PovertyNCT00223834
Pathways to Vocational Rehabilitation: Enhancing Entry and Retention
A study testing single session of Motivational Interviewing in people with Poverty and Unemployment, run by US Department of Veterans Affairs at 1 site in United States.
Trial summary
This study will examine the barriers and supports for entering and receiving work-related services for veterans with a serious mental illness. It will also determine the effectiveness of a brief motivational interviewing intervention designed to help veterans receive these services. Read more about this study
- Who is it for?
- Ages 18 to 55 years
- Conditions the study is for
- Poverty, Unemployment
- What is being tested?
- single session of Motivational Interviewing
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 200 participants
- Where
- 1 siteUnited States
- Study dates
- Mar 2005to Sep 2007
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 55 years
- All sexes
- No healthy volunteers
- Adult
Who may be able to join
- Current diagnosis of serious mental illness, present for at least 2 years
- Is unemployed or underemployed
- Current episode of un/underemployment is at least 3 months
- Enrolled to receive services at study site
Who cannot join
- Over the age of 55
- Non-English speaker
- Mini-Mental score of less than 20
- Planning to move more than 30 miles from study site in the next 18 months
- Previously screened for this study
- Currently or previously involved in other research studies which may impact variables relevant to this study
Trial locations and contacts
1 site in 1 country.
United States1 site
Edith Nourse Rogers Memorial Veterans Hospital, Bedford
Bedford, Massachusetts, 01730
About this study
This study will examine the barriers and supports for entering and receiving work-related services for veterans with a serious mental illness. It will also determine the effectiveness of a brief motivational interviewing intervention designed to help veterans receive these services.
Read the detailed description
Randomized clinical trials and naturalistic studies show that among patients meeting criteria for chronic mental illness, those participating in vocational rehabilitation (VR) have significantly reduced days of inpatient hospitalization. Unfortunately, the majority of eligible adults fail to enter VR and almost half of those who do, drop out or are involuntarily discharged. The reasons for nonparticipation and drop out and their impact on rehabilitation outcomes are poorly understood.
The study will provide needed naturalistic data documenting:
- the way in which barriers function to reduce entry to services and contribute to the high rate of dropout,
- the outcomes associated with different patterns of participation, and
- relative rates of entry and retention in a non-VHA VR exemplar of the Intensive Placement and Support (IPS) model at the Manchester Mental Health Center in Manchester, New Hampshire.
While we need to know more about these "barriers" in order to develop the range of appropriate interventions, the enhancement of client motivation for work and rehabilitation is likely to have a positive impact both on entry and sustained compliance. We are proposing a random assignment single blind trial of a brief Motivational Interviewing (MI) intervention designed to address the low entry and retention rates of veterans with Serious Mental Illness (SMI) in Veterans Health Administration's (VHA) VR services.
- Conditions
- Poverty, Unemployment
- Being tested
- single session of Motivational Interviewing
- Keywords
- Counseling, Motivation, Psychotherapy, brief
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
single session of Motivational InterviewingBehavioural
| Study group | Role | What they receive |
|---|---|---|
| 1 | Other | Single session orientation to available services Receives: Behavioral: single session of Motivational Interviewing |
What is being measured
The primary outcome is the main question the study is designed to answer.
Entry and Retention in Vocational Rehabilitation
Measured: 18 months post intervention
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted22 Sep 2005 (estimated)
- Study startMar 2005
- Primary completionJan 2007
- Study completionSep 2007
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for PovertyStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Single group
- Masking
- Single blind
- Who is masked
- Outcomes assessor
- Enrolment
- 200 participants (estimated)
Sponsor and investigators
- Lead sponsor
- US Department of Veterans Affairs
- Sponsor type
- US federal agency
- Investigators
- Charles Drebing, PhD, Principal investigator, Edith Nourse Rogers Memorial Veterans Hospital, Bedford
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00223834
- Sponsor's protocol ID
- E3436R
- Status last verified
- Mar 2008
- First submitted
- 14 Sep 2005
- Last updated
- 14 Mar 2008
- Results posted
- No
- Data monitoring committee
- No
Study at a glance
From the registry record, last updated by the sponsor on 14 Mar 2008. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Pathways to Vocational Rehabilitation: Enhancing Entry and Retention
- ClinicalTrials.gov ID
- NCT00223834
- Acronym / sponsor ID
- E3436R
- Conditions
- Poverty, Unemployment
- Keywords
- Counseling, Motivation, Psychotherapy, brief
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 200 participants (estimated)
- Lead sponsor
- US Department of Veterans AffairsUS federal agency
- Study start
- Mar 2005
- Primary completion
- Jan 2007 (actual)
- Study completion
- Sep 2007 (actual)
- First posted
- 22 Sep 2005 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study will examine the barriers and supports for entering and receiving work-related services for veterans with a serious mental illness. It will also determine the effectiveness of a brief motivational interviewing intervention designed to help veterans receive these services.
Detailed description
Randomized clinical trials and naturalistic studies show that among patients meeting criteria for chronic mental illness, those participating in vocational rehabilitation (VR) have significantly reduced days of inpatient hospitalization. Unfortunately, the majority of eligible adults fail to enter VR and almost half of those who do, drop out or are involuntarily discharged. The reasons for nonparticipation and drop out and their impact on rehabilitation outcomes are poorly understood.
The study will provide needed naturalistic data documenting:
- the way in which barriers function to reduce entry to services and contribute to the high rate of dropout,
- the outcomes associated with different patterns of participation, and
- relative rates of entry and retention in a non-VHA VR exemplar of the Intensive Placement and Support (IPS) model at the Manchester Mental Health Center in Manchester, New Hampshire.
While we need to know more about these "barriers" in order to develop the range of appropriate interventions, the enhancement of client motivation for work and rehabilitation is likely to have a positive impact both on entry and sustained compliance. We are proposing a random assignment single blind trial of a brief Motivational Interviewing (MI) intervention designed to address the low entry and retention rates of veterans with Serious Mental Illness (SMI) in Veterans Health Administration's (VHA) VR services.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Single group
- Masking
- Single blind (outcomes assessor)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| 1 | Other | Behavioral: single session of Motivational InterviewingSingle session orientation to available services |
Who may qualify
- Ages
- 18 to 55 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult
Key inclusion criteria (4 listed)
- Current diagnosis of serious mental illness, present for at least 2 years
- Is unemployed or underemployed
- Current episode of un/underemployment is at least 3 months
- Enrolled to receive services at study site
Key exclusion criteria (6 listed)
- Over the age of 55
- Non-English speaker
- Mini-Mental score of less than 20
- Planning to move more than 30 miles from study site in the next 18 months
- Previously screened for this study
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| single session of Motivational Interviewing | Behavioural | 1 |
Primary outcome
Entry and Retention in Vocational Rehabilitation
Time frame: 18 months post intervention
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 14 Mar 2008.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Charles Drebing, PhD principal investigator
Edith Nourse Rogers Memorial Veterans Hospital, Bedford
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing single session of Motivational Interviewing in people with Poverty and Unemployment, run by US Department of Veterans Affairs at 1 site in United States.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 4 inclusion and 6 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 14 Mar 2008. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Entry and Retention in Vocational Rehabilitation (time frame: 18 months post intervention). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 14 Mar 2008.