Factors associated with the success of a vocational rehabilitation programme for incapacity benefit claimants
研究评估了一项基于生物心理社会模型的职业康复计划对改善无业者健康和功能能力的效果，发现心理健康问题占主导，计划完成率与健康改善显著相关，且从业者和客户特征影响结果。
<h3>Objectives</h3> Improving fitness for employment in workless individuals with health problems requires effective vocational rehabilitation programmes. This study evaluates the effectiveness of a Condition Management Programme (CMP) in improving the health and functional capacity of workless individuals with health problems and increasing their potential for work. The CMP is based on the biopsychosocial model and assisted clients receiving Incapacity Benefit (IB). <h3>Methods</h3> Validated measures of health, wellbeing and functional capacity were recorded pre and post-intervention and subjected to multivariate statistical analysis. Socio-demographic data, past-employment history, and client and Condition Manager (CM) characteristics were included in the analysis. <h3>Results</h3> Overall 2016 clients registered in the programme during the study period. The major health issue reported was mental health (62.8%), followed by musculoskeletal (26.4%). Overall, the completion rate was 28.5% and varied by condition. Programme completion was predominantly associated with significantly increased wellbeing, as documented from the health assessment scores. Pre-assessment, 73.6% of clients were anxious and/or depressed; while post-assessment this decreased to 32.5%. Several variables were investigated for associations with client completion rates, for example, practitioners9 and client characteristics. Results show that practitioner9s age, gender and occupational history can influence the outcome. The client characteristics associated with completion include age; deprivation category; and health condition. <h3>Conclusions</h3> This study identified the factors that influence the effectiveness of the CMP vocational rehabilitation programme. Consideration of these factors could potentially improve the design of future vocational rehabilitation interventions for the long-term workless with health problems, leading to improved health and increased functional capacity for work.