旨在增强残疾津贴申请人权能的互动网站的有效性：一项实用随机对照试验的结果。

Effectiveness of an interactive website aimed at empowerment of disability benefit claimants: results of a pragmatic randomized controlled trial.

机构信息

Department of Public and Occupational Health, EMGO Institute, VU University Medical Center, Amsterdam, The Netherlands.

出版信息

J Occup Rehabil. 2011 Sep;21(3):410-20. doi: 10.1007/s10926-010-9283-z.

DOI:10.1007/s10926-010-9283-z

PMID:21258848

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3173646/

Abstract

INTRODUCTION

The aim of this study was to investigate the effectiveness of an interactive website aimed at empowerment of disability claimants, prior to the assessment of disability by an insurance physician.

METHODS

A randomized controlled trial was conducted. Claimants applying for a work disability pension after being sick-listed for 104 weeks, were randomized into either an intervention group or control group. Participants who were randomized into the intervention group were able to logon to the website www.wiagesprek.nl , which mainly consisted of five interactive modules aimed at increasing knowledge, self-awareness, expectations, self-efficacy, and active participation. Participants from the control group were directed to a 'sham' website with commonly available information only. The primary outcome was empowerment. Secondary outcomes included coping, knowledge, claimant satisfaction, perceived justice, and physician satisfaction. Outcomes were assessed at baseline, 2 days before the disability assessment, as well as 1 day after, 6 weeks, and 4 months after the disability assessment.

RESULTS

Claimants were randomly assigned to the intervention group (n = 123) or a control group (n = 119). The intervention had no significant short- and long-term effects on empowerment, but the intervention increased claimants' knowledge significantly compared to the control group. Claimant satisfaction with the disability assessment interview and claimant perceived justice on the outcome of the assessment were lower in the intervention group (statistically not significant). Furthermore, the intervention had a significant negative effect on claimants perceived procedural justice.

CONCLUSION

Although knowledge increased significantly, the intervention www.wiagesprek.nl was not successful in reaching its primary target, that is, to increase levels of empowerment among disability claimants, prior to the assessment of disability.

摘要

简介

本研究旨在调查在保险医师评估残疾之前，一个旨在增强残疾索赔者能力的互动网站的有效性。

方法

进行了一项随机对照试验。因病假 104 周而申请丧失工作能力抚恤金的索赔者被随机分为干预组或对照组。随机分配到干预组的参与者可以登录 www.wiagesprek.nl 网站，该网站主要由五个互动模块组成，旨在提高知识、自我意识、期望、自我效能和积极参与度。对照组的参与者被引导到一个只有常用信息的“虚假”网站。主要结果是赋权。次要结果包括应对方式、知识、索赔者满意度、感知公正和医生满意度。在基线、残疾评估前两天以及残疾评估后 1 天、6 周和 4 个月进行评估。

结果

索赔者被随机分配到干预组（n = 123）或对照组（n = 119）。干预措施在短期和长期内均未对赋权产生显著影响，但与对照组相比，干预措施显著提高了索赔者的知识水平。与对照组相比，干预组对残疾评估访谈的索赔者满意度和对评估结果的索赔者感知公正性较低（统计学上无显著性差异）。此外，干预措施对索赔者感知的程序公正性产生了显著的负面影响。