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The Effectiveness of Case-management Rehabilitation Intervention in Facilitating Return to Work and Maintenance of Employment After Myocardial Infarction: Results of a Randomized Controlled Trial.
- Source :
- Clinical Rehabilitation; Jun2022, Vol. 36 Issue 6, p753-766, 14p
- Publication Year :
- 2022
-
Abstract
- Objective: To study the long-term effectiveness of case-management rehabilitation intervention on vocational reintegration of patients after myocardial infarction (MI). Design: Blinded simple randomization was used to construct an intervention and control groups that were followed up for two years. Subjects and setting: 151 patients, aged 50.3 ± 5.9 years, who experienced uncomplicated MI and were enrolled in a cardiac rehabilitation program were recruited. Interventions: included an early referral to an occupational physician, tailoring an occupational rehabilitation program, based on individual patient needs, coordination with relevant parties, psychosocial intervention, intensive follow-up sessions during a two-year follow-up. Main measures: Return to work within six months of hospitalization and maintenance of employment at one and two years of follow-up. Results: Return-to-work (RTW) rate in the intervention group was 89% and nearly all maintained employment at one year of follow-up (92%) and two years of follow-up (87%). Moreover, almost all of them returned to and maintained their previous jobs. The corresponding figures were: 98%, 94% and 98%, respectively. The figures for the RTW and employment maintenance for the control group were: 74%, 75%, and 72%, respectively. Only about 75%, in this group kept their previous job. The case-management intervention was associated with increased odds of maintaining employment at follow-up of one year (OR = 5.89, 95% CI 1.42–24.30) and two years (OR = 3.12, 95% CI 1.01–10.03). Conclusions: The extended case-management rehabilitation intervention had a substantial positive impact on both the RTW of MI patients and their maintenance of employment at one and two years of follow-up. Trial Registration: This trial is registered at US National Institutes of Health #NCT04934735. [ABSTRACT FROM AUTHOR]
- Subjects :
- CONFIDENCE intervals
MULTIPLE regression analysis
MYOCARDIAL infarction
FISHER exact test
TREATMENT effectiveness
RANDOMIZED controlled trials
COMPARATIVE studies
T-test (Statistics)
CARDIAC rehabilitation
EMPLOYMENT
DESCRIPTIVE statistics
QUESTIONNAIRES
CHI-squared test
RESEARCH funding
EMPLOYMENT reentry
STATISTICAL sampling
VOCATIONAL rehabilitation
ODDS ratio
DATA analysis software
PSYCHOTHERAPY
LONGITUDINAL method
EVALUATION
Subjects
Details
- Language :
- English
- ISSN :
- 02692155
- Volume :
- 36
- Issue :
- 6
- Database :
- Complementary Index
- Journal :
- Clinical Rehabilitation
- Publication Type :
- Academic Journal
- Accession number :
- 156728673
- Full Text :
- https://doi.org/10.1177/02692155221076826