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Case-management Rehabilitation Intervention in Facilitating Return to Work After Myocardial Infarction

NCT04934735 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 151

Last updated 2021-06-25

No results posted yet for this study

Summary

Abstract Purpose: To study the long-term effectiveness of case-management rehabilitation intervention among patients after myocardial infarction (MI) compared with the current standard of care.

Methods: Participants were 151 patients who underwent uncomplicated MI and of which nearly all enrolled in a cardiac rehabilitation program. Patients were randomized into an intervention or control group and provided two years of follow-up data. The intervention, conducted within an occupational medicine clinic, started during hospitalization or immediately thereafter and continued for 2 years. It included: early referral to an occupational physician, charting an occupational intervention program, coordinating between the patient and relevant parties, psychosocial intervention, intensive follow-up sessions during the first 1.5 months, and more spaced interventions during the follow-up period. Outcome variables were: return to work within 6 months of hospitalization and maintenance of employment at one and two years of follow-up.

Conditions

Interventions

PROCEDURE

Rehabilitation program group

The case-management rehabilitation program was conducted by a clinical social worker within the occupational medicine clinic and included several components: 1. Intake by a case manager 2. Referral to an occupational physician was within one week of the intake. 3. Charting an occupational rehabilitation program and timing the RTW date 4. Coordinating between the patients and their family, treating physicians, the employer, community services, and meeting with the patient's family - all on a needful basis. 5. Provision of a guidance booklet for employers on the RTW of cardiac patients. 6. The psychosocial intervention was tailored to the patient's emotional state, occupational needs, and specific requests. 7. Intensive follow-up sessions aimed to ensure that the rehabilitation program was carried out as planned.

Sponsors & Collaborators

  • Assuta Hospital Systems

    lead OTHER

Principal Investigators

  • Melamed Shmuel, Ass. Prof. · Tal Aviv University

Study Design

Allocation
RANDOMIZED
Purpose
HEALTH_SERVICES_RESEARCH
Masking
SINGLE
Model
PARALLEL

Eligibility

Max Age
57 Years
Sex
ALL
Healthy Volunteers
No

Timeline & Regulatory

Start
2007-06-01
Primary Completion
2008-06-30
Completion
2011-08-31

Countries

  • Israel

Study Locations

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Entities

Diseases

Read the full study record

This page highlights key information. For complete eligibility criteria, study locations, investigator contacts, and the full protocol, visit the original record on ClinicalTrials.gov.

View NCT04934735 on ClinicalTrials.gov