The Use of Skills Training to Augment Compensated Work Therapy (CWT)/VI for Veterans With SMI

NCT00272168 | Completed Results

• 2 other identifiers: D3437-RH-26250
• Study Type: interventional
• Target: 88
• Locations: 1 country
• Sites: 1

Brief Summary

The goal of this study is to evaluate the efficacy of a combined social skills training and cognitive-behavioral therapy intervention for seriously mentally ill Veterans as they begin employment.

Conditions

Mental Illness; Schizophrenia

Keywords

Cognitive behavioral therapy; Social Skills training; Vocational Rehabilitation

Outcome Measures

Primary Outcomes (4)

• Employment Status

  Data collected included from participants: 1) hours scheduled to work per week and 2) weekly wages earned.

  Post Treatment (approximately 3 months after completion of the baseline assessment)

• Work Performance (Work Behavior Inventory)

  This measure is completed with participants' supervisors and assesses current work behavior and vocational function. The WBI yields six scores related to fundamental work requirements: social skills, cooperativeness, work habits, work quality personal presentation, and a general score of overall work performance. Each of these is rated between 1-5: 1. Consistently an area Needing Improvement 2. Occasionally an area Needing Improvement 3. Performance Adequate in this area 4. Occasionally an area of Superior Performance 5. Consistently an area of Superior Performance. The global impression of work behavior (overall rating of work functioning using the same 1-5 scale) was used for the purpose of reporting results for this study.

  Post Treatment

• Social Functioning

  This was assessed using the Maryland Assessment of Social Competence (MASC), which assesses participants social problem solving skill abilities in both work-related and non-work related situations. Using three scenes, the participant is rated on the following scale for each scene. Overall score is then averaged to arrive at a final score. 1. Very Poor 2. Poor 3. Neither good nor poor 4. Somewhat good 5. Very good

  Post Treatment

• Employment Status

  Data collected included from participants: weekly wages earned

  Post Treatment (approximately 3 months after completion of the baseline assessment)

Secondary Outcomes (2)

• Cognitive Insight

  Post Treatment

• Psychiatric Symptoms

  Post-Treatment

Study Arms (2)

Arm 1: MPROVE

EXPERIMENTAL

The Maryland Program for Vocational Effectiveness (MPROVE)

Behavioral: Maryland Program for Vocational Effectiveness

Arm 2: Control

ACTIVE COMPARATOR

Supportive Treatment for SMI (control)

Other: Supportive Treatment for SMI

Interventions

Maryland Program for Vocational Effectiveness BEHAVIORAL

psychosocial intervention that combines elements of cognitive-behavioral therapy (CBT) with work-related social skills training and basic problem solving training (SST)

Also known as: M-PROVE

Arm 1: MPROVE

Supportive Treatment for SMI OTHER

Sessions are interactive, supportive, flexible, and unstructured, and are intended to help patients adjust to their new jobs and understand how working affects their lives. The therapist stance is non-directive, and there is an emphasis on having patients share with one another, rather than having the therapists dictate the content of group sessions. The primary goals of the therapists are to engage patients in treatment and to generate discussion among members.

Also known as: STS

Arm 2: Control

Eligibility Criteria

• Age: 18 Years - 65 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Diagnosis of schizophrenia or schizoaffective disorder, or other severe mental disorder including bipolar disorder, major depression, or severe anxiety disorder
• Enrolled in vocational rehabilitation program or working
• Age between 18 and 65 years
• Ability and willingness to attend treatment sessions for 3 months
• Judged by their treating clinician to be able to participate and provide informed consent
• Ability and willingness to provide informed consent to participate

You may not qualify if:

• Documented history of severe neurological disorder or head trauma with ongoing cognitive sequelae
• Inability to effectively participate in the baseline assessments due to intoxication or psychiatric symptoms on two successive appointments

Sponsors & Collaborators

• VA Office of Research and Development: lead

Study Sites (1)

Baltimore VA Medical Center VA Maryland Health Care System, Baltimore, MD

Baltimore, Maryland, 21201, United States

Location

MeSH Terms

Conditions

Mental Disorders; Schizophrenia

Condition Hierarchy (Ancestors)

Schizophrenia Spectrum and Other Psychotic Disorders

Results Point of Contact

• Title: Wendy Tenhula, Ph.D.
• Organization: VA Central Office

Wendy.Tenhula@va.gov

202-461-4167

Study Officials

• Wendy Tenhula, PhD

  Baltimore VA Medical Center VA Maryland Health Care System, Baltimore, MD

  PRINCIPAL INVESTIGATOR

Publication Agreements

• PI is Sponsor Employee: No
• Restrictive Agreement: No

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: FED
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: December 30, 2005
• First Posted: January 4, 2006
• Study Start: October 1, 2005
• Primary Completion: October 1, 2009
• Study Completion: October 1, 2009
• Last Updated: June 17, 2016
• Results First Posted: June 17, 2016

Record last verified: 2016-05

Locations

US (1)