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首页> 外文期刊>BMC Medical Informatics and Decision Making >Empowerment of disability benefit claimants through an interactive website: design of a randomized controlled trial
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Empowerment of disability benefit claimants through an interactive website: design of a randomized controlled trial

机译：通过交互式网站增强残疾人福利索赔人的能力：随机对照试验的设计

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Background Individuals claiming a disability benefit after long-term sickness absence, have to undergo medical disability assessments. These assessments, often carried out by specialized physicians, can be complicated by wrong expectations or defensive attitudes of disability benefit claimants. It is hypothesized that empowerment of these claimants will enhance the physician-patient relationship by shifting claimants from a passive role to a more active and constructive role during disability assessments. Furthermore, empowerment of claimants may lead to a more realistic expectation and acceptance of the assessment outcome among claimants and may lead to a more accurate assessment by the physician. Methods/Design In a two-armed randomized controlled trial (RCT), 230 claimants will be randomized to either the intervention or control group. For the intervention group, an interactive website was designed http://www.wiagesprek.nl webcite using an Intervention Mapping procedure. This website was tested during a pilot study among 51 claimants. The final version of the website consists of five interactive modules, in which claimants will be prepared and empowered step-by-step, prior to their upcoming disability assessment. Other website components are a forum, a personal health record, a personal diary, and information on disability assessment procedures, return to work, and coping with disease and work disability. Subjects from the control group will be directed to a website with commonly available information only. Approximately two weeks prior to their disability assessment, disability claimants will be recruited through the Dutch Workers Insurance Authority (UWV). Outcomes will be assessed at five occasions: directly after recruitment (baseline), prior to disability assessment, directly after disability assessment as well as 6 and 16 weeks after the assessment. The study's primary outcome is empowerment, measured with the Vrijbaan questionnaire. Secondary outcomes include claimants' satisfaction, perceived justice, coping strategy, and knowledge. A process evaluation will also be conducted. Discussion This study evaluates the effectiveness of an interactive website aimed at empowerment of disability claimants. It is hypothesized that by increasing empowerment, the physician-patient relationship may be enhanced and claimants' satisfaction and perceived justice can be improved. Results are expected in 2010. Trial registration NTR-1414
机译：背景技术长期缺勤后要求获得残疾补助的个人必须接受医学残疾评估。这些评估通常由专科医生进行，可能由于对残障利益索偿者的错误期望或防御态度而变得复杂。假设通过在残疾评估期间将索赔人从被动角色转变为更积极和更具建设性的角色，对这些索赔人的授权将增强医患关系。此外，对索赔人的授权可能导致索赔人对评估结果的期望更加现实和接受，并可能导致医师进行更准确的评估。方法/设计在两臂随机对照试验（RCT）中，将230名索赔人随机分配到干预组或对照组。对于干预小组，使用干预映射程序将交互式网站设计为http://www.wiagesprek.nl网站。该网站在51名索赔人的初步研究中经过测试。该网站的最终版本由五个互动模块组成，在这些模块中，索赔人将在即将进行的残障评估之前准备并逐步获得授权。其他网站内容包括论坛，个人健康记录，个人日记以及有关残疾评估程序，重返工作以及应对疾病和工作残疾的信息。对照组的对象将被定向到仅提供常用信息的网站。在残疾评估之前大约两周，将通过荷兰工人保险局（UWV）招募残疾索赔人。将在五种情况下评估结果：征募后（基线），残疾评估前，残疾评估后以及评估后6周和16周。这项研究的主要结果是赋权，这是通过Vrijbaan问卷进行衡量的。次要结果包括索赔人的满意度，感知的正义，应对策略和知识。还将进行过程评估。讨论本研究评估了旨在增强残障人权利的交互式网站的有效性。假设通过增加授权，医患关系可以得到改善，索赔人的满意度和正义感可以得到改善。预计将于2010年取得结果。试用注册NTR-1414

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