From Addiction to Employment.

NCT04289415 | Active Not Recruiting DMC

• 1 other identifier: 54204
• Study Type: interventional
• Target: 200
• Locations: 1 country
• Sites: 1

Brief Summary

Patients with substance use disorders have low employment rates and are to a large extent on the outside of the ordinary labor market. Individual Placement and Support (IPS) is an evidence based method developed to aid persons with severe mental disorders in obtaining ordinary work. IPS has been used clinically in the addiction field, but has been subject to little research. The trial "From addiction to employment" is a randomized controlled trial to investigate the effect of an IPS intervention on employment outcome among substance use disorder patients in specialized health care treatment in Oslo, Norway. The study is conducted at the Department for Substance Use Disorder Treatment at Oslo University Hospital. The trial begins to include patients March 1st 2020 and will include for two years, until February 28th 2022.

Conditions

Substance Use Disorders

Outcome Measures

Primary Outcomes (1)

• Any employment

  At least 1 day of competitive employment

  From inclusion in the trial to 18 month after inclusion in the trial

Secondary Outcomes (9)

• Total time worked

  From inclusion in the trial to 18 month after inclusion in the trial

• Time to employment

  From inclusion in the trial to 18 month after inclusion in the trial

• Number of jobs

  From inclusion in the trial to 18 month after inclusion in the trial

• Job duration

  From inclusion in the trial to 18 month after inclusion in the trial

• Employment relevant activity

  From inclusion in the trial to 18 month after inclusion in the trial

Other Outcomes (2)

• Current employment status and employment during the period

  From inclusion in the trial and up until 10 years after inclusion in the trial

• Health Economic Cost-Benefit Assessment

  From inclusion in the trial and up until 10 years after inclusion in the trial

Study Arms (2)

Individual Placement and Support

EXPERIMENTAL

The intervention used in this study will be a time-limited version of IPS. The employment specialist offers up until nine months job-search support and four months in-work support, giving a total of 13 months job-related support. If a participant succeeds in obtaining work before nine months has passed the remaining job-search support months may be transferred to in-work support time. In the follow-up time while seeking employment, the employment specialists will work with the participants to identify skills and aspirations, establish contact with potential employers and ensure economic advice and help with benefits planning. The in-work support involves individual and regular contact with the participant and the employer. All participants who receive this intervention will do so in addition to their clinical treatment. The treatment provider and the employment specialist should cooperate and clarify roles together with the patient.

Behavioral: Individual Placement and Support

Selv help kit and work shop

ACTIVE COMPARATOR

The participants in the control intervention will be offered a self-help tool kit and a following introduction course to help participants see what their opportunities are, and specific tips on how to get further help. The course will last three hours a session over four days, with the offer of an individual one hour follow up session with the course leader when the course is over. The goal of the control group intervention is to enable the participants to make use of the services offered at the ordinary labor and welfare service.

Behavioral: Individual Placement and Support

Interventions

Individual Placement and Support BEHAVIORAL

Employment specialist will work together with the participants in accordance to the method IPS in order to help the participant obtain competitive employment

Individual Placement and Support; Selv help kit and work shop

Eligibility Criteria

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

You may qualify if:

• In treatment, unemployed, want to obtain ordinary, competitive employment

You may not qualify if:

• coercive treatment that disables the patient to engage in the intervention

Sponsors & Collaborators

• Oslo University Hospital: lead
• South-Eastern Norway Regional Health Authority: collaborator
• Norwegian Directorate of Health: collaborator

Study Sites (1)

Department for Substance Use Treatment, Oslo University Hospital

Oslo, 0424, Norway

Location

Related Publications (1)

• Rognli EB, Aas EM, Drake RE, Marsden J, Anders P, Bond GR, Lystad JU, Reme SE, Arnevik EA. The effect evaluation of Individual Placement and Support (IPS) for patients with substance use disorders: study protocol for a randomized controlled trial of IPS versus enhanced self-help. Trials. 2021 Oct 15;22(1):705. doi: 10.1186/s13063-021-05673-z.

  PMID: 34654464 DERIVED

MeSH Terms

Conditions

Substance-Related Disorders

Interventions

Palliative Care

Condition Hierarchy (Ancestors)

Chemically-Induced Disorders; Mental Disorders

Intervention Hierarchy (Ancestors)

Patient Care; Therapeutics; Health Services; Health Care Facilities Workforce and Services

Study Officials

• Eline Rognli, PhD

  Oslo University Hospital

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Researcher

Model Details: Pragmatic, two-arm, parallel, superiority, randomised controlled trial

Study Record Dates

• First Submitted: February 25, 2020
• First Posted: February 28, 2020
• Study Start: March 1, 2020
• Primary Completion: May 15, 2024
• Study Completion (Estimated): February 28, 2032
• Last Updated: April 4, 2024

Record last verified: 2024-04

Data Sharing

• IPD Sharing: Will not share

Locations

NO (1)