Medizinische Rehabilitation bei chronisch entzündlichen Darmerkrankungen: Zugang, Prozess und Ergebnisse: Weitere Analysen einer randomisierten kontrollierten Studie

Translated title of the contribution: Medical Rehabilitation for Inflammatory Bowel Disease: Access, Process, and Results: Further Analyses of a Randomised Controlled Trial

Heiner Raspe, Jana Langbrandtner, Angelika Hüppe*

*Corresponding author for this work

Abstract

Background MERCED is a pragmatic randomised health care trial on the effectiveness and benefit of medical rehab in socially insured employees with chronic inflammatory bowel disease. After on average 8 months post rehab the intervention group showed, compared to continued routine care, a moderate but clinically relevant additional benefit in indicators of social participation, clinical and psychological status. However, no differences were observed for employment status, days off work, and subjective vocational prognosis. Methods We used questionnaire-based reports and ratings of the 211 members of the intervention group on access to medical rehab, its processes and subjective global success as well as a range of health effects calculating pre-post differences. Results Contact with three employment/work related services (focused on vocational counselling, legal advice, aftercare) were reported by 33, 48, and 23% resp. of all rehab patients. Patients with pronounced vocational problems had equally frequent contacts as those without. Compared to 12 other services the three received inferior ratings on a scale from 1 (very good) to 5 (very bad): mean 2,5 - 2,3 - 3,0 resp. Conclusion Medical rehab's relative neglect of vocational elements may partially explain its ineffectiveness in improving participation in work and employment. From MERCED's procedures and results we inferred recommendations to intensify access to medical rehab and its vocational orientation and evaluate its effects.

Translated title of the contributionMedical Rehabilitation for Inflammatory Bowel Disease: Access, Process, and Results: Further Analyses of a Randomised Controlled Trial
Original languageGerman
JournalRehabilitation (Germany)
Volume60
Issue number5
Pages (from-to)320-329
Number of pages10
ISSN0034-3536
DOIs
Publication statusPublished - 01.10.2021

Research Areas and Centers

  • Research Area: Center for Population Medicine and Public Health (ZBV)

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