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Process evaluation of a web-based intervention aimed at empowerment of disability benefit claimants

机译：基于网络的干预措施的过程评估，旨在增强残疾人福利索赔人的能力

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Background The objective of this process evaluation study was to gain insight into the reach, compliance, appreciation, usage barriers, and users' perceived effectiveness of a web-based intervention http://www.wiagesprek.nl webcite . This intervention was aimed at empowerment of disability claimants, prior to the assessment of disability by an insurance physician. Methods Reach was determined by registering claimants exposed to the study's invitation brochures, and by comparing trial participant characteristics with non-participants and nationwide claimant data. Compliance was registered by analyzing weblogs, which were automatically collected during the period of the trial. This made it possible to analyze individual use of the intervention. Appreciation, usage barriers, and users' perceived effectiveness were assessed using an online questionnaire that was sent to participants from the intervention group, 6 weeks after enrolment. Results Only 9% of the target population enrolled in the internet program. Because of selective enrolment, more females, higher educated claimants, and less ethnical minorities were reached. Compliance was ambiguous: out of the 123 participants randomized into the intervention group, a significant proportion (33%) did not use the intervention at all, while, at the same time, many participants (32%) used the intervention for more than two hours (i.e. in approximately two weeks). Overall satisfaction with the intervention was good. Claimants perceived the intervention most effective in increasing knowledge, while also a fair amount of users perceived the intervention effective in gaining right expectations or being able to communicate better with their physician. Conclusions The uptake of the intervention http://www.wiagesprek.nl webcite was disappointing. Specifically, the poor reach and compliance of the intervention resulted in a small proportion of the target population using the intervention as intended. Improvements in the implementation process are desirable to increase the reach and compliance and, thereby possibly, the impact of the intervention. Trial registration NTR-1414
机译：背景信息本过程评估研究的目的是深入了解基于Web的干预措施的覆盖范围，合规性，欣赏度，使用障碍以及用户对效果的感知。http://www.wiagesprek.nl webcite。这种干预的目的是在保险医生评估残疾之前，赋予残疾索赔人权力。方法通过注册暴露在研究邀请手册中的申索人，以及将试验参与者的特征与非参与者和全国申索者数据进行比较，确定达到率。通过分析网络日志记录了合规性，这些日志在试验期间会自动收集。这使得分析干预措施的个人使用成为可能。入学后6周，使用在线问卷调查评估了欣赏，使用障碍和用户的感知效果，该问卷已从干预组发送给参与者。结果只有9％的目标人群参加了互联网计划。由于选择性入学，因此达到了更多的女性，受过较高教育的要求者和较少的少数民族。依从性模棱两可：在随机分为干预组的123名参与者中，很大一部分（33％）根本没有使用干预措施，而与此同时，许多参与者（32％）则使用了两种以上干预措施小时（即大约两个星期）。对该干预的总体满意度良好。索赔人认为干预对增加知识最有效，而大量用户也认为干预对有效获得正确的期望或能够更好地与他们的医生沟通是有效的。结论http://www.wiagesprek.nl网站上的干预令人失望。具体而言，干预措施的覆盖面和合规性差，导致按预期方式使用干预措施的目标人群比例很小。需要改进实施过程以增加覆盖范围和依从性，从而增加干预的影响。试用注册NTR-1414

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