Together in Recovery With Veterans Through Employment
THRIVE
Individual Placement and Support for Veterans With Opioid Use Disorder: A Mixed Methods Study
1 other identifier
interventional
123
1 country
2
Brief Summary
The purpose of this study is to help Veterans who have opioid use problems with gaining and maintaining meaningful employment. The investigators also want to know employment helps with other aspects of the Veteran's life including starting and staying on necessary medications, mental health needs, and feeling a part of society.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable
Started Dec 2022
Longer than P75 for not_applicable
2 active sites
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
First Submitted
Initial submission to the registry
May 19, 2022
CompletedFirst Posted
Study publicly available on registry
May 24, 2022
CompletedStudy Start
First participant enrolled
December 16, 2022
CompletedPrimary Completion
Last participant's last visit for primary outcome
August 30, 2027
ExpectedStudy Completion
Last participant's last visit for all outcomes
September 30, 2027
March 19, 2026
March 1, 2026
4.7 years
May 19, 2022
March 16, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
number of weeks worked
A "week worked" is defined as working either part time or full time in a competitive job during a Sunday to Saturday 7-day window. Competitive employment is defined as a job that pays at least minimum wage or is based on salary or commission, is based in a setting alongside others without disabilities, and is not reserved for people with disabilities
15 months
Secondary Outcomes (5)
Quality of Life
15 months
social support
15 months
Depression
15 months
Anxiety
15 months
Resilience
15 months
Other Outcomes (1)
suicide risk
15-months
Study Arms (2)
Individual Placement and Support
EXPERIMENTALThe IPS model involves the following important domains: competitive employment, eligibility based on client choice of employment, integration of IPS and treatment team personalized counseling, rapid job search, systematic job development, and time-unlimited and individualized support.
Treatment As Usual Vocational Rehabilitation (TAU-VR)
ACTIVE COMPARATORTAU-VR Services may include 1) Compensated Work Therapy-Transitional Work (CWT-TW) assignment in a set-aside, minimum-wage, short-term job, typically in the VA setting (approximately 50% of the Veterans randomized to TW in past studies conducted by the investigators actually engaged in TW assignment) or 2) CWT-Community-Based Employment Services (CWT-CBES) which involves a community job search, placement in a competitive job, with limited follow-along support that typically ends after the Veteran is working in his/her first job
Interventions
The IPS model involves the following important domains: competitive employment, eligibility based on client choice of employment, integration of IPS and treatment team personalized counseling, rapid job search, systematic job development, and time-unlimited and individualized support.
TAU-VR Services may include 1) Compensated Work Therapy-Transitional Work (CWT-TW) assignment in a set-aside, minimum-wage, short-term job, typically in the VA setting (approximately 50% of the Veterans randomized to TW in past studies conducted by the investigators actually engaged in TW assignment) or 2) CWT-Community-Based Employment Services (CWT-CBES) which involves a community job search, placement in a competitive job, with limited follow-along support that typically ends after the Veteran is working in his/her first job
Eligibility Criteria
You may qualify if:
- age 19\* (\<19 year of age in the state of AL is defined minor)
- DSM-5 Axis I diagnosis of OUD
- currently unemployed or underemployed, defined as working \<20hrs/week in a meaningful competitive job for a wage, salary, or commission
- expression of interest in competitive employment; and willing and able to give informed consent
You may not qualify if:
- current diagnosis of psychotic disorders since these Veterans already can receive IPS in usual care at TVAMC and BVAMC
- diagnosis of dementia (evidenced in the medical record)
- presence of current severe and unstable medical condition or terminal illness, that would contraindicate study participation or expose them to an undue risk
- unlikely that participant can complete the study
- e.g., expected deployment, incarceration, long-term hospitalization, or relocation from the vicinity
- active suicidal or homicidal ideation making it unsafe for Veteran to be included
- current participation in another vocational interventional trial
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (2)
Birmingham VA Medical Center, Birmingham, AL
Birmingham, Alabama, 35233-1927, United States
Tuscaloosa VA Medical Center, Tuscaloosa, AL
Tuscaloosa, Alabama, 35404-5015, United States
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Mercy N Mumba, RN
Tuscaloosa VA Medical Center, Tuscaloosa, AL
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- SUPPORTIVE CARE
- Intervention Model
- PARALLEL
- Sponsor Type
- FED
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
May 19, 2022
First Posted
May 24, 2022
Study Start
December 16, 2022
Primary Completion (Estimated)
August 30, 2027
Study Completion (Estimated)
September 30, 2027
Last Updated
March 19, 2026
Record last verified: 2026-03
Data Sharing
- IPD Sharing
- Will not share