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Effectiveness of a web-based intervention for injured claimants: a randomized controlled trial
There is considerable evidence showing that injured people who are involved in a compensation process show poorer physical and mental recovery than those with similar injuries who are not involved in a compensation process. One explanation for this reduced recovery is that the legal process and the...
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| Published in: | Trials 2013-07, Vol.14 (1), p.227-227 |
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| creator | Elbers, Nieke A Akkermans, Arno J Cuijpers, Pim Bruinvels, David J |
| description | There is considerable evidence showing that injured people who are involved in a compensation process show poorer physical and mental recovery than those with similar injuries who are not involved in a compensation process. One explanation for this reduced recovery is that the legal process and the associated retraumatization are very stressful for the claimant. The aim of this study was to empower injured claimants in order to facilitate recovery.
Participants were recruited by three Dutch claims settlement offices. The participants had all been injured in a traffic crash and were involved in a compensation process. The study design was a randomized controlled trial. An intervention website was developed with (1) information about the compensation process, and (2) an evidence-based, therapist-assisted problem-solving course. The control website contained a few links to already existing websites. Outcome measures were empowerment, self-efficacy, health status (including depression, anxiety, and somatic symptoms), perceived fairness, ability to work, claims knowledge and extent of burden. The outcomes were self-reported through online questionnaires and were measured four times: at baseline, and at 3, 6, and 12 months.
In total, 176 participants completed the baseline questionnaire after which they were randomized into either the intervention group (n=88) or the control group (n=88). During the study, 35 participants (20%) dropped out. The intervention website was used by 55 participants (63%). The health outcomes of the intervention group were no different to those of the control group. However, the intervention group considered the received compensation to be fairer (P |
| doi_str_mv | 10.1186/1745-6215-14-227 |
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Participants were recruited by three Dutch claims settlement offices. The participants had all been injured in a traffic crash and were involved in a compensation process. The study design was a randomized controlled trial. An intervention website was developed with (1) information about the compensation process, and (2) an evidence-based, therapist-assisted problem-solving course. The control website contained a few links to already existing websites. Outcome measures were empowerment, self-efficacy, health status (including depression, anxiety, and somatic symptoms), perceived fairness, ability to work, claims knowledge and extent of burden. The outcomes were self-reported through online questionnaires and were measured four times: at baseline, and at 3, 6, and 12 months.
In total, 176 participants completed the baseline questionnaire after which they were randomized into either the intervention group (n=88) or the control group (n=88). During the study, 35 participants (20%) dropped out. The intervention website was used by 55 participants (63%). The health outcomes of the intervention group were no different to those of the control group. However, the intervention group considered the received compensation to be fairer (P<0.01). The subgroup analysis of intervention users versus nonusers did not reveal significant results. The intervention website was evaluated positively.
Although the web-based intervention was not used enough to improve the health of injured claimants in compensation processes, it increased the perceived fairness of the compensation amount.
Netherlands Trial Register NTR2360.</description><identifier>ISSN: 1745-6215</identifier><identifier>EISSN: 1745-6215</identifier><identifier>DOI: 10.1186/1745-6215-14-227</identifier><identifier>PMID: 23870540</identifier><language>eng</language><publisher>England: BioMed Central Ltd</publisher><subject>Access to Information ; Accidents, Traffic - economics ; Accidents, Traffic - psychology ; Adaptation, Psychological ; Adult ; Analysis ; Care and treatment ; Claims adjustment (Insurance) ; Compensation and Redress ; Computer-Assisted Instruction ; Disability Evaluation ; E-health ; Eligibility Determination - economics ; Female ; Health aspects ; Health Status ; Humans ; Insurance Claim Review - economics ; Internet ; Male ; Mental Health ; Methods ; Middle Aged ; Netherlands ; Power (Psychology) ; Problem Solving ; Self Efficacy ; Stress (Psychology) ; Stress, Psychological - diagnosis ; Stress, Psychological - economics ; Stress, Psychological - etiology ; Stress, Psychological - prevention & control ; Stress, Psychological - psychology ; Surveys and Questionnaires ; Time Factors ; Traffic accidents ; Wounds and Injuries - economics ; Wounds and Injuries - psychology ; Wounds and Injuries - therapy</subject><ispartof>Trials, 2013-07, Vol.14 (1), p.227-227</ispartof><rights>COPYRIGHT 2013 BioMed Central Ltd.</rights><rights>Copyright © 2013 Elbers et al.; licensee BioMed Central Ltd. 2013 Elbers et al.; licensee BioMed Central Ltd.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b523t-6133758c494a74cde3f47acf1b64b9bb9904a93358d23a7562d2debba807cd983</citedby><cites>FETCH-LOGICAL-b523t-6133758c494a74cde3f47acf1b64b9bb9904a93358d23a7562d2debba807cd983</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3722043/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3722043/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,36990,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23870540$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Elbers, Nieke A</creatorcontrib><creatorcontrib>Akkermans, Arno J</creatorcontrib><creatorcontrib>Cuijpers, Pim</creatorcontrib><creatorcontrib>Bruinvels, David J</creatorcontrib><title>Effectiveness of a web-based intervention for injured claimants: a randomized controlled trial</title><title>Trials</title><addtitle>Trials</addtitle><description>There is considerable evidence showing that injured people who are involved in a compensation process show poorer physical and mental recovery than those with similar injuries who are not involved in a compensation process. One explanation for this reduced recovery is that the legal process and the associated retraumatization are very stressful for the claimant. The aim of this study was to empower injured claimants in order to facilitate recovery.
Participants were recruited by three Dutch claims settlement offices. The participants had all been injured in a traffic crash and were involved in a compensation process. The study design was a randomized controlled trial. An intervention website was developed with (1) information about the compensation process, and (2) an evidence-based, therapist-assisted problem-solving course. The control website contained a few links to already existing websites. Outcome measures were empowerment, self-efficacy, health status (including depression, anxiety, and somatic symptoms), perceived fairness, ability to work, claims knowledge and extent of burden. The outcomes were self-reported through online questionnaires and were measured four times: at baseline, and at 3, 6, and 12 months.
In total, 176 participants completed the baseline questionnaire after which they were randomized into either the intervention group (n=88) or the control group (n=88). During the study, 35 participants (20%) dropped out. The intervention website was used by 55 participants (63%). The health outcomes of the intervention group were no different to those of the control group. However, the intervention group considered the received compensation to be fairer (P<0.01). The subgroup analysis of intervention users versus nonusers did not reveal significant results. The intervention website was evaluated positively.
Although the web-based intervention was not used enough to improve the health of injured claimants in compensation processes, it increased the perceived fairness of the compensation amount.
Netherlands Trial Register NTR2360.</description><subject>Access to Information</subject><subject>Accidents, Traffic - economics</subject><subject>Accidents, Traffic - psychology</subject><subject>Adaptation, Psychological</subject><subject>Adult</subject><subject>Analysis</subject><subject>Care and treatment</subject><subject>Claims adjustment (Insurance)</subject><subject>Compensation and Redress</subject><subject>Computer-Assisted Instruction</subject><subject>Disability Evaluation</subject><subject>E-health</subject><subject>Eligibility Determination - economics</subject><subject>Female</subject><subject>Health aspects</subject><subject>Health Status</subject><subject>Humans</subject><subject>Insurance Claim Review - economics</subject><subject>Internet</subject><subject>Male</subject><subject>Mental Health</subject><subject>Methods</subject><subject>Middle Aged</subject><subject>Netherlands</subject><subject>Power (Psychology)</subject><subject>Problem Solving</subject><subject>Self Efficacy</subject><subject>Stress (Psychology)</subject><subject>Stress, Psychological - diagnosis</subject><subject>Stress, Psychological - economics</subject><subject>Stress, Psychological - etiology</subject><subject>Stress, Psychological - prevention & control</subject><subject>Stress, Psychological - psychology</subject><subject>Surveys and Questionnaires</subject><subject>Time Factors</subject><subject>Traffic accidents</subject><subject>Wounds and Injuries - economics</subject><subject>Wounds and Injuries - psychology</subject><subject>Wounds and Injuries - therapy</subject><issn>1745-6215</issn><issn>1745-6215</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><recordid>eNp1UktrFTEYDaLYh-5dyYAbN1PznMy4EMqlVqHgRreGPL7UlExSk7kV_fVmuPXSC5UsEs453-Hk8CH0iuAzQsbhHZFc9AMloie8p1Q-Qcd76OmD9xE6qfUGY84mxp-jI8pGiQXHx-j7hfdgl3AHCWrtsu909wtMb3QF14W0QGnUEnLqfC4NuNmWRtiow6zTUt83fdHJ5Tn8WfGclpJjbM-lBB1foGdexwov7-9T9O3jxdfNp_7qy-XnzflVbwRlSz8QxqQYLZ-4ltw6YJ5LbT0xAzeTMdOEuZ4YE6OjTEsxUEcdGKNHLK2bRnaKPux8b7dmBmdb5KKjui0tZfmtsg7qkEnhh7rOd4pJSlstzWCzMzAh_8fgkLF5Vmu_au1XEa5a_c3l7X2Mkn9uoS5qDtVCjDpB3lZFBB8HxslEm_TNTnqtI6iQfG62dpWrc8G4HDEZeFOdPaJqx8EcWtngQ8MPBvBuwJZcawG__wLBat2Zx0K_ftjdfuDfkrC_d_i9UQ</recordid><startdate>20130720</startdate><enddate>20130720</enddate><creator>Elbers, Nieke A</creator><creator>Akkermans, Arno J</creator><creator>Cuijpers, Pim</creator><creator>Bruinvels, David J</creator><general>BioMed Central Ltd</general><general>BioMed Central</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20130720</creationdate><title>Effectiveness of a web-based intervention for injured claimants: a randomized controlled trial</title><author>Elbers, Nieke A ; Akkermans, Arno J ; Cuijpers, Pim ; Bruinvels, David J</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b523t-6133758c494a74cde3f47acf1b64b9bb9904a93358d23a7562d2debba807cd983</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Access to Information</topic><topic>Accidents, Traffic - economics</topic><topic>Accidents, Traffic - psychology</topic><topic>Adaptation, Psychological</topic><topic>Adult</topic><topic>Analysis</topic><topic>Care and treatment</topic><topic>Claims adjustment (Insurance)</topic><topic>Compensation and Redress</topic><topic>Computer-Assisted Instruction</topic><topic>Disability Evaluation</topic><topic>E-health</topic><topic>Eligibility Determination - economics</topic><topic>Female</topic><topic>Health aspects</topic><topic>Health Status</topic><topic>Humans</topic><topic>Insurance Claim Review - economics</topic><topic>Internet</topic><topic>Male</topic><topic>Mental Health</topic><topic>Methods</topic><topic>Middle Aged</topic><topic>Netherlands</topic><topic>Power (Psychology)</topic><topic>Problem Solving</topic><topic>Self Efficacy</topic><topic>Stress (Psychology)</topic><topic>Stress, Psychological - diagnosis</topic><topic>Stress, Psychological - economics</topic><topic>Stress, Psychological - etiology</topic><topic>Stress, Psychological - prevention & control</topic><topic>Stress, Psychological - psychology</topic><topic>Surveys and Questionnaires</topic><topic>Time Factors</topic><topic>Traffic accidents</topic><topic>Wounds and Injuries - economics</topic><topic>Wounds and Injuries - psychology</topic><topic>Wounds and Injuries - therapy</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Elbers, Nieke A</creatorcontrib><creatorcontrib>Akkermans, Arno J</creatorcontrib><creatorcontrib>Cuijpers, Pim</creatorcontrib><creatorcontrib>Bruinvels, David J</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Trials</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Elbers, Nieke A</au><au>Akkermans, Arno J</au><au>Cuijpers, Pim</au><au>Bruinvels, David J</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effectiveness of a web-based intervention for injured claimants: a randomized controlled trial</atitle><jtitle>Trials</jtitle><addtitle>Trials</addtitle><date>2013-07-20</date><risdate>2013</risdate><volume>14</volume><issue>1</issue><spage>227</spage><epage>227</epage><pages>227-227</pages><issn>1745-6215</issn><eissn>1745-6215</eissn><abstract>There is considerable evidence showing that injured people who are involved in a compensation process show poorer physical and mental recovery than those with similar injuries who are not involved in a compensation process. One explanation for this reduced recovery is that the legal process and the associated retraumatization are very stressful for the claimant. The aim of this study was to empower injured claimants in order to facilitate recovery.
Participants were recruited by three Dutch claims settlement offices. The participants had all been injured in a traffic crash and were involved in a compensation process. The study design was a randomized controlled trial. An intervention website was developed with (1) information about the compensation process, and (2) an evidence-based, therapist-assisted problem-solving course. The control website contained a few links to already existing websites. Outcome measures were empowerment, self-efficacy, health status (including depression, anxiety, and somatic symptoms), perceived fairness, ability to work, claims knowledge and extent of burden. The outcomes were self-reported through online questionnaires and were measured four times: at baseline, and at 3, 6, and 12 months.
In total, 176 participants completed the baseline questionnaire after which they were randomized into either the intervention group (n=88) or the control group (n=88). During the study, 35 participants (20%) dropped out. The intervention website was used by 55 participants (63%). The health outcomes of the intervention group were no different to those of the control group. However, the intervention group considered the received compensation to be fairer (P<0.01). The subgroup analysis of intervention users versus nonusers did not reveal significant results. The intervention website was evaluated positively.
Although the web-based intervention was not used enough to improve the health of injured claimants in compensation processes, it increased the perceived fairness of the compensation amount.
Netherlands Trial Register NTR2360.</abstract><cop>England</cop><pub>BioMed Central Ltd</pub><pmid>23870540</pmid><doi>10.1186/1745-6215-14-227</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Access to Information Accidents, Traffic - economics Accidents, Traffic - psychology Adaptation, Psychological Adult Analysis Care and treatment Claims adjustment (Insurance) Compensation and Redress Computer-Assisted Instruction Disability Evaluation E-health Eligibility Determination - economics Female Health aspects Health Status Humans Insurance Claim Review - economics Internet Male Mental Health Methods Middle Aged Netherlands Power (Psychology) Problem Solving Self Efficacy Stress (Psychology) Stress, Psychological - diagnosis Stress, Psychological - economics Stress, Psychological - etiology Stress, Psychological - prevention & control Stress, Psychological - psychology Surveys and Questionnaires Time Factors Traffic accidents Wounds and Injuries - economics Wounds and Injuries - psychology Wounds and Injuries - therapy |
| title | Effectiveness of a web-based intervention for injured claimants: a randomized controlled trial |
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