SCI-VIP: Predictive Outcome Model Over Time for Employment (PrOMOTE)
Condition: Spinal Cord Injuries
MeSH terms: Spinal Cord Injuries
Study type: Interventional

Summary: 
      This study will be an extension of the Spinal Cord Injury Vocational Integration Program
      (SCI-VIP). The study involves research about how to help Veterans with spinal cord injury
      (SCI) gain employment. Vocational rehabilitation is a special field of service aimed at
      putting persons with disabilities in the best possible position to become employed. The
      Veterans Administration has a long history of providing vocational rehabilitation for
      Veterans with mental health issues and has recently started providing similar services to
      persons with physical disabilities, including SCI. Past research has shown that vocational
      rehabilitation is effective in helping some Veterans with spinal cord injury (SCI) gain
      employment. The extension of this work through PrOMOTE study will establish a large national
      database of over 2000 Veterans with SCI, containing extensive employment, medical, functional
      and psychosocial data. The study will analyze both quantitative and qualitative measures to
      maximize its findings.
    

Detailed description: 
      Extending SCI-VIP through PrOMOTE will operationalize the critical features of supported
      employment that lead to obtaining and maintaining employment over time in spinal cord injury.
      There are no current studies that examine how the level and intensity of supported employment
      services by Veterans with SCI impacts employment outcomes. This extension will allow the
      examination of longitudinal factors associated with successful employment that are not
      possible within the time constrains of SCI-VIP and to extend the cost-effectiveness analysis
      and budget impact analysis to include longer term and costs of quality of life outcomes. The
      study will include a more comprehensive qualitative analysis across several sites of factors
      that contribute to program success. The PrOMOTE study will add three more sites. This
      expansion will allow examination of outcomes in areas where there is a high penetration of
      OIF/OEF Veterans as well as sites where there are other vocational programs available.

      Primary HO: Identify factors that predict employment after SCI.

      Secondary HO 1: Determine ongoing effectiveness of SE over time.

      Secondary HO 2: Evaluate the effectiveness of implementation strategy and level of SE model
      implementation across sites.

      Secondary HO 3: Determine costs, health care utilization over time and cost-effectiveness.
    

Intervention name(s): Vocational Rehabilitation
Intervention type(s): Behavioral
Intervention description(s): SCI-VIP: PrOMOTE evidence-based supported employment implemented for Veterans with spinal cord injury or other available vocational services
Intervention model: Single Group Assignment
Masking: None (Open Label)
Primary purpose: Treatment
Keywords: Adult; Depression; Supported Employment; Health Service; Humans; Outcomes; Quality of Life; Veterans/rh (rehabilitation); Workplace; Spinal Cord Injuries