P-051 Effectiveness of a Functional Capacity Evaluation on the Return-to-Work Process: A Randomised Controlled Trial

Introduction Given the growing number of disability-benefit recipients, and the economic costs that accompany this rise, correctly assessing the capacities of this population is crucial to develop recommendations for a return-to-work. Despite the fact that Functional Capacity Evaluations (FCE) can be an interesting tool in this respect, these tests are scarcely used in the social security sector. Methods We investigate the value of a FCE on 1) the decision-making process of the medical advisor through a qualitative process evaluation, and 2) the work-ability of persons on sick leave/work disability through a randomized controlled trial. For the latter, participants will be randomly assigned to the intervention group (receiving FCE) or control group (usual care). Questionnaires related to work ability and perception of return-to-work and illness will be sent out at baseline, 3 months, 6 months, and 9 months. Qualitatively, medical advisors evaluate the added value of a FCE through semi-structured interviews. This study was approved by the ethical committee of UZ/KU Leuven. Results The short-term impact is presented by quantitatively comparing results at baseline and at 3 months. Qualitatively, we demonstrate the value of FCE and its barriers and facilitators for several stakeholders, including physicians and job counsellors. Discussion Although the short-term impact may differ from the long-term, it is far from irrelevant, as intermediate outcomes give an indication of long-term effects, and short-term changes can strongly affect cost-effectiveness. Conclusion FCE might be a valuable addition to support the return-to-work process and occupational rehabilitation of disability-benefit recipients.