The purpose of this study is to implement the internet-based aftercare program 'GSA-Online plus' in several rehabilitation clinics with patients of different indications (psychosomatic, orthopedic and cardiovascular diseases). 'GSA-Online plus' is an internet-based aftercare program for patients with work-related problems or anxieties facing return to work after longterm sickness absence and inpatient rehabilitation. The patients have access to various exploratory and motivational videos on the study website until their inpatient rehabilitation ends. Afterwards, they start a 12-week writing intervention based on a psychotherapeutic concept, the psychodynamic 'Core Conflictual Relationship Theme Method (CCRT)'. Patients write weekly online diary entries which are answered by anonymous online therapists usually within 24 hours. In a previous randomised controlled trial the efficacy of the intervention was determined, whereas the current study focuses on the implementation and realization in a naturalistic setting (effectiveness).
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
88
A 12-week online writing intervention based on the Core Conflictual Relationship Theme Method (CCRT) with feedback provided by online therapists.
Karl-Aschoff-Klinik
Bad Kreuznach, Rhineland-Palatinate, Germany
Drei-Burgen-Klinik Bad Muenster am Stein
Bad Kreuznach, Rhineland-Palatinate, Germany
Mittelrheinklinik Bad Salzig
Boppard, Rhineland-Palatinate, Germany
Recommendation rate of 'GSA-Online plus'
How often will 'GSA-Online plus' be recommended as an aftercare after inpatient rehabilitation?
Time frame: study inclusion (T1)
Number of patients participating in 'GSA-Online plus'
At least 66% of patients with a corresponding recommendation should use 'GSA-Online plus' at least once.
Time frame: 12 weeks after study inclusion (T14)
Future prospects of employment measured with the "Subjective Prognosis of Work Ability Scale" (SPE)
Time frame: At study inclusion (T1) and 12 weeks later (T14)
Working ability measured with the short form of the "Work Ability Index" (WAI)
Time frame: At study inclusion (T1) and 12 weeks later (T14)
Depressive symptoms measured with a subscale of the "Patient Health Questionnaire" (PHQ-9)
Time frame: At study inclusion (T1) and 12 weeks later (T14)
Anxiety measured with the "General Anxiety Disorder Scale" (GAD-7)
Time frame: At study inclusion (T1) and 12 weeks later (T14)
Somatic symptom burden measured with the Somatic Symptom Scale-8 (SSS-8)
Time frame: At study inclusion (T1) and 12 weeks later (T14)
Psychosocial stressors measured with a subscale of the "Patient Health Questionnaire" (PHQ-10)
Time frame: At study inclusion (T1) and 12 weeks later (T14)
Overall health status measured with the "EQ-5D-3L" questionnaire
Time frame: At study inclusion (T1) and 12 weeks later (T14)
General capability measured with the "Sheehan-Disability Scale"
Time frame: At study inclusion (T1) and 12 weeks later (T14)
Loneliness measured with the "Loneliness Scale" (LS-S)
Time frame: At study inclusion (T1) and 12 weeks later (T14)
Psychological stress measured with the "Perceived Stress Scale" (PSS-4)
Time frame: At study inclusion (T1) and 12 weeks later (T14)
Personal resources measured with the "Oslo Support Scale" (OSS-3)
Time frame: At study inclusion (T1) and 12 weeks later (T14)
Personal resources measured with the "Brief Resilient Coping Scale" (BRCS)
Time frame: At study inclusion (T1) and 12 weeks later (T14)
Regular Monitoring of self-rated health status
Item drawn from the "EQ-5D-3L" questionnaire
Time frame: up to 12 weeks from study inclusion (T2-T13)
Regular Monitoring of self-rated work ability
Item drawn from the "Work Ability Index" (WAI)
Time frame: up to 12 weeks from study inclusion (T2-T13)
Evaluation of the therapeutic feedback
Two self developed items ('How satisfied are you with ... / How helpful was therapeutic feedback') on a five-point Likert scale.
Time frame: up to 12 weeks from study inclusion (T2-T13)
Evaluation of GSA-Online+
Self developed items to assess overall satisfaction with, helpfulness and utilization of GSA-Online+
Time frame: 12 weeks after study inclusion (T14)
Willingness to pay
Self developed items if and how much money participants would pay for GSA-Online+
Time frame: 12 weeks after study inclusion (T14)
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