Pathways to Vocational Rehabilitation: Enhancing Entry and Retention

This study has been completed.

Sponsor:

Information provided by:

Department of Veterans Affairs

ClinicalTrials.gov Identifier:

NCT00223834

First received: September 14, 2005

Last updated: March 11, 2008

Last verified: March 2008

History of Changes

Tracking Information

First Received Date ^ICMJE

September 14, 2005

Last Updated Date

March 11, 2008

Start Date ^ICMJE

March 2005

Primary Completion Date

January 2007 (final data collection date for primary outcome measure)

Current Primary Outcome Measures ^ICMJE

Entry and Retention in Vocational Rehabilitation [ Time Frame: 18 months post intervention ] [ Designated as safety issue: No ]

Original Primary Outcome Measures ^ICMJE

Entry and retention rates into the VA's vocational rehabilitation program at 6, 12, and 18 months.

Change History

Complete list of historical versions of study NCT00223834 on ClinicalTrials.gov Archive Site

Current Secondary Outcome Measures ^ICMJE

Not Provided

Original Secondary Outcome Measures ^ICMJE

Predictors of entry and retention into the VA's vocational rehabilitation program, # days worked, earnings, Quality of Life (SF-36) at 6, 12, and 18 months

Current Other Outcome Measures ^ICMJE

Not Provided

Original Other Outcome Measures ^ICMJE

Not Provided

Descriptive Information

Brief Title ^ICMJE

Pathways to Vocational Rehabilitation: Enhancing Entry and Retention

Official Title ^ICMJE

Pathways to Vocational Rehabilitation: Enhancing Entry and Retention

Brief Summary

This study will examine the barriers and supports for entering and receiving work-related services for veterans with a serious mental illness. It will also determine the effectiveness of a brief motivational interviewing intervention designed to help veterans receive these services.

Detailed Description

Randomized clinical trials and naturalistic studies show that among patients meeting criteria for chronic mental illness, those participating in vocational rehabilitation (VR) have significantly reduced days of inpatient hospitalization. Unfortunately, the majority of eligible adults fail to enter VR and almost half of those who do, drop out or are involuntarily discharged. The reasons for nonparticipation and drop out and their impact on rehabilitation outcomes are poorly understood.

The study will provide needed naturalistic data documenting:

the way in which barriers function to reduce entry to services and contribute to the high rate of dropout,
the outcomes associated with different patterns of participation, and
relative rates of entry and retention in a non-VHA VR exemplar of the Intensive Placement and Support (IPS) model at the Manchester Mental Health Center in Manchester, New Hampshire.

While we need to know more about these "barriers" in order to develop the range of appropriate interventions, the enhancement of client motivation for work and rehabilitation is likely to have a positive impact both on entry and sustained compliance. We are proposing a random assignment single blind trial of a brief Motivational Interviewing (MI) intervention designed to address the low entry and retention rates of veterans with Serious Mental Illness (SMI) in Veterans Health Administration's (VHA) VR services.

Study Type ^ICMJE

Interventional

Study Phase

Not Provided

Study Design ^ICMJE

Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Single Group Assignment
Masking: Single Blind (Outcomes Assessor)
Primary Purpose: Treatment

Condition ^ICMJE

Poverty
Unemployment

Intervention ^ICMJE

Behavioral: single session of Motivational Interviewing

Study Arm (s)

Single session orientation to available services

Intervention: Behavioral: single session of Motivational Interviewing

Publications *

Not Provided

* Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.

Recruitment Information

Recruitment Status ^ICMJE

Completed

Estimated Enrollment ^ICMJE

200

Completion Date

September 2007

Primary Completion Date

January 2007 (final data collection date for primary outcome measure)

Eligibility Criteria ^ICMJE

Inclusion Criteria:

Current diagnosis of serious mental illness, present for at least 2 years
Is unemployed or underemployed
Current episode of un/underemployment is at least 3 months
Enrolled to receive services at study site

Exclusion Criteria:

Over the age of 55
Non-English speaker
Mini-Mental score of less than 20
Planning to move more than 30 miles from study site in the next 18 months
Previously screened for this study
Currently or previously involved in other research studies which may impact variables relevant to this study

Gender

Both

Ages

18 Years to 55 Years

Accepts Healthy Volunteers

Contacts ^ICMJE

Contact information is only displayed when the study is recruiting subjects

Location Countries ^ICMJE

United States

Administrative Information

NCT Number ^ICMJE

NCT00223834

Other Study ID Numbers ^ICMJE

E3436R

Has Data Monitoring Committee

Responsible Party

Drebing, Charles - Principal Investigator, Department of Veterans Affairs

Study Sponsor ^ICMJE

Department of Veterans Affairs

Collaborators ^ICMJE

Not Provided

Investigators ^ICMJE

Principal Investigator:

Charles Drebing, PhD

Edith Nourse Rogers Memorial Veterans Hospital, Bedford

Information Provided By

Department of Veterans Affairs

Verification Date

March 2008

^ICMJE Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP

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