Rehabilitation最新文献

{"title":"Return to Work of People With Chronic Health Conditions After Medical or Vocational Rehabilitation During the COVID-19 Pandemic: a Qualitative Study.","authors":"Nadine Sänger, Mathis Elling, Christian Hetzel, Betje Schwarz","doi":"10.1055/a-2858-9471","DOIUrl":"https://doi.org/10.1055/a-2858-9471","url":null,"abstract":"<p><strong>Purpose: </strong>The COVID-19 pandemic had diverse impacts on various aspects of societal life. The aim of this study, part of a mixed methods project, was to examine how the pandemic affected return to work after medical or vocational rehabilitation.</p><p><strong>Methods: </strong>A total of 60 guided interviews and three focus groups were conducted. Participants included rehabilitation practitioners, occupational actors, and rehabilitees in medical or vocational rehabilitation during the pandemic. The collected data were analyzed using qualitative content analysis. A deductive category system of potential return-to-work factors, structured according to the dimensions of the International Classification of Functioning, Disability and Health, was applied, and inductive subcategories were developed. Each factor was categorized according to its pandemic influence.</p><p><strong>Results: </strong>During the COVID-19 pandemic, rehabilitees experienced health burdens, isolation, and limited access to medical treatments. The strained labor market led to fears of job loss, terminations, and difficulties in reintegration. Workplace barriers included a lack of support and high workloads, while leaders perceived as understanding and supportive organizational structures facilitated the return to work. In medical rehabilitation, reduced capacities and therapy offerings posed challenges. Vocational rehabilitation had to be delivered digitally and the transition into practical work was aggravated. Overall, factors such as self-management, digital literacy, and financial stability influenced return to work outcomes.</p><p><strong>Conclusion: </strong>Even during the pandemic, return to work was shaped by \"well-known,\" pandemic-independent factors (e. g., motivation). However, some of these factors gained particular relevance in this context (e. g., health literacy). Additionally, pandemic-specific return to work factors emerged (e. g., infection control measures). In medical rehabilitation, pandemic-independent factors such as a lack of work-related counseling or uncooperative leadership remained primary barriers to reintegration. Vocational rehabilitation, on the other hand, faced greater challenges due to the strained labor market and the necessity of digital solutions, making pandemic-specific and pandemic-moderated factors more impactful.</p>","PeriodicalId":54504,"journal":{"name":"Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148426557","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Migration-sensitive care strategies in inpatient rehabilitation in Austria: Results of a mixed-methods study].","authors":"Stephanie Stolz, Yüce Yılmaz-Aslan, Patrick Brzoska","doi":"10.1055/a-2858-9349","DOIUrl":"https://doi.org/10.1055/a-2858-9349","url":null,"abstract":"<p><strong>Purpose: </strong>The aim of the present study was to investigate challenges related to the inpatient rehabilitation of people with a migration background in Austria, as well as the ways facility staff addressed these challenges. Furthermore, existing migration-sensitive care concepts or measures in Austrian rehabilitation clinics, potential supporting and impeding factors for their implementation and further development potentials were examined.</p><p><strong>Method: </strong>The study uses a mixed-methods approach. In addition to a questionnaire survey in which 18 inpatient rehabilitation facilities participated, 20 topic-guided expert interviews were conducted with members of various professional groups working in Austrian inpatient rehabilitation facilities. The survey data were analyzed descriptively, while the interviews were analyzed using qualitative content analysis.</p><p><strong>Results: </strong>The most common challenges in everyday rehabilitative care included language and communication barriers, as well as expectations and perceptions among rehabilitation patients that were not sufficiently taken into account by the facilities. Rehabilitation facilities have already implemented various migration-sensitive care measures of migration-sensitive care; however, systematic approaches and interpreting services in particular have so far only been used sporadically. The main obstacles to the implementation of migration-sensitive care strategies were financial, personnel-related and organisational challenges.</p><p><strong>Conclusion: </strong>The results provide up-to-date insights into the reality of rehabilitative care of people with a migrant background in Austria and show that facility representatives are aware of the individual care needs arising from the increasing intercultural diversity of rehabilitation patients. They also point to structural and organizational deficits, as well as opportunities for improvement in the context of current health policy challenges.</p>","PeriodicalId":54504,"journal":{"name":"Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148426509","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Cooperation in vocational rehabilitation - partnerships and networks as quality indicators].","authors":"Dieter Röh, Silke Werner, Anna-Lena Bühne, Kyung-Eun Choi, Sina Jädicke, Stella Lemke, Silke Tophoven, Eileen Wengemuth","doi":"10.1055/a-2832-2501","DOIUrl":"10.1055/a-2832-2501","url":null,"abstract":"<p><strong>Purpose: </strong>This article examines various aspects of networks and cooperation in the field of vocational rehabilitation as quality characteristics.</p><p><strong>Methods: </strong>Four different research projects were used for the study. Statements on the experience of cooperation between rehabilitation patients, rehabilitation specialists, and rehabilitation counsellors were generated from the qualitative material of three studies. These were supplemented by a quantitative evaluation of the frequency of contact between social workers and service providers of vocational rehabilitation.</p><p><strong>Results: </strong>Obstacles and facilitating factors were identified at three levels, from which concrete suggestions for quality improvement were derived. The three levels comprised the counselling dyad, the team and stakeholder level, and the extended organisational level.</p><p><strong>Conclusion: </strong>The institutions examined demonstrate well-developed networks and cooperation from an intra-organisational perspective. The potential of good networking and cooperation to improve quality within the rehabilitation system has not yet been fully exploited. There is a clear need for further development in inter-organisational cooperation between service providers and the health and social system.</p>","PeriodicalId":54504,"journal":{"name":"Rehabilitation","volume":"65 3","pages":"167-175"},"PeriodicalIF":2.4,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148284843","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Tasks and Roles of Social Work in Vocational Rehabilitation].","authors":"Nadja Freymüller, Julia Seefeld, Silke Werner, Ruth Enggruber, Dieter Röh, Silke Tophoven, Tobias Knoop, Harald Zellner, Kathrin Ebener-Holscher, Sina Jädicke, Thorsten Meyer-Feil","doi":"10.1055/a-2698-4432","DOIUrl":"10.1055/a-2698-4432","url":null,"abstract":"<p><strong>Purpose: </strong>Social work is part of the interprofessional rehabilitation team and, for example, provides services in the context of so-called special aids in vocational rehabilitation. However, compared to the field of medical rehabilitation, there is still relatively little research on the practice of social work in vocational rehabilitation. The three research projects Tasks and Use of Social Work in Vocational Rehabilitation (ANSAB), Networks and Cooperation in Vocational Rehabilitation (NEKOBERE) and Social Work in Vocational Rehabilitation (SABER) aimed to address this gap by identifying the tasks and roles of social work in this field.</p><p><strong>Methods: </strong>The analysis was based on the qualitative study components of the three projects and an online survey of 109 professionals conducted as part of the ANSAB project. Initially, each research team analyzed its own data. Subsequently, a synthesis of the findings was conducted using a best fit framework synthesis approach. The theoretical framework was based on Dahrendorf's role theory.</p><p><strong>Results: </strong>Professionals working in the field of social work perform a wide range of tasks and take on various roles. Among others, the identified roles included Thread-Holder, Rehabilitation Process Companion, \"Motherly\" Carer and Networker. Tasks could be assigned to these roles. Professionals perceived tasks linked to the roles of the Thread-Holder and Rehabilitation Process Companion (e. g. individual rehabilitation progress discussions) as particularly frequent and important. A potential for role conflict between these two roles was also identified. This may occur, for example, when rehabilitants perceive professionals as representatives of the funding agency, which can lead to reluctance to disclose psychosocial concerns.</p><p><strong>Conclusion: </strong>The results of the three research projects highlight the central importance of professionals working in the field of social work. Building on these findings, practice-oriented recommendations will be developed to support professionalization and further define the competence profile of these professionals.</p>","PeriodicalId":54504,"journal":{"name":"Rehabilitation","volume":" ","pages":"176-184"},"PeriodicalIF":2.4,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145410775","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Discontinuities in Vocational Rehabilitation: Institutional Frameworks and Biographical Trajectories in Vocational Training Centers (BTZ) and Vocational Rehabilitation Centers (BFW)].","authors":"Niklas Tibbe, Nathalie Glamann, Verena Kakuschke, Stefan Dreßke, Regina Weißmann, Ernst von Kardorff, Joachim Thomas, Heike Ohlbrecht","doi":"10.1055/a-2821-0529","DOIUrl":"10.1055/a-2821-0529","url":null,"abstract":"<p><strong>Purpose: </strong>This article examines discontinuities that occur within measures related to vocational rehabilitation services (Leistungen zur Teilhabe am Arbeitsleben, LTA). It explores how these discontinuities are experienced and managed by rehabilitation participants, and how service providers - such as Vocational Training Centers (Berufsförderungswerke, BFW) and Vocational Training Centers for Mental Health (Berufliche Trainingszentren, BTZ) - respond to such disruptions. The study identifies individual and organizational patterns of interpretation and coping strategies and derives recommendations for a biographically sensitive rehabilitation practice.</p><p><strong>Methods: </strong>This article is based on findings from two research projects that addressed the issue of discontinuities in vocational rehabilitation using mixed-methods designs and different methodological perspectives. Data collection methods included qualitative interviews with rehabilitation participants, expert interviews, focus groups, standardised surveys, and routine monitoring. The analyses were conducted using qualitative content analysis (Kuckartz, Mayring), Grounded Theory (Glaser & Strauss), and descriptive statistical methods.</p><p><strong>Results: </strong>Discontinuities in the rehabilitation process occur frequently and in various forms. These included pre-existing experiences brought into the program, such as episodes of illness, psychological crises, premature termination of previous measures, or changes in internships. While BFW had to rely more heavily on continuous and standardised procedures due to their institutional mandate, BTZ responded with greater flexibility. Participants perceived these discontinuities ambivalently, viewing them both as obstacles and as opportunities for reorientation.</p><p><strong>Conclusion: </strong>Discontinuities reflect heterogeneous forms of individual coping with life and illness before, during, and after participation in vocational rehabilitation programs. Rather than being regarded as deviations from expected standard trajectories, they should be seen as challenges that call for a constructive, biography-oriented approach to dealing with setbacks, breaks, and detours. This approach can create space for individual development processes, which may contribute to more successful vocational rehabilitation outcomes.</p>","PeriodicalId":54504,"journal":{"name":"Rehabilitation","volume":" ","pages":"157-166"},"PeriodicalIF":2.4,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147693789","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Conformance, Completeness and Plausibility of the Service Classification of Vocational Rehabilitation for Educational Services: A Routine Data Analysis].","authors":"Christian Hetzel, Tobias Knoop, Nadja Freymüller, Mathis Elling, Thorsten Meyer-Feil, David Bühne","doi":"10.1055/a-2804-0879","DOIUrl":"10.1055/a-2804-0879","url":null,"abstract":"<p><strong>Purpose: </strong>In 2017, the service classification of vocational rehabilitation (LBR) became mandatory for vocational rehabilitation centres as part of the German Pension Insurance's (DRV) quality assurance process. This joint study aims to determine the quality of LBR data by analysing routine data on conformance, completeness and plausibility, using vocational training services in vocational retraining centers as an example.</p><p><strong>Methods: </strong>This analysis is based on a scientific use file 'Completed rehabilitation in the insurance history 2015-2022', as well as data on the LBR and the assignment to rehabilitation centres. Following the selection of vocational training services (i. e., qualification and integration measures in vocational retraining centres), 35,878 measures from rehabilitants who ended their rehabilitation from 2018 to 2022 were evaluated. The documented LBR codes were analysed descriptively, as well as using logistic and linear regression models.</p><p><strong>Results: </strong>Regarding the conformance of the LBR, the analyses showed that the documentation met the structural and content-related requirements. A review of the completeness of the LBR documentation revealed that the documentation increased over the years, but to date (2022), approximately 25% of the measures were still undocumented. The decision regarding documentation depends largely on the rehabilitation centre. Plausibility analyses revealed that the documented duration varied considerably between institutions. Furthermore, it was revealed that expectations regarding the association between personal characteristics (e. g., age, sex) or measure (e. g., termination of measure, scope of rehabilitative assistance) and the documented duration of LBR were only confirmed in part in an exemplarily selected subset of the data (with services relating to health literacy and therapeutic services).</p><p><strong>Conclusion: </strong>Overall, the results of the analyses allow a positive conclusion to be drawn about the quality of the LBR data with regard to conformance and completeness. In terms of plausibility, however, the results are inconclusive. It has not yet been possible to take any external evaluation standards into account. These should be developed in the next step.</p>","PeriodicalId":54504,"journal":{"name":"Rehabilitation","volume":" ","pages":"185-195"},"PeriodicalIF":2.4,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147596106","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Shaping Transitions: Access and Pathways in Vocational Rehabilitation].","authors":"Verena Kakuschke, Nathalie Glamann, Eileen Wengemuth, Niklas Tibbe, Regina Weißmann, Stefan Dreßke, Kyung-Eun Choi, Ernst von Kardorff, Joachim Thomas, Heike Ohlbrecht","doi":"10.1055/a-2742-5589","DOIUrl":"10.1055/a-2742-5589","url":null,"abstract":"<p><strong>Purpose: </strong>Transition from medical to vocational rehabilitation not only mark the change from one institution or programme to the next, but are also biographically significant and vulnerable phases for the rehabilitants. The organisation of this transition is therefore of great importance. The present study analyses transitions from medical to vocational rehabilitation from the perspective of four research projects. The article addresses key hurdles, control mechanisms and subjective experiences in the transition process.</p><p><strong>Methods: </strong>The data basis comprises qualitative interviews, focus groups, document analyses, as well as standardised and open questionnaire surveys in various vocational rehabilitation institutions (BFW and BTZ) and medical rehabilitation institutions. The evaluation was conducted using a combination of qualitative content analysis (Kuckartz, Mayring), grounded theory (Glaser & Strauss), and descriptive statistical methods.</p><p><strong>Results: </strong>The results can be grouped into four thematic focus areas that chronologically describe the transition process: 1) the path to vocational rehabilitation, 2) information and support for vocational rehabilitation, 3) access to and referral to vocational rehabilitation, and 4) the start of and arrival in vocational rehabilitation. It became evident that the transitions were characterized by institutional fragmentation, information deficits and unclear responsibilities. It was often the case that individuals seeking vocational rehabilitation services did so on an opportunistic basis, or through their own personal initiative. The coordination of counselling services was suboptimal, and the formal referral processes appeared to lack transparency and were sometimes arbitrary. Vulnerable groups, such as those grappling with addictions or other mental health problems, were particularly susceptible to the impact of these barriers. However, there were documented instances of successful transitions, particularly when early, continuous counselling was provided, and individual circumstances were given due consideration.</p><p><strong>Conclusions: </strong>Successful transition management requires clear responsibilities, standards for counselling and referral, and better integration of medical and vocational rehabilitation. It is crucial to integrate institutional routines within the rehabilitants' biographies.</p>","PeriodicalId":54504,"journal":{"name":"Rehabilitation","volume":" ","pages":"147-156"},"PeriodicalIF":2.4,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145769999","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[How do transitions of people with mental disabilities from sheltered workshops to the general labour market succeed? A scoping review].","authors":"Lisa Preissner, Lena Hünefeld, Bastian Pelka","doi":"10.1055/a-2831-5045","DOIUrl":"https://doi.org/10.1055/a-2831-5045","url":null,"abstract":"<p><p>Transition of people with mental disabilities (PwMD) from sheltered workshops (WfbM) to the general labour market remain rare. The aim of this study was to identify factors that facilitate or hinder these transitions in order to highlight existing research gaps and provide impulses for future investigations.The scoping review followed an established methodological framework and the PRISMA guidelines. The literature research covered the period from January 2001 to October 2025. After screening and full-text review, eleven sources were included in the final analysis. Data analysis was based on a thematic approach to identify key influencing factors in the transition process.The findings showed that transitions were shaped by the complex interplay of personal, rehabilitative, and environmental factors. Facilitating factors included individual skills, motivation, initiative, labour-market-oriented support programmes, internships, and qualified support staff. Inhibiting factors comprised low self-competence, structural barriers within sheltered workshops, limited system transparency, and reduced inclusiveness of the general labour market. The review also revealed a strong dominance of conceptual contributions and a limited empirical foundation within the current research landscape.The results highlight the need for empirically grounded studies to systematically evaluate the effectiveness of existing transition instruments. Future research should apply more case- and observation-based designs to better understand the interactions between individual, institutional, and societal influences. Furthermore, closer cooperation within a multi-professional rehabilitation setting, as well as research into the professionalisation of educational staff in sheltered workshops, appear essential for strengthening sustainable transitions and improving the vocational participation of people with mental disabilities.</p>","PeriodicalId":54504,"journal":{"name":"Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147693782","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Impact of psychological comorbidity in women with breast cancer on work participation after medical rehabilitation: A routine data analysis].","authors":"Sofia Petrak, Matthias Bethge, David Fauser","doi":"10.1055/a-2808-9973","DOIUrl":"https://doi.org/10.1055/a-2808-9973","url":null,"abstract":"<p><p>Psychological comorbidities in cancer patients are common and associated with additional limitations in work participation. This longitudinal analysis examines the impact of psychological comorbidity in women with breast cancer on work participation after cancer rehabilitation.We used the scientific use file \"SUFRSDLV20B\" of the German Pension Insurance. Women with breast cancer who had completed inpatient post-acute rehabilitation in 2017 were included. Characteristics of patients with and without psychological comorbidity at the time of rehabilitation and their employment histories up to two years later were analyzed descriptively. Multiple logistic regressions tested the association between psychological comorbidity and stable employment as well as receiving a disability pension.Data from 2,310 women were analyzed, of whom 478 (21%) had a psychological comorbidity. Women with psychological comorbidity were more often unemployed before rehabilitation (11 vs. 8%) and also more frequently received sickness and unemployment benefits after rehabilitation. Psychological comorbidity was significantly associated with a lower chance of stable employment (OR=0.7; 95% CI 0.5 to 0.9; p=0.010) and a higher chance of receiving a disability pension (OR=1.9; 95% CI 1.2 to 3.1; p=0.008) two years after rehabilitation. The strongest association was observed for depression.In women with breast cancer, a psychological comorbidity was associated with restricted work participation two years after rehabilitation. These results indicate the need for early detection of psychological comorbidities and psycho-oncological as well as work-related interventions.</p>","PeriodicalId":54504,"journal":{"name":"Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147610416","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"From assessment to action: A randomised controlled trial of the effectiveness of a holistic diagnostic to enhance work ability.","authors":"David Fauser, Saskia Dötsch, Jessica Roder, Vera Kleineke, Dagmar Feddersen, Gregor Usdrowski, Matthias Bethge","doi":"10.1055/a-2663-0460","DOIUrl":"10.1055/a-2663-0460","url":null,"abstract":"<p><strong>Purpose: </strong>Employees can benefit from multimodal work-related intervention strategies. This randomised controlled trial tested the effectiveness of an integrative diagnostic service used to clarify intervention needs of employees with endangered work participation (German Clinical Trials Register: DRKS00027577).</p><p><strong>Methods: </strong>Employees with health restrictions and limited work ability were included and received an initial consultation with their occupational health physician. With computer-generated allocation lists, they were randomised to the treatment arms. The intervention group (IG) immediately attended a two-day assessment in a rehabilitation centre and then received follow-up consultations at the workplace. The control group (CG) started the two-day assessment six months after randomisation. Questionnaire data were collected from participants at their initial consultation and after six months. The primary outcome was the subjective work ability of the participants (Work Ability Score; 0-10 points). Secondary outcome measures included working conditions and sick leave duration.</p><p><strong>Results: </strong>Data from 61 participants (IG: n=32) were analysed. A clinically important but statistically nonsignificant difference was found between IG and CG, including a moderate effect size for work ability (difference=1.15: 95% CI: -0.05 to 2.35; p=0.061). Clinically relevant differences were observed for sick leave duration in weeks (difference=-4.00: 95% CI: -7.49 to -0.51; p=0.025) and job insecurity (difference: -16.40; 95% CI: -29.82 to -2.99; p=0.017).</p><p><strong>Conclusions: </strong>Our results suggest that the intervention led to a reduction in sick leave and improvements in job security and work ability. The effectiveness of the intervention depends largely upon whether the needs of individuals and the requirements of workplaces are taken into consideration. Participants could be selected by occupational physicians on the basis of the occupational skill level. Further research should consider the long-term effects and health economic analyses and structural requirements for a nationwide implementation, as well as employers' perspectives.</p>","PeriodicalId":54504,"journal":{"name":"Rehabilitation","volume":" ","pages":"114-123"},"PeriodicalIF":2.3,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145088169","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}