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Four health care practitioners have been recruited to vocational advisor posts for the trial.
The vocational advisor will wait for seven days before contacting the patient to minimise the number of participants who provide baseline data after having contact with the vocational advisor.
Estimating the effect of treatment as usual (i.e. vocational advisor standard support) at 4 points, this gives a standardised effect size of 0.71.
An audit on the completion of the case report forms against the vocational advisor clinical case notes will assess whether patient demographics, contacts with the vocational advisor, details of the assessment and management plan, and any contact with other stakeholders (e.g. healthcare providers, employers) are consistently and accurately recorded on the case report forms.
The vocational advisors will complete case report forms for each participant in the intervention arm, recording basic demographic details, assessment findings and their management plan, and the type and number of contacts each participant has with the vocational advisor.
Patients who are referred to the vocational advice service will be contacted by a vocational advisor, seven days after receipt of the referral who will help the patient to identify and overcome obstacles to remaining at or returning to work.
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I couldn't get health care because I hadn't enough money, and the Social Security administration, against the advice of its own physician and vocational advisors, denied my claim.
GS conceptualised, designed and delivered the vocational advisors' intervention, training and mentoring.
2. What are the experiences of patients, GPs/NPs and vocational advisors of a primary care based vocational advice service?
A linked interview study will explore the experiences of the vocational advice service from the perspectives of GPs, nurse practitioners (NPs), patients and vocational advisors.
Patients (n = 20) who have consented to the research evaluation will be opportunistically invited for interview following discharge from the care of the vocational advisors.
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