Feasibility of a Vocational Rehabilitation Intervention for Job Retent
Development and Assessment of a Vocational Rehabilitation Intervention for Job Retention in Workers With Multiple Sclerosis (RiaLSM Intervention Project)
What it found
No result yet.
What was tested
Treatment tested
- Vocational Rehabilitation intervention for pwMS
What it measured
Main measures
Interception
Up to 6 months
Acceptance
Up to 6 months
Adherence
Up to 6 months
Quality of life (reported by participants)Lost to Follow-Up
Up to 6 months
Canadian Occupational Performance Measure (COPM)
Baseline, up to 6 months
Quality of life (reported by participants)Client Satisfaction Questionnaire (CSQ)
Up to 6 months
Quality of life (reported by participants)Global Perceived Effect (GPE) scale
Up to 6 months
Quality of life (reported by participants)Barthel Index (BI)
Baseline, up to 6 months
Walking and mobilityBladder, bowel and sexual functionHospital Anxiety Depression scale (HADS)
Baseline, up to 6 months
Mood and sleepModified Fatigue (MFIS-21)
Baseline, up to 6 months
Thinking and memoryFatigueMultiple Sclerosis Neuropsychological Questionnaire for patient (MSNQ-p)
Baseline, up to 6 months
Thinking and memoryWHO Disability Assessment Schedule (WHODAS)
Baseline, up to 6 months
Thinking and memoryWalking and mobility
Who could take part
MS (type not specified) · 18 and over
Show the full criteria
Inclusion criteria
* Confirmed MS diagnosis * Age ≥18 years * Currently employed at the beginning of the study entry * Have worked at least one day in the last 12 months * MSQ-Job >=15 * Written informed consent
Exclusion criteria
* Presence of other pathologies impacting on work productivity
As registered. Criteria can change, so ask the trial team or your neurologist.
Contact details on the registryAbout this trial
In the sponsor's words
Multiple sclerosis (MS) is an autoimmune demyelinating disease of the central nervous system with both inflammatory and degenerative characteristics that affects approximately 136,000 people in Italy. The highest incidence of disease onset occurs between the ages of 20 and 40, which corresponds to the most productive period of a person's life. For this reason, one of the main social consequences of MS is the reduction or abandonment of work activity, which often begins in the early stages of the disease. Vocational Rehabilitation (VR) interventions, as reported in the literature, are used to manage and reduce work-related difficulties. The goal of VR is to enable individuals who experience difficulties in performing work activities to access, find, and maintain employment. This approach is characterized by its multi-professional and multidimensional nature, involving different types of interventions carried out by various professionals in diverse settings. The overall aim of the project is to define a Vocational Rehabilitation (VR) protocol to reduce work-related challenges and promote job retention for workers with MS within the Italian healthcare and social context. The intervention will be organised into three different areas: rehabilitation, reasonable accommodation and education. Participants will receive any of the three interventions or a combination of these. The study will involve a multidisciplinary team of doctors (e.g. neurologist, physiatrist), psychologists, occupational therapists, physiotherapists, social workers, and labour law experts who will be involved according to the subject's specific needs.
Papers
Background
Vitturi BK, Rahmani A, Dini G, Montecucco A, Debarbieri N, Bandiera P, Ponzio M, Battaglia MA, Brichetto G, Inglese M, Persechino B, Durando P. Work Barriers and Job Adjustments of People with Multiple Sclerosis: A Systematic Review. J Occup Rehabil. 2023 Sep;33(3):450-462. doi: 10.1007/s10926-022-10084-1. Epub 2022 Nov 18.Background
Ponzio M, Pignattelli E, Verri A, Grange E, Persechino B, Vitturi BK, Bandiera P, Manacorda T, Inglese M, Durando P, Battaglia MA. Job Retention by People With Disabilities: A Qualitative Study of the Perspectives of People With Multiple Sclerosis. Med Lav. 2024 Jun 21;115(3):e2024018. doi: 10.23749/mdl.v115i3.15947.Background
Ponzio M, Podda J, Pignattelli E, Verri A, Persechino B, Vitturi BK, Bandiera P, Manacorda T, Inglese M, Durando P, Battaglia MA. Work Difficulties in People with Multiple Sclerosis. J Occup Rehabil. 2024 Sep;34(3):606-617. doi: 10.1007/s10926-023-10149-9. Epub 2023 Nov 3.Background
Sweetland J, Riazi A, Cano SJ, Playford ED. Vocational rehabilitation services for people with multiple sclerosis: what patients want from clinicians and employers. Mult Scler. 2007 Nov;13(9):1183-9. doi: 10.1177/1352458507078414. Epub 2007 Jul 10.Background
Escorpizo R, Reneman MF, Ekholm J, Fritz J, Krupa T, Marnetoft SU, Maroun CE, Guzman JR, Suzuki Y, Stucki G, Chan CC. A conceptual definition of vocational rehabilitation based on the ICF: building a shared global model. J Occup Rehabil. 2011 Jun;21(2):126-33. doi: 10.1007/s10926-011-9292-6.
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History
Started
Jan 2025
Main results due
Oct 2025
Finished
Oct 2025