Clinical trial NCT00333658: A Behavioral Intervention to Improve Work Outcomes
Official title: A Behavioral Intervention to Improve Outcomes in VA Work Programs
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Mental Disorders
Keywords: psychotherapy, group
rehabilitation, vocational
treatment outcome
Lead sponsor: VA Office of Research and Development
Sponsor class: FED
First posted: 2006-06-06
Enrollment: 57
Sex: ALL
Standard ages: CHILD
ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: This research has been designed to learn whether getting regular and specific feedback about work performance with small rewards for meeting goals helps people to improve their job performance and leads to better work outcomes, improved mental functioning, and better quality of life

Detailed description: This study is designed to test whether systematic work performance feedback with weekly goal setting, combined with small rewards given for goal achievement, leads to improved vocational, health, and quality of life outcomes for veterans enrolled in the various work service programs at this medical center. The long-term goal of this project is to determine the effectiveness of these interventions at this medical center and to use this experience for a multi-site cooperative study proposal.

Research Design and Methods: One hundred and fifty subjects accepted into work services at this medical center will be randomly assigned to one of two conditions: Work Feedback with Small Rewards, or Usual Services. In the Work Feedback with Small Rewards condition, participants attend a weekly workers meeting where they receive specific feedback based upon the Work Behavior Inventory and set weekly goals. They also receive small rewards for goal achievement that equal $10 per month. Participants in the Usual Services condition do not get specific work feedback but receive all the usual work services normally provided. They also receive $10 per month for active participation. Assessments include baseline evaluations of mental and physical health, social function, cognitive function, and quality of life. Evaluations of mental health, quality of life, and job satisfaction will occur at two months and four months. Six-month and twelve month evaluations will repeat the baseline assessment. Outcome measures will include biweekly work performance assessments, vocational outcomes, mental and physical health status, social and cognitive function, and quality of life

Eligibility criteria: Inclusion Criteria:

* Veterans participating in a work program at the VA Connecticut Healthcare System; English-speaking

Exclusion Criteria:

* No exclusion criteria based upon diagnosis, although VA work programs have pre-existing requirements such as a demonstrated need for services, a referral from a clinician, and an interest in work rehabilitation

Primary outcomes:
measure: Competitive employment-
timeFrame: 6 month and 12 month follow-up
Secondary outcomes:
Other outcomes:
Locations:
city: West Haven
country: United States
facility: VA Connecticut Health Care System (West Haven)
state: Connecticut
Study officials:
affiliation: VA Connecticut Health Care System (West Haven)
name: Morris D Bell, PhD
role: PRINCIPAL_INVESTIGATOR
References:
citation: Bell MD, Bryson G. Work rehabilitation in schizophrenia: does cognitive impairment limit improvement? Schizophr Bull. 2001;27(2):269-79. doi: 10.1093/oxfordjournals.schbul.a006873.
citation: Bryson G, Bell MD. Initial and final work performance in schizophrenia: cognitive and symptom predictors. J Nerv Ment Dis. 2003 Feb;191(2):87-92. doi: 10.1097/01.NMD.0000050937.06332.3C.
citation: Bell MD, Fiszdon JM, Greig TC, Bryson GJ. Can older people with schizophrenia benefit from work rehabilitation? J Nerv Ment Dis. 2005 May;193(5):293-301. doi: 10.1097/01.nmd.0000161688.47164.71.