Ignite Creation Date:
2024-05-05 @ 12:09 PM
Last Modification Date:
2024-10-26 @ 9:21 AM
Study NCT ID:
NCT00261716
Status:
COMPLETED
Last Update Posted:
2016-08-03
First Post:
2005-12-01
Brief Title:
Motivational Interviewing to Improve Work Outcomes in Schizophrenia
Sponsor:
VA Office of Research and Development
Organization:
VA Office of Research and Development
Study Overview
Official Title:
Motivational Interviewing to Improve Work Outcomes in Schizophrenia
Status:
COMPLETED
Status Verified Date:
2016-06
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
Many persons with schizophrenia have difficulty getting and keeping a job This study is designed to compare the benefits of four sessions of motivational interviewing or illness education in increasing employment rates accruing from participation in supported employment
Detailed Description:
Many individuals with serious psychiatric illnesses wish to work and yet employment rates for this population are lower than the general population Cook Razanno 2000 IPS is a type of supported employment intervention designed to assist individuals with serious psychiatric illnesses return to work Over 20 randomized trials demonstrate that in comparison to control conditions such as group therapy or referrals to traditional vocational rehabilitation services IPS participants are three more times more likely to obtain a job during the study and at least twice as likely to be competitively employed at any point in the study Just as with the general population the rewards of work for individuals with serious mental illness include considerably more than the financial remuneration For example employment appears to confer higher self-esteem greater life satisfaction and perhaps even better treatment compliance symptom improvement and insight in persons with psychiatric illnesses Bell et al 1996 Lysacker et al 1995 Mueser et al 1997 Bond et al 1997 Kashner et al 2002 Despite its demonstrated effectiveness these IPS results could be improved Most IPS participants are not competitively employed at any point in time it takes an average of about four months to obtain a first job a typical job lasts only approximately 20-25 weeks and employment rates across the sample asymptote at about month 8 or 9 of participation in the trials Furthermore obtaining a first job seems to be an almost insurmountable impediment for approximately 35-40 of individuals in the trials and these findings may be worse in individuals iwth schizophrenia Twamely et al 2003 Motivational deficits may play a prominent role in explaining the limited benefits accruing from IPS in persons with serious and persisting psychiatric illnesses especially in those with schizophrenia Building a successful work life requires sustained effort over months and years Palmer 1989 After a period of unemployment individuals must obtain their first reemployment position and then transition to others as circumstances arise Many persons with schizophrenia experience high degrees of negative symptoms demoralization and ambivalence which likely all interfere with the persistent efforts required to initiate and maintain a successful vocational adjustment Enhancing already validated vocational rehabilitation programs such as IPS with specific techniques to address motivational deficits may be essential to increasing employment rates among persons with schizophrenia In this study we tested a novel strategy designed to improve motivation for positive behavior change motivational interviewing adapted for work-related problems in persons with schizophrenia With the objective of improving work outcomes we assigned 38 outpatients with schizophrenia or schizoaffective disorder to one of two 18 month psychosocial treatment groups traditional Individual Placement and Support IPS with the addition of illness education IE about schizophreniaschizoaffective disorder as appropriate or with the addition of Vocationally-oriented Motivational Interviewing VOMI We hypothesized that 1 clients with schizophrenia who participated in IPSVOMI would better vocational outcomes than IPSIE clients 2 If they are separated from their first job clients with schizophrenia who participate in IPSVOMI would be more likely to obtain a second job than clients who receive IPSIE and 3 Regardless of their treatment condition working clients with schizophrenia would have greater social adjustment symptoms and life satisfaction than those who are not working
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
None
Is a FDA Regulated Device?:
None
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None