DOI: 10.3886/e240466v1
title: FSST at Work

description: This project includes a Feasibility and Pilot
Trial of the efficacy of the Focused Skills & Strategy Training (FSST)
intervention to improve persistence in maintaining days employed among young
adults with serious mental health conditions. FSST is a 12-session manualized virtual
compensatory cognitive remediation intervention that focuses on developing
executive function skills. Cognitive remediation has been shown to increase
employment outcomes in older adults but has not yet been widely tested with
young adults with non-psychosis mental health conditions. The model has been
adapted 1. for this age group 2. for non-psychotic disorders, and 3. to be
delivered virtually. It has been alpha tested, modified as indicated, then
examined for feasibility in a pilot clinical trial. The pilot examines the
research feasibility of methods to be used in a future, larger trial.
Specifically, the research feasibility will examine online recruitment of young
adults with mental health conditions, success in randomizing those young adults
to the control and experimental condition schedule, retention of participants,
performance of measures, obtaining data to estimate effect size. Feasibility of
the FSST at Work program will examine enrollment and completion of the
intervention, delivery of the intervention with feasibility, quality assurance
procedures. <br>
description: Response Rates: During recruitment
for the Open Trial, 126 individuals filled out the online preliminary
eligibility screening survey, 73 were ineligible, 5 were incomplete, and 48
were preliminarily eligible. During the final screening process, 13 were found
ineligible, 1 declined to participate, 9 were non-responsive, 13 were eligible,
and 12 were not screened due to the end of recruitment. Of the 13 that were
found to be eligible, 10 consented and enrolled in the Open Trial, 1 withdrew,
and 2 were non-responsive. <br> During recruitment
for the RCT, 196 individuals filled out the online preliminary eligibility
screening survey, 108 were ineligible, 29 surveys were incomplete, and 59 were
potentially eligible. Of those 59, 5 were ineligible, 27 were non-responsive, 2
declined participation, and 25 were found eligible. Of those 25, 24 were
enrolled in the study and randomized. The control condition included 10
participants and the experimental condition 12. There were 2 participants that
were removed from the study after randomization.
description: Presence of Common Scales: <b>Open Trial</b><br>Perceived Stress Scale (Cohen et al., 1994)<br>Career Exploration
and Decision Self-Efficacy (Lent et al., 2016) <br>Vocational Outcomes
Expectation Scale (McWhirter et al., 2000)<br>Social Support
Questionnaire (Sarason et al., 1987)<br>Self-Determination
Inventory (Shogren et
al., 2020)<br>Self-Regulated
Learning at Work (Fontana et al., 2015)<br>Turnover Intention
Scale (Seashore et al.,
1982)<br>Work Role
Functioning (Abma et
al., 2018)<br>World Health
Organization Disability Assessment Schedule (WHODAS) 2.0 (Üstün et al., 2010)Cognitive Problems
and Strategies Assessment (Twamley et al., 2012)The Everyday
Discrimination Scale (Williams
et al., 1997)<br>Heightened
Vigilance Scale (Williams
et al., 1997) · 
<br><br><b>Randomized Control Trial</b>
<br>All of the above
measures
<br>GAIN-SS SDScr (Dennis et al., 2006; GAIN-SS
property of and copyright © Chestnut Health Systems).
<br>The Social Support
Questionnaire (Sarason
et al., 1987) was replaced with the Medical Outcomes
Study Social Support Survey (Sherbourne & Stewart, 1991)
description: Participants were recruited entirely online
and primarily through advertisements on social media platforms (including:
Facebook, Instagram, Twitter (X), and LinkedIn), and email newsletters.
Recruitment materials consisted of flyers and posts that displayed key study
information and contained a link to the preliminary eligibility screening
survey which they completed individually. Research staff then reached out to
preliminarily eligible participants to conduct the final screening, which
occurred over Zoom. If participants were found to be eligible and wanted to
continue, they were consented into the study.
description: The
target population for FSST at Work consisted of young adults living in the
United States, between the ages of 18 and 30, who have a mental health
condition, work at least 20 hours a week, and have had difficulty with
executive functioning skills at work.  .
description: other; web-based survey;