Table 1 Structure of the intervention
Step | Aim | Session | Content of step |
|---|---|---|---|
1 | Unravelling the participants’ work-related problems in relation to RA/axSpA | Preparation of the first face-to-face consultation with the PT | Participants provide information about their work context using parts of a previously developed questionnaire by de Buck et al. [42]. This information and the three specific (work-related) limitations in physical functioning as measured with the PSC NRS by the researchers before randomization, will be shared with the PT |
| Â | Â | First consultation | The PT performs a systematic assessment aimed at clarifying the RA/axSpA-related work problems and problems encountered in daily life, during a semi-structured dialogue with elements of motivational interviewing using the patient specific goal setting approach (PSG) [43]. During this dialogue, participants are supported to define relevant work treatment goals aligned to their specific (work-related) limitations in physical functioning |
2 | Developing a personalized, multi-modal treatment plan | Second consultation | A personalized treatment plan will be formulated including treatment modalities and frequency of supervision, based on the participants’ needs and preferences in a shared decision making dialogue with the PT. PTs are offered a decision tree and form, to guide them in personalizing the intervention to the participants’ needs |
3 | Execution of the personalized, multi-modal plan | 4 to 10 face-to-face sessions within the first 3 months | Comprising of the following treatment modalities: 1. Personalized exercise therapy including a personal physical activity plan 2. Personalized education and self-management support 3. Personalized ‘work-roadmap’ Optionally (if considered beneficial by PT and agreed by the participant): • A workplace examination • An online self-management course |
4 | Monitoring of the personalized, multi-modal plan | 4 to 9 ‘booster’ sessions within the following 9-months (online, telephone-based or face-to-face) | To facilitate and guide adherence to the formulated treatment plan and to check the achievement of treatment goals |