NCT05167981

Brief Summary

The Retaining Employment and Talent after Injury/Illness Network (RETAIN) demonstration is a collaborative effort between the U.S. Department of Labor (DOL) and the Social Security Administration (SSA) to improve employment outcomes for individuals who experience injuries or illnesses that put them at risk of exiting the labor force and relying on disability programs and other public supports in the long term. RETAIN projects include a combination of medical provider services, stay-at-work/return-to-work (SAW/RTW) coordination services, and other SAW/RTW services. This evaluation will focus on the Kansas Department of Commerce's implementation of "RETAINWORKS" statewide. The evaluation will document how the project is implemented, describe enrollees, estimate the project's impacts on enrollees' outcomes, and assess whether the benefits outweigh the costs.

Trial Health

57
Monitor

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
4,000

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Oct 2021

Longer than P75 for not_applicable

Geographic Reach
1 country

1 active site

Status
recruiting

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

October 22, 2021

Completed
14 days until next milestone

First Submitted

Initial submission to the registry

November 5, 2021

Completed
2 months until next milestone

First Posted

Study publicly available on registry

December 22, 2021

Completed
3.4 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 1, 2025

Completed
9 months until next milestone

Study Completion

Last participant's last visit for all outcomes

February 28, 2026

Completed
Last Updated

January 24, 2022

Status Verified

November 1, 2021

Enrollment Period

3.6 years

First QC Date

November 5, 2021

Last Update Submit

January 7, 2022

Conditions

Keywords

disabilityemploymentunemployment

Outcome Measures

Primary Outcomes (3)

  • Share of enrollees employed in the fourth quarter after enrollment

    Share of enrollees employed in the fourth quarter after enrollment obtained from state unemployment insurance wage records. These files include individual-level wage records for six quarters surrounding enrollment in the study, including the quarter prior to enrollment, the quarter of enrollment, and four post-enrollment quarters.

    Measured over the three months in the fourth quarter after enrollment

  • Enrollee earnings in the fourth quarter after enrollment

    Sum of enrollee earnings in the fourth quarter after enrollment obtained from state unemployment insurance wage records. These files include individual-level wage records for six quarters surrounding enrollment in the study, including the quarter prior to enrollment, the quarter of enrollment, and four post-enrollment quarters.

    Measured over the three months in the fourth quarter after enrollment

  • Share of enrollees that applied for SSDI or SSI during the 12 months after enrollment

    Share of enrollees that applied for SSDI or SSI during any of the 12 months after enrollment obtained from SSA program data. These files include detailed information about Social Security Disability Insurance (SSDI) and Supplemental Security Income (SSI) applications SSDI and SSI awards, SSDI and SSI benefit amounts and enrollee characteristics (for enrollees who have ever applied for SSA program benefits)

    Measured in the 12 months after enrollment.

Study Arms (2)

RETAIN Programming

EXPERIMENTAL

The experimental group receives the full set of RETAINWORKS intervention activities.

Other: RETAINWORKS

Control

NO INTERVENTION

The control group receives information and referral to partner services.

Interventions

The experimental group is eligible to receive the full set of RETAINWORKS intervention activities. The program includes a combination of medical provider services, stay-at-work (SAW)/return-to-work (RTW) coordination services, and other SAW/RTW services. Participants receive intensive case management and care coordination by health and employment services RTW navigators. Financial incentives are offered to participants and medical providers for milestone attainment and training achievement.

RETAIN Programming

Eligibility Criteria

Age18 Years - 65 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Has a work disability. Work disability is defined as an injury, illness, or medical condition that has the potential to inhibit or prevent continued employment or labor force participation. Work disability exists when an employee is not able to perform their usual work as a result of a health problem
  • The work disability (i.e., illness, injury, or medical condition) must impact the participant's employment in one or more of the following ways:
  • Participant's ability to attend work;
  • Participant's ability to perform work duties;
  • Participant's work performance/productivity
  • The condition must be a new condition or an exacerbation of a chronic condition that falls into one or more of the following categories:
  • Musculoskeletal injuries;
  • Mental health disorders;
  • Chronic diseases such as Diabetes, Chronic Obstructive Pulmonary Disease (COPD), or Congestive Heart Failure (CHF) - this list is not all-inclusive;
  • Other newly diagnosed illnesses or injuries that affect the individual's employment
  • The condition may be acquired from or attributed to either on-the-job (occupational-related) or off-the-job (non-occupational-related) factors
  • The participant must meet all the following criteria:
  • Be between the ages of 18 and 65 years;
  • Be currently employed or seeking employment;
  • Either live or work in Kansas;
  • +2 more criteria

You may not qualify if:

  • May NOT have application for SSDI or SSI benefits pending or already receiving such benefits at the onset of the injury or illness

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Kansas Department of Commerce

Topeka, Kansas, 66612, United States

RECRUITING

Study Officials

  • Jill Berk, PhD

    Mathematica Policy Research, Inc.

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Catherine Turvey, MPH

CONTACT

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
HEALTH SERVICES RESEARCH
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

November 5, 2021

First Posted

December 22, 2021

Study Start

October 22, 2021

Primary Completion

June 1, 2025

Study Completion

February 28, 2026

Last Updated

January 24, 2022

Record last verified: 2021-11

Data Sharing

IPD Sharing
Will not share

Locations