the impact of an internet intervention nieke elbers achrf 2012
DESCRIPTION
ACHRF 2012TRANSCRIPT
Empowerment of personal injury victims
The impact of an internet intervention:
A study from the Netherlands
Nieke Elbers
Arno Akkermans
Pim Cuijpers
David Bruinvels
Empowerment of personal injury victims
Outline:
1. Background
2. Website
3. Method
4. Results
5. Discussion
6. Take home message
Empowerment of personal injury victims
0
Well-being
Time
Injured people
Injured claimants
1. Background
Empowerment of personal injury victims
1. Background
• Secondary gain
Monetary incentive not to get better as long as compensation process lasts
• Secondary victimization
Distress because of compensation process or attitudes of legal professionals
Empowerment of personal injury victims
2. Website
Content e-health website:
1) Information
2) E-coach
3) Frequently asked questions
Empowerment of personal injury victims
2. Website
Information module:
– Compensation process
– Lawyer
– Insurance company
– Social security
– Conflict resolution
Assessment of liability
Assessment of earning capacity & rehabilitation
Assessment of damages
Medical assessment
Empowerment of personal injury victims
2. Website
E-coach module:
–Problem Solving Therapy
–Evidence based
–5 weekly lessons
–Reading, examples, assignments
–Feedback
Simon
Kate
Mark
Empowerment of personal injury victims
2. Website
Validation:
–Focus group
5 insurers(defendants)
6 lawyers (plaintiffs)
–Pilot
8 traffic accident victims
Empowerment of personal injury victims
3. Method
176 traffic accident victims
1 year
Selection bias?
Empowerment of personal injury victims
Questionnaires:
Empowerment Self-efficacy Well-being
Perceived justice
Procedure Interaction Information Outcome
Work ability
Knowledge
Communication
Empowerment of personal injury victims
Questionnaires
Empowerment = Self-efficacy = Well-being =
Perceived justice
Procedure = Interaction =
Information
=
Outcome > Work ability =
Knowledge =
Communication =
Empowerment of personal injury victims
5. Discussion
Lack of website usage?
65%
Information module:
Once or twice 10 page views 9 minutes
E-coach module:
n = 1
35%
Website evaluation was good
Empowerment of personal injury victims
5. Discussion
Other explanations:
- Legal professionals may also need empowerment
- Claimants may not want to get better
Empowerment of personal injury victims
6. Take home message
• Researchers Conduct more research on how to improve well-being
• Legal professionals Provide adequate information on damages
• Clinical practitioners Ask about involvement in compensation & provide support
