Bühne David, Elling Jan Mathis, Hetzel Christian, Alles Torsten
Institute for Quality Assurance in Prevention and Rehabilitation (IQPR), German Sport University Cologne, Köln, Germany.
JMIR Res Protoc. 2024 Mar 18;13:e50200. doi: 10.2196/50200.
Retraining programs in vocational rehabilitation are often characterized by a low level of physical activity, even when targeting jobs with primarily physical demands. They might therefore be accompanied by a decline in functional capacity if the lack of physical activity is not compensated by increased activity during leisure time. The implementation of a work-related exercise app might be a promising approach to promoting a return to work in vocational rehabilitation. We developed the "WORKout-app" which provides exercise plans based on a comparison of the physical demands of the retraining profession and the current functional capacity.
The aim of this study is to examine the effects of app-based exercise during vocational rehabilitation on perceived work ability (primary outcome), occupational self-efficacy, days of sick leave, and return to work (secondary outcomes).
We conducted a cluster-randomized controlled trial with 2 arms (intervention: WORKout-app vs control: treatment as usual) in 4 cohorts of 5 vocational rehabilitation centers in Germany. Participants are nested within retraining classes per vocational rehabilitation center and per cohort assigned to either the intervention condition or the control condition. The target sample size at the participant level is 598. Measurement time points include baseline, the end of rehabilitation, 3 months after the end of rehabilitation, and 6 months after the end of rehabilitation. Linear and generalized linear mixed-effects models are performed to test for treatment differences in outcomes.
This study is funded by the German Federal Pension Insurance. The trial is registered with the German Clinical Trials Register (DRKS00030775) and approved by the Ethics Committee of the German Sport University Cologne (145/2022).
The findings of the study will inform researchers and practitioners about the effectiveness of an exercise app developed to counteract the effects of physical inactivity during vocational rehabilitation.
INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): DERR1-10.2196/50200.
职业康复中的再培训项目通常身体活动水平较低,即便针对的是主要需要体力的工作。因此,如果缺乏身体活动未在休闲时间通过增加活动量来弥补,可能会导致功能能力下降。实施一款与工作相关的运动应用程序可能是促进职业康复中重返工作岗位的一种有前景的方法。我们开发了“WORKout应用程序”,它根据再培训职业的体力需求与当前功能能力的比较提供锻炼计划。
本研究旨在探讨职业康复期间基于应用程序的锻炼对感知工作能力(主要结局)、职业自我效能感、病假天数和重返工作岗位(次要结局)的影响。
我们在德国5个职业康复中心的4个队列中进行了一项双臂整群随机对照试验(干预组:WORKout应用程序;对照组:常规治疗)。参与者嵌套在每个职业康复中心的再培训班级中,每个队列被分配到干预组或对照组。参与者层面的目标样本量为598。测量时间点包括基线、康复结束时、康复结束后3个月和康复结束后6个月。采用线性和广义线性混合效应模型来检验结局的治疗差异。
本研究由德国联邦养老保险资助。该试验已在德国临床试验注册中心(DRKS00030775)注册,并获得了德国科隆体育大学伦理委员会的批准(145/2022)。
该研究结果将为研究人员和从业者提供信息,了解为抵消职业康复期间身体不活动的影响而开发的运动应用程序的有效性。
国际注册报告识别码(IRRID):DERR1-10.2196/50200。