Ignite Creation Date:
2025-12-24 @ 5:08 PM
Ignite Modification Date:
2026-01-11 @ 8:03 AM
Study NCT ID:
NCT00715650
Status:
COMPLETED
Last Update Posted:
2016-03-11
First Post:
2008-07-11
Is NOT Gene Therapy:
True
Has Adverse Events:
True
Brief Title:
Benefits Counseling to Preserve Function Among Disability Applicants
Sponsor:
Organization:
Raw JSON
{'hasResults': True, 'derivedSection': {'miscInfoModule': {'versionHolder': '2025-12-24'}, 'interventionBrowseModule': {'meshes': [{'id': 'D062405', 'term': 'Motivational Interviewing'}], 'ancestors': [{'id': 'D037001', 'term': 'Directive Counseling'}, {'id': 'D003376', 'term': 'Counseling'}, {'id': 'D008605', 'term': 'Mental Health Services'}, {'id': 'D004191', 'term': 'Behavioral Disciplines and Activities'}, {'id': 'D006296', 'term': 'Health Services'}, {'id': 'D005159', 'term': 'Health Care Facilities Workforce and Services'}]}}, 'resultsSection': {'moreInfoModule': {'pointOfContact': {'email': 'marc.rosen@yale.edu', 'phone': '203-932-5711', 'title': 'Dr. Marc Rosen', 'phoneExt': '2575', 'organization': 'Yale University'}, 'certainAgreement': {'piSponsorEmployee': False, 'restrictiveAgreement': False}}, 'adverseEventsModule': {'eventGroups': [{'id': 'EG000', 'title': 'Benefits Counseling', 'description': "Four 50-minutes sessions of individual counseling using motivational interviewing to increase veterans' desire to engage in work and related activities", 'otherNumAtRisk': 42, 'otherNumAffected': 0, 'seriousNumAtRisk': 42, 'seriousNumAffected': 0}, {'id': 'EG001', 'title': 'VA Orientation', 'description': 'Four sessions of VA orientation that taught veterans about the VA health care system generally and about the specific general medical and mental health services available to veterans', 'otherNumAtRisk': 42, 'otherNumAffected': 0, 'seriousNumAtRisk': 42, 'seriousNumAffected': 0}], 'frequencyThreshold': '0'}, 'outcomeMeasuresModule': {'outcomeMeasures': [{'type': 'PRIMARY', 'title': 'Days of Work and Work-related Activity', 'denoms': [{'units': 'Participants', 'counts': [{'value': '42', 'groupId': 'OG000'}, {'value': '42', 'groupId': 'OG001'}]}], 'groups': [{'id': 'OG000', 'title': 'Benefits Counseling', 'description': "Four 50-minutes sessions of individual counseling using motivational interviewing to increase veterans' desire to engage in work and related activities"}, {'id': 'OG001', 'title': 'VA Orientation', 'description': 'Four sessions of VA orientation that taught veterans about the VA health care system generally and about the specific general medical and mental health services available to veterans'}], 'classes': [{'title': 'Any work activity', 'categories': [{'measurements': [{'value': '8.3', 'spread': '8.1', 'groupId': 'OG000'}, {'value': '8.7', 'spread': '9.4', 'groupId': 'OG001'}]}]}, {'title': 'Work for pay', 'categories': [{'measurements': [{'value': '6.6', 'spread': '8.8', 'groupId': 'OG000'}, {'value': '9.0', 'spread': '10.1', 'groupId': 'OG001'}]}]}, {'title': 'Work for no pay', 'categories': [{'measurements': [{'value': '.3', 'spread': '1.2', 'groupId': 'OG000'}, {'value': '.1', 'spread': '.2', 'groupId': 'OG001'}]}]}, {'title': 'Classes', 'categories': [{'measurements': [{'value': '2.6', 'spread': '6.2', 'groupId': 'OG000'}, {'value': '1.6', 'spread': '4.9', 'groupId': 'OG001'}]}]}, {'title': 'Vocational rehabilitation', 'categories': [{'measurements': [{'value': '.1', 'spread': '.3', 'groupId': 'OG000'}, {'value': '.0', 'spread': '.2', 'groupId': 'OG001'}]}]}], 'paramType': 'MEAN', 'timeFrame': 'Baseline', 'description': 'Number of days in the past 28 spent engaged in any kind of work or related activity. Measured using a timeline follow-back calendar.', 'unitOfMeasure': 'days', 'dispersionType': 'Standard Deviation', 'reportingStatus': 'POSTED'}, {'type': 'PRIMARY', 'title': 'Days of Work and Work-related Activity', 'denoms': [{'units': 'Participants', 'counts': [{'value': '42', 'groupId': 'OG000'}, {'value': '42', 'groupId': 'OG001'}]}], 'groups': [{'id': 'OG000', 'title': 'Benefits Counseling', 'description': "Four 50-minutes sessions of individual counseling using motivational interviewing to increase veterans' desire to engage in work and related activities"}, {'id': 'OG001', 'title': 'VA Orientation', 'description': 'Four sessions of VA orientation that taught veterans about the VA health care system generally and about the specific general medical and mental health services available to veterans'}], 'classes': [{'title': 'Any work activity', 'categories': [{'measurements': [{'value': '8.6', 'spread': '9.1', 'groupId': 'OG000'}, {'value': '9.8', 'spread': '10.0', 'groupId': 'OG001'}]}]}, {'title': 'Work for pay', 'categories': [{'measurements': [{'value': '7.0', 'spread': '9.3', 'groupId': 'OG000'}, {'value': '10.0', 'spread': '10.3', 'groupId': 'OG001'}]}]}, {'title': 'Work for no pay', 'categories': [{'measurements': [{'value': '1.4', 'spread': '1.7', 'groupId': 'OG000'}, {'value': '3.3', 'spread': '.5', 'groupId': 'OG001'}]}]}, {'title': 'Classes', 'categories': [{'measurements': [{'value': '3.7', 'spread': '3.7', 'groupId': 'OG000'}, {'value': '4.6', 'spread': '1.0', 'groupId': 'OG001'}]}]}, {'title': 'Vocational rehabilitation', 'categories': [{'measurements': [{'value': '4.5', 'spread': '.4', 'groupId': 'OG000'}, {'value': '0', 'spread': '.4', 'groupId': 'OG001'}]}]}], 'paramType': 'MEAN', 'timeFrame': 'Month 1', 'description': 'Number of days in the past 28 spent engaged in any kind of work or related activity. Measured using a timeline follow-back calendar.', 'unitOfMeasure': 'days', 'dispersionType': 'Standard Deviation', 'reportingStatus': 'POSTED'}, {'type': 'PRIMARY', 'title': 'Days of Work and Work-related Activity', 'denoms': [{'units': 'Participants', 'counts': [{'value': '42', 'groupId': 'OG000'}, {'value': '42', 'groupId': 'OG001'}]}], 'groups': [{'id': 'OG000', 'title': 'Benefits Counseling', 'description': "Four 50-minutes sessions of individual counseling using motivational interviewing to increase veterans' desire to engage in work and related activities"}, {'id': 'OG001', 'title': 'VA Orientation', 'description': 'Four sessions of VA orientation that taught veterans about the VA health care system generally and about the specific general medical and mental health services available to veterans'}], 'classes': [{'title': 'Any work activity', 'categories': [{'measurements': [{'value': '11.6', 'spread': '8.9', 'groupId': 'OG000'}, {'value': '11.6', 'spread': '9.5', 'groupId': 'OG001'}]}]}, {'title': 'Work for pay', 'categories': [{'measurements': [{'value': '9.3', 'spread': '9.3', 'groupId': 'OG000'}, {'value': '10.3', 'spread': '10.3', 'groupId': 'OG001'}]}]}, {'title': 'Work for no pay', 'categories': [{'measurements': [{'value': '1.7', 'spread': '5.2', 'groupId': 'OG000'}, {'value': '.5', 'spread': '2.1', 'groupId': 'OG001'}]}]}, {'title': 'Classes', 'categories': [{'measurements': [{'value': '3.7', 'spread': '7.0', 'groupId': 'OG000'}, {'value': '1.0', 'spread': '3.1', 'groupId': 'OG001'}]}]}, {'title': 'Vocational rehabilitation', 'categories': [{'measurements': [{'value': '.4', 'spread': '2.1', 'groupId': 'OG000'}, {'value': '.4', 'spread': '2.5', 'groupId': 'OG001'}]}]}], 'paramType': 'MEAN', 'timeFrame': 'Month 3', 'description': 'Number of days in the past 28 spent engaged in any kind of work or related activity. Measured using a timeline follow-back calendar.', 'unitOfMeasure': 'days', 'dispersionType': 'Standard Deviation', 'reportingStatus': 'POSTED'}, {'type': 'PRIMARY', 'title': 'Days of Work and Work-related Activity', 'denoms': [{'units': 'Participants', 'counts': [{'value': '42', 'groupId': 'OG000'}, {'value': '42', 'groupId': 'OG001'}]}], 'groups': [{'id': 'OG000', 'title': 'Benefits Counseling', 'description': "Four 50-minutes sessions of individual counseling using motivational interviewing to increase veterans' desire to engage in work and related activities"}, {'id': 'OG001', 'title': 'VA Orientation', 'description': 'Four sessions of VA orientation that taught veterans about the VA health care system generally and about the specific general medical and mental health services available to veterans'}], 'classes': [{'title': 'Any work activity', 'categories': [{'measurements': [{'value': '12.7', 'spread': '8.4', 'groupId': 'OG000'}, {'value': '10.5', 'spread': '9.4', 'groupId': 'OG001'}]}]}, {'title': 'Work for pay', 'categories': [{'measurements': [{'value': '10.5', 'spread': '9.6', 'groupId': 'OG000'}, {'value': '7.8', 'spread': '9.6', 'groupId': 'OG001'}]}]}, {'title': 'Work for no pay', 'categories': [{'measurements': [{'value': '2.6', 'spread': '6.1', 'groupId': 'OG000'}, {'value': '1.4', 'spread': '4.7', 'groupId': 'OG001'}]}]}, {'title': 'Classes', 'categories': [{'measurements': [{'value': '4.8', 'spread': '8.5', 'groupId': 'OG000'}, {'value': '2.5', 'spread': '5.9', 'groupId': 'OG001'}]}]}, {'title': 'Vocational rehabilitation', 'categories': [{'measurements': [{'value': '.6', 'spread': '3.0', 'groupId': 'OG000'}, {'value': '.3', 'spread': '1.7', 'groupId': 'OG001'}]}]}], 'paramType': 'MEAN', 'timeFrame': 'Month 6', 'description': 'Number of days in the past 28 spent engaged in any kind of work or related activity. Measured using a timeline follow-back calendar.', 'unitOfMeasure': 'days', 'dispersionType': 'Standard Deviation', 'reportingStatus': 'POSTED'}]}, 'participantFlowModule': {'groups': [{'id': 'FG000', 'title': 'Benefits Counseling', 'description': "Four 50-minutes sessions of individual counseling using motivational interviewing to increase veterans' desire to engage in work and related activities"}, {'id': 'FG001', 'title': 'VA Orientation', 'description': 'Four sessions of VA orientation that taught veterans about the VA health care system generally and about the specific general medical and mental health services available to veterans'}], 'periods': [{'title': 'Intervention', 'milestones': [{'type': 'STARTED', 'achievements': [{'groupId': 'FG000', 'numSubjects': '47'}, {'groupId': 'FG001', 'numSubjects': '45'}]}, {'type': 'Received Any Session', 'achievements': [{'groupId': 'FG000', 'numSubjects': '39'}, {'groupId': 'FG001', 'numSubjects': '38'}]}, {'type': 'Attended ≥ 2 Sessions', 'achievements': [{'groupId': 'FG000', 'numSubjects': '36'}, {'groupId': 'FG001', 'numSubjects': '33'}]}, {'type': 'Attended ≥ 3 Sessions', 'achievements': [{'groupId': 'FG000', 'numSubjects': '23'}, {'groupId': 'FG001', 'numSubjects': '17'}]}, {'type': 'COMPLETED', 'achievements': [{'groupId': 'FG000', 'numSubjects': '42'}, {'groupId': 'FG001', 'numSubjects': '42'}]}, {'type': 'NOT COMPLETED', 'achievements': [{'groupId': 'FG000', 'numSubjects': '5'}, {'groupId': 'FG001', 'numSubjects': '3'}]}]}, {'title': 'Follow-up', 'milestones': [{'type': 'STARTED', 'achievements': [{'groupId': 'FG000', 'numSubjects': '42'}, {'groupId': 'FG001', 'numSubjects': '42'}]}, {'type': 'Completed Month 1 Follow-up', 'achievements': [{'groupId': 'FG000', 'numSubjects': '40'}, {'groupId': 'FG001', 'numSubjects': '38'}]}, {'type': 'Completed Month 3 Follow-up', 'achievements': [{'groupId': 'FG000', 'numSubjects': '35'}, {'groupId': 'FG001', 'numSubjects': '40'}]}, {'type': 'Completed Month 6 Follow-up', 'achievements': [{'groupId': 'FG000', 'numSubjects': '29'}, {'groupId': 'FG001', 'numSubjects': '37'}]}, {'type': 'COMPLETED', 'achievements': [{'groupId': 'FG000', 'numSubjects': '29'}, {'groupId': 'FG001', 'numSubjects': '37'}]}, {'type': 'NOT COMPLETED', 'achievements': [{'groupId': 'FG000', 'numSubjects': '13'}, {'groupId': 'FG001', 'numSubjects': '5'}]}]}], 'recruitmentDetails': 'Participants were recruited from December 2008 to December 2011. Veterans were eligible for participation if they were seeking service-connection for a psychiatric disability and they indicated that emotional problems had interfered with work in the past 28 days.'}, 'baselineCharacteristicsModule': {'denoms': [{'units': 'Participants', 'counts': [{'value': '42', 'groupId': 'BG000'}, {'value': '42', 'groupId': 'BG001'}, {'value': '84', 'groupId': 'BG002'}]}], 'groups': [{'id': 'BG000', 'title': 'Benefits Counseling', 'description': "Four 50-minutes sessions of individual counseling using motivational interviewing to increase veterans' desire to engage in work and related activities"}, {'id': 'BG001', 'title': 'VA Orientation', 'description': 'Four sessions of VA orientation that taught veterans about the VA health care system generally and about the specific general medical and mental health services available to veterans'}, {'id': 'BG002', 'title': 'Total', 'description': 'Total of all reporting groups'}], 'measures': [{'title': 'Age, Continuous', 'classes': [{'categories': [{'measurements': [{'value': '37', 'spread': '4', 'groupId': 'BG000'}, {'value': '40', 'spread': '14', 'groupId': 'BG001'}, {'value': '38.5', 'spread': '14', 'groupId': 'BG002'}]}]}], 'paramType': 'MEAN', 'unitOfMeasure': 'years', 'dispersionType': 'STANDARD_DEVIATION'}, {'title': 'Sex: Female, Male', 'classes': [{'categories': [{'title': 'Female', 'measurements': [{'value': '10', 'groupId': 'BG000'}, {'value': '4', 'groupId': 'BG001'}, {'value': '14', 'groupId': 'BG002'}]}, {'title': 'Male', 'measurements': [{'value': '32', 'groupId': 'BG000'}, {'value': '38', 'groupId': 'BG001'}, {'value': '70', 'groupId': 'BG002'}]}]}], 'paramType': 'COUNT_OF_PARTICIPANTS', 'unitOfMeasure': 'Participants'}, {'title': 'Race/Ethnicity, Customized', 'classes': [{'title': 'White', 'categories': [{'measurements': [{'value': '25', 'groupId': 'BG000'}, {'value': '28', 'groupId': 'BG001'}, {'value': '53', 'groupId': 'BG002'}]}]}, {'title': 'African American', 'categories': [{'measurements': [{'value': '6', 'groupId': 'BG000'}, {'value': '5', 'groupId': 'BG001'}, {'value': '11', 'groupId': 'BG002'}]}]}, {'title': 'Latino', 'categories': [{'measurements': [{'value': '8', 'groupId': 'BG000'}, {'value': '5', 'groupId': 'BG001'}, {'value': '13', 'groupId': 'BG002'}]}]}, {'title': 'Other', 'categories': [{'measurements': [{'value': '3', 'groupId': 'BG000'}, {'value': '4', 'groupId': 'BG001'}, {'value': '7', 'groupId': 'BG002'}]}]}], 'paramType': 'NUMBER', 'unitOfMeasure': 'participants'}, {'title': 'Psychiatric diagnosis', 'classes': [{'title': 'Major depression', 'categories': [{'measurements': [{'value': '15', 'groupId': 'BG000'}, {'value': '10', 'groupId': 'BG001'}, {'value': '25', 'groupId': 'BG002'}]}]}, {'title': 'PTSD', 'categories': [{'measurements': [{'value': '9', 'groupId': 'BG000'}, {'value': '15', 'groupId': 'BG001'}, {'value': '24', 'groupId': 'BG002'}]}]}, {'title': 'TBI', 'categories': [{'measurements': [{'value': '1', 'groupId': 'BG000'}, {'value': '3', 'groupId': 'BG001'}, {'value': '4', 'groupId': 'BG002'}]}]}, {'title': 'Schizophrenia type/Bipolar', 'categories': [{'measurements': [{'value': '3', 'groupId': 'BG000'}, {'value': '2', 'groupId': 'BG001'}, {'value': '5', 'groupId': 'BG002'}]}]}, {'title': 'Substance abuse', 'categories': [{'measurements': [{'value': '11', 'groupId': 'BG000'}, {'value': '6', 'groupId': 'BG001'}, {'value': '17', 'groupId': 'BG002'}]}]}], 'paramType': 'NUMBER', 'unitOfMeasure': 'participants'}, {'title': 'Attitudes and beliefs: "If a person is receiving VA benefits and starts working for pay ..."', 'classes': [{'title': 'Income benefits will be reduced or stopped', 'categories': [{'measurements': [{'value': '3.4', 'spread': '1.4', 'groupId': 'BG000'}, {'value': '3.5', 'spread': '1.2', 'groupId': 'BG001'}, {'value': '3.45', 'spread': '1.4', 'groupId': 'BG002'}]}]}, {'title': 'Medical benefits will remain the same', 'categories': [{'measurements': [{'value': '3.1', 'spread': '1.4', 'groupId': 'BG000'}, {'value': '2.8', 'spread': '1.3', 'groupId': 'BG001'}, {'value': '2.95', 'spread': '1.4', 'groupId': 'BG002'}]}]}, {'title': 'Would rather turn down job than lose benefits', 'categories': [{'measurements': [{'value': '3.3', 'spread': '1.0', 'groupId': 'BG000'}, {'value': '3.6', 'spread': '1.0', 'groupId': 'BG001'}, {'value': '3.45', 'spread': '1', 'groupId': 'BG002'}]}]}], 'paramType': 'MEAN', 'description': 'Veterans were asked to rate their agreement with three statements asserting a relationship between work and receipt of disability payments. Agreement was rated on a 4-point, forced-choice Likert scale anchored by strongly disagree (1), somewhat disagree (2), somewhat agree (3), and strongly agree (4).', 'unitOfMeasure': 'Likert scale', 'dispersionType': 'STANDARD_DEVIATION'}]}}, 'protocolSection': {'designModule': {'phases': ['PHASE2'], 'studyType': 'INTERVENTIONAL', 'designInfo': {'allocation': 'RANDOMIZED', 'maskingInfo': {'masking': 'NONE'}, 'primaryPurpose': 'SUPPORTIVE_CARE', 'interventionModel': 'PARALLEL'}, 'enrollmentInfo': {'type': 'ACTUAL', 'count': 92}}, 'statusModule': {'overallStatus': 'COMPLETED', 'startDateStruct': {'date': '2008-12'}, 'expandedAccessInfo': {'hasExpandedAccess': False}, 'statusVerifiedDate': '2016-02', 'completionDateStruct': {'date': '2015-12', 'type': 'ACTUAL'}, 'lastUpdateSubmitDate': '2016-02-10', 'studyFirstSubmitDate': '2008-07-11', 'resultsFirstSubmitDate': '2014-10-06', 'studyFirstSubmitQcDate': '2008-07-11', 'lastUpdatePostDateStruct': {'date': '2016-03-11', 'type': 'ESTIMATED'}, 'resultsFirstSubmitQcDate': '2014-10-09', 'studyFirstPostDateStruct': {'date': '2008-07-15', 'type': 'ESTIMATED'}, 'resultsFirstPostDateStruct': {'date': '2014-10-17', 'type': 'ESTIMATED'}, 'primaryCompletionDateStruct': {'date': '2012-06', 'type': 'ACTUAL'}}, 'outcomesModule': {'primaryOutcomes': [{'measure': 'Days of Work and Work-related Activity', 'timeFrame': 'Baseline', 'description': 'Number of days in the past 28 spent engaged in any kind of work or related activity. Measured using a timeline follow-back calendar.'}, {'measure': 'Days of Work and Work-related Activity', 'timeFrame': 'Month 1', 'description': 'Number of days in the past 28 spent engaged in any kind of work or related activity. Measured using a timeline follow-back calendar.'}, {'measure': 'Days of Work and Work-related Activity', 'timeFrame': 'Month 3', 'description': 'Number of days in the past 28 spent engaged in any kind of work or related activity. Measured using a timeline follow-back calendar.'}, {'measure': 'Days of Work and Work-related Activity', 'timeFrame': 'Month 6', 'description': 'Number of days in the past 28 spent engaged in any kind of work or related activity. Measured using a timeline follow-back calendar.'}]}, 'oversightModule': {'oversightHasDmc': False}, 'conditionsModule': {'keywords': ['Rehabilitation, Vocational', 'Compensation and Redress', 'disability evaluation'], 'conditions': ["Veterans' Disability Claims"]}, 'referencesModule': {'references': [{'pmid': '24090622', 'type': 'RESULT', 'citation': "Meshberg-Cohen S, Reid-Quinones K, Black AC, Rosen MI. Veterans' attitudes toward work and disability compensation: associations with substance abuse. Addict Behav. 2014 Feb;39(2):445-8. doi: 10.1016/j.addbeh.2013.09.005. Epub 2013 Sep 11."}, {'pmid': '25082304', 'type': 'RESULT', 'citation': 'Rosen MI, Ablondi K, Black AC, Mueller L, Serowik KL, Martino S, Mobo BH, Rosenheck RA. Work outcomes after benefits counseling among veterans applying for service connection for a psychiatric condition. Psychiatr Serv. 2014 Dec 1;65(12):1426-32. doi: 10.1176/appi.ps.201300478. Epub 2014 Oct 31.'}]}, 'descriptionModule': {'briefSummary': 'This study will address the problem that claimants with psychiatric disabilities who apply for and receive disability benefits go on to work less than those whose claims are denied.', 'detailedDescription': "The objective of this research is to conduct a 6-month randomized clinical trial comparing participants assigned to Benefits Counseling and to those assigned to the control condition, VA Orientation. Benefits Counseling is an adaptation of two counseling approaches to foster veterans' involvement in work and work-related activity compared to the control condition, VA Orientation. The first approach helped recipients of Social Security disability benefits for psychiatric illness return to work in part by alleviating beneficiaries' concerns that they would lose their benefits if they worked. The second approach is a Motivational Interviewing approach that showed great promise in engaging veterans with psychiatric disabilities in compensated work therapy."}, 'eligibilityModule': {'sex': 'ALL', 'stdAges': ['ADULT', 'OLDER_ADULT'], 'maximumAge': '65 Years', 'minimumAge': '18 Years', 'healthyVolunteers': False, 'eligibilityCriteria': 'Inclusion Criteria:\n\n* Has never received VBA benefits\n* Able to provide valid consent\n* Expresses willingness to discuss benefits with a counselor\n* Difficulty working as evidenced by a "Yes" to either (a), (b), or (c) of the question below about work-related difficulties: During the past 4 weeks, have you had any of the following problems (such as feeling depressed and anxious):\n\n * Cut down on the amount of time you spent on work or other activities?\n * Accomplished less than you would like?\n * Didn\'t do work or other activities as carefully as usual?\n* Expresses willingness to try Benefits Counseling if assigned to it\n* An evaluation by a psychiatrist or psychologist is scheduled\n\nExclusion Criteria:\n\n* Already receiving VA payments\n* Already receiving SSI or SSDI payments\n* Has a conservator'}, 'identificationModule': {'nctId': 'NCT00715650', 'briefTitle': 'Benefits Counseling to Preserve Function Among Disability Applicants', 'organization': {'class': 'FED', 'fullName': 'VA Office of Research and Development'}, 'officialTitle': 'Benefits Counseling to Preserve Function Among Disability Applicants', 'orgStudyIdInfo': {'id': 'D6432-R'}}, 'armsInterventionsModule': {'armGroups': [{'type': 'EXPERIMENTAL', 'label': 'Arm 1', 'description': "This counseling consists of four sessions each approximately 60 minutes each. The four sessions are organized as follows: a) Orientation to Benefits Counseling: Your Benefits and Your Goals b) Work and Claims c) Financial Review: Implications of Your Work Plan and d) Your Plans After the Benefits Notice. The first session focuses on the disability application process as a non-confrontational way to explore attitudes towards work. The second session more directly addresses the claimant's attitudes about work and beliefs about whether work will prevent receipt of disability benefits. The third session addresses the same issue as the second, ambivalence about work and disability, from a financial perspective. The fourth session occurs after the disability determination has been made, and it is possible the veteran may feel differently about a benefit that has been awarded.", 'interventionNames': ['Behavioral: Benefits Counseling']}, {'type': 'ACTIVE_COMPARATOR', 'label': 'Arm 2', 'description': 'This will consist of four-session orientation with the sessions organized as follows: a) overview of VHA services, b) Primary Care c) Pharmacy and laboratory services and d) specialty services. After the description of each service, participants will be invited to discuss which services they plan to utilize. The counselor will provide telephone numbers and directions to the sites at which these services are provided.', 'interventionNames': ['Behavioral: VA Orientation']}], 'interventions': [{'name': 'Benefits Counseling', 'type': 'BEHAVIORAL', 'otherNames': ['Motivational Interviewing'], 'description': "Benefits counseling is designed to improve the quality of life of disability applicants by accomplishing two functions: 1) Providing information concerning what vocational rehabilitation services are available and how they will affect receipt of disability payments, 2) Amplifying applicants' existing motivation to engage in work and related-activities, using a Motivational Interviewing approach.", 'armGroupLabels': ['Arm 1']}, {'name': 'VA Orientation', 'type': 'BEHAVIORAL', 'otherNames': ['New patient orientation'], 'description': 'VA Orientation is designed to provide the Veteran with information regarding the services available, how to access the services and where the service is located on the VA campus.', 'armGroupLabels': ['Arm 2']}]}, 'contactsLocationsModule': {'locations': [{'zip': '06516', 'city': 'West Haven', 'state': 'Connecticut', 'country': 'United States', 'facility': 'VA Connecticut Healthcare System West Haven Campus, West Haven, CT', 'geoPoint': {'lat': 41.27065, 'lon': -72.94705}}], 'overallOfficials': [{'name': 'Marc I. Rosen, MD', 'role': 'PRINCIPAL_INVESTIGATOR', 'affiliation': 'VA Connecticut Healthcare System West Haven Campus, West Haven, CT'}]}, 'sponsorCollaboratorsModule': {'leadSponsor': {'name': 'VA Office of Research and Development', 'class': 'FED'}, 'collaborators': [{'name': 'Yale University', 'class': 'OTHER'}], 'responsibleParty': {'type': 'SPONSOR'}}}}