRandomized controlled trialRheumatoid arthritisVocational rehabilitation

Identifiers

PMID37730637
PMCPMC10510245
OpenAlexW4386895230

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.