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The Effect of IPS-MA- A Modified Early Supported Employment Intervention for Individuals With Mood or Anxiety Disorders

This study has been completed.
Sponsor:
Information provided by (Responsible Party):
Lene Falgaard Eplov, Mental Health Centre Copenhagen
ClinicalTrials.gov Identifier:
NCT01721824
First received: October 24, 2012
Last updated: July 6, 2016
Last verified: July 2016
  Purpose

The aim of the present study, is to evaluate the effect of a supported employment intervention, IPS-modified for people with mood and anxiety (IPS-MA) on employment or education, when offered to people with onset mood or anxiety disorders who are not likely to be able to return to work within three month.

The hypothesis is that the IPS-MA method is associated with a shorter recovery period and more people returning to work or education, compared to treatment as usual.


Condition Intervention
Affective Disorder
Major Depressive Disorder
Bipolar Disorder
Anxiety Disorder
Behavioral: The IPS-MA method

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Single Blind (Outcomes Assessor)
Official Title: IPS-MA - A Randomized Clinical Trial Examining the Effect of a Modified IPS Intervention in Addition to Treatment as Usual Versus Treatment as Usual Alone for Individuals With Mood or Anxiety Disorders

Resource links provided by NLM:


Further study details as provided by Mental Health Centre Copenhagen:

Primary Outcome Measures:
  • Competitive employment or education [ Time Frame: 24 months ] [ Designated as safety issue: No ]
    Competitive employment includes being on rehabilitation benefits, flexible jobs and wage subsidy job. Information on employment and education will be extracted from the DREAM database. This database is administered by The National Labour Market Authority and contains information on employment, sickness leave, educations eligible to state education grant, pre-vocational training, disability pension, social security, and sickness benefits.


Secondary Outcome Measures:
  • Number of days of competitive employment or studying [ Time Frame: 24 months ] [ Designated as safety issue: No ]
    Information will be obtained from the Dream database.

  • Hamilton Rating Scale for Depression - 6 items [ Time Frame: 24 months ] [ Designated as safety issue: No ]
    Level of symptoms of depression

  • Hamilton Rating Scale for anxiety -6 item scale [ Time Frame: 24 months ] [ Designated as safety issue: No ]
    Level of symptoms of anxiety

  • Global Assessment of Function (GAF-F) [ Time Frame: 24 months ] [ Designated as safety issue: No ]
    Level of function

  • WHO-5 well-being index [ Time Frame: 24 months ] [ Designated as safety issue: No ]
    Level of health-related quality of life


Other Outcome Measures:
  • Competitive employment or studying [ Time Frame: 12 months ] [ Designated as safety issue: No ]
    Competitive employment includes being on rehabilitation benefits, flexible jobs and wage subsidy jobs. Information on employment and education will be extracted from the DREAM database. The database is administered by The National Labour Market Authority and contains information on employment, sickness leave, educations eligible to state education grant, pre-vocational training, disability pension, social security, and sickness benefits.

  • Changing from matchgroup 2 or 3 to matchgroup 1 [ Time Frame: 12 and 24 months ] [ Designated as safety issue: No ]
    If participants are matchgroup 2 or 3, they are not able to go back to work within the following 3 months. If participants are matchgroup 1, they should be actively seeking jobs.

  • Number of days of competitive employment or studying [ Time Frame: 12 and 24 months ] [ Designated as safety issue: No ]
    Information will be obtained from the Dream database.

  • Time until returning to employment or education [ Time Frame: 24 months ] [ Designated as safety issue: No ]
    Information will be obtained from the Dream database.

  • Hamilton Rating Scale for Depression - 6 items [ Time Frame: 12 months ] [ Designated as safety issue: No ]
    Level of symptoms of depression

  • Hamilton Rating Scale for anxiety -6 item scale [ Time Frame: 12 months ] [ Designated as safety issue: No ]
    Level of symptoms of anxiety

  • The Bech-Rafaelsen Mania Scale (MAS) [ Time Frame: 12 and 24 months ] [ Designated as safety issue: No ]
    Level of symptoms af mania

  • Global Assessment of Function (GAF-F) [ Time Frame: 12 months ] [ Designated as safety issue: No ]
    Level of function

  • Personal and Social Performance (PSP) [ Time Frame: 12 and 24 months ] [ Designated as safety issue: No ]
    Social performance in four domains (socailly usefull activities, personal and social relationships, self-care and disturbing and aggressive behaviour)

  • WHO-5 well-being index [ Time Frame: 12 months ] [ Designated as safety issue: No ]
    Level of health-related quality of life

  • Sheehan Disability Scale (SDS) [ Time Frame: 12 and 24 months ] [ Designated as safety issue: No ]
    Level of function regarding social relationships, work, spare time and family.

  • The Empowerment Scale [ Time Frame: 12 and 24 months ] [ Designated as safety issue: No ]
  • The Changes Questionnaire [ Time Frame: 12 and 24 months ] [ Designated as safety issue: No ]
    Motivation to seeking employment or education

  • The Client Satisfaction Questionnaire [ Time Frame: 12 and 24 months ] [ Designated as safety issue: No ]
    Satisfaction with treatment


Enrollment: 326
Study Start Date: October 2011
Study Completion Date: July 2016
Primary Completion Date: March 2016 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: IPS-MA

The IPS-MA method consists of five basic services for the participants. 1)Individual mentor support, based on psychiatric knowledge. 2)Coordination by the mentor of activities, internal as well as from external providers. 3)Career counseling aimed at people with mental illnesses. 4)Impartial help to clarify private economy. 5) Contact to employers to help participants obtain jobs, and keep them.

Participants will receive the IPS-MA method in addition to treatment as usual.

Behavioral: The IPS-MA method
During the first 6 months participants are usually offered 3 meetings with their mentor per month, lasting approximately 1 1/2 hours each. The following 6 months they are offered 1 meeting per month, lasting approximately 1 hour. The estimated duration of the IPS-MA intervention is 12 months, but since the needs of the participants are very individual, this may vary.
Other Name: IPS-modified for people recently diagnosed with mood or anxiety disorders (IPS-MA)
No Intervention: Control group
Participants randomised to the control group will receive "treatment as usual" only. This means the standard support offered by the social- and health services in Denmark.

Detailed Description:

Background: The IPS-MA method is a modified Individual Placement and Support (IPS) intervention, aiming at supporting people with mood or anxiety disorders regain their workability and return to work or education. Previous studies have showed, that IPS has an effect on employment when offered to people with severe mental illness. Further studies are crucial to demonstrate whether the modified IPS, the IPS-MA method, has an effect when offered to people with mood or anxiety disorders who are not yet chronified.

Methods/design:The trial design is a randomized, assessor-blinded, clinical trial of the IPS-MA method in addition to treatment as usual compared to treatment as usual alone for 326 participants diagnosed with a mood or anxiety disorder, living in the Capital Region of Denmark. The primary outcome is competitive employment or education. Secondary outcomes are days of competitive employment or education, disease symptoms, level of functioning, and quality of life at follow-up 12 and 24 months after baseline.

  Eligibility

Ages Eligible for Study:   18 Years to 60 Years   (Adult)
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Diagnosed following the International Classification of Diseases (ICD-10) criteria of affective disorder (F30-39) or anxiety disorder (F40-41)
  • Not able to work within 3 months
  • Associated with the Mental Health Center Copenhagen, Frederiksberg, Hillerød, Hvidovre or Ballerup
  • Only having had contact to the Mental Health services during the past 3 years
  • Having had competitive employment or attending a study within the past two years.
  • Has returning to work or education as an important goal
  • Under the age of 60
  • Able to speak, read and understand danish
  • Has given informed consent verbally and in writing

Exclusion Criteria:

  • A somatic disease that effects the workability
  • Substance og alcohol abuse
  • have a guardian or a forensic psychiatric arrangement
  • not given informed consent
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT01721824

Locations
Denmark
Mental Health Center Ballerup, Mental Health Center Frederiksberg, Mental Health Center Copenhagen, and Mental Health Center of Northern Seeland
Ballerup, Denmark, 2750
Sponsors and Collaborators
Mental Health Centre Copenhagen
Investigators
Principal Investigator: Lene F Eplov, MD, PhD Mental Health Center Copenhagen
  More Information

Publications:
Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
Responsible Party: Lene Falgaard Eplov, Senior consultant, PhD, Mental Health Centre Copenhagen
ClinicalTrials.gov Identifier: NCT01721824     History of Changes
Other Study ID Numbers: H-2-2011-FSP20 
Study First Received: October 24, 2012
Last Updated: July 6, 2016
Health Authority: Denmark: Danish Dataprotection Agency
Individual Participant Data  
Plan to Share IPD: No

Keywords provided by Mental Health Centre Copenhagen:
Supported employment
Individual Placement and Support
Workability
Return to work

Additional relevant MeSH terms:
Disease
Anxiety Disorders
Depressive Disorder
Depression
Depressive Disorder, Major
Bipolar Disorder
Mood Disorders
Pathologic Processes
Mental Disorders
Behavioral Symptoms
Bipolar and Related Disorders

ClinicalTrials.gov processed this record on December 02, 2016