Preventing Mid- and Later-Life Work Limitations
1 other identifier
interventional
431
1 country
1
Brief Summary
The Work and Health Initiative (WHI) trial is testing an innovative, community-based program that provides mental health and vocational services to workers 50 years or older to improve functioning and reduce productivity loss. The purpose of this study is to test the hypothesis that relative to usual care, the WHI improves the work outcomes of depression and reduces depression-related productivity loss.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable depression
Started Sep 2009
Longer than P75 for not_applicable depression
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
September 1, 2009
CompletedFirst Submitted
Initial submission to the registry
July 14, 2010
CompletedFirst Posted
Study publicly available on registry
July 16, 2010
CompletedPrimary Completion
Last participant's last visit for primary outcome
May 1, 2013
CompletedStudy Completion
Last participant's last visit for all outcomes
June 1, 2013
CompletedApril 8, 2014
April 1, 2014
3.7 years
July 14, 2010
April 7, 2014
Conditions
Keywords
Outcome Measures
Primary Outcomes (2)
At-work performance deficits and productivity loss as measured by the Work Limitations Questionnaire
4 months post-randomization
Absenteeism and productivity loss as measured by the Work Limitations Questionnaire Absence Module
4 months post-randomization
Secondary Outcomes (1)
Depression symptom severity as measured by the Patient Health Questionnaire (PHQ-9)
4 months post-randomization
Study Arms (2)
WHI
EXPERIMENTALUsual Care
ACTIVE COMPARATORInterventions
Telephone-based multi-modal intervention, consisting of: vocational coaching, cognitive-behavioral therapy strategies and care coordination strategies provided by specially-trained EAP counselors
Referral to treatment as usual through personal physician, mental health professional, behavioral health program, and/or Employee Assistance Program
Eligibility Criteria
You may qualify if:
- age ≥ 45 years
- working ≥ 15 hours/week
- DSM-IV current major depression and/or dysthymia
- Work limitations: at-work productivity loss score ≥ 5%
You may not qualify if:
- severe physical health deficits
- non-English speaking or reading
- positive current alcoholism screening
- psychosis
- mania
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Tufts Medical Centerlead
- OptumHealth Behavioral Solutionscollaborator
Study Sites (1)
Tufts Medical Center
Boston, Massachusetts, 02111, United States
Related Publications (1)
Adler DA, Lerner D, Visco ZL, Greenhill A, Chang H, Cymerman E, Azocar F, Rogers WH. Improving work outcomes of dysthymia (persistent depressive disorder) in an employed population. Gen Hosp Psychiatry. 2015 Jul-Aug;37(4):352-9. doi: 10.1016/j.genhosppsych.2015.04.001. Epub 2015 Apr 8.
PMID: 25892151DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Debra Lerner, MS, PhD
Tufts Medical Center
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- SUPPORTIVE CARE
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
July 14, 2010
First Posted
July 16, 2010
Study Start
September 1, 2009
Primary Completion
May 1, 2013
Study Completion
June 1, 2013
Last Updated
April 8, 2014
Record last verified: 2014-04