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PsychosisEQOLISENCT00461318

The Effectiveness of Supported Employment for People With Severe Mental Illness: an RCT in Six European Countries

A study testing Individual placement and support (vocational rehabilitation) in people with Psychosis, run by University of Oxford at 1 site in United Kingdom.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record

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Trial summary

The primary aim of the study was to determine the effectiveness of a form of supported employment, Individual Placement and Support (IPS) compared to existing good quality rehabilitation and vocational services for people with psychotic illnesses in terms of 'open' employment outcomes (in the competitive labour… Read more about this study

Who is it for?
Ages 18 to 55 years
Conditions the study is for
Psychosis
What is being tested?
Individual placement and support (vocational rehabilitation)
Type of treatment
Surgery or procedure
How many people
300 participants
Where
1 siteUnited Kingdom
Study dates
Apr 2003to Nov 2005
Phase
Interventional

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

  • pscychotic illness of at least a years duration
  • unemployed for at least a year

Who cannot join

  • -

Trial locations and contacts

1 site in 1 country.

United Kingdom1 site
  • Division of mental health, St Georges medical school, university of london

    London, SW17 0RE

Other trials in United Kingdom

About this study

Official title: Enhancing the Quality of Life and Independence of Persons Disabled by Severe Mental Illness Through Supported Employment

The primary aim of the study was to determine the effectiveness of a form of supported employment, Individual Placement and Support (IPS) compared to existing good quality rehabilitation and vocational services for people with psychotic illnesses in terms of 'open' employment outcomes (in the competitive labour market), and to examine its relative effectiveness in the context of different European welfare systems and labour markets. The primary hypothesis was that IPS patients would be more likely to obtain open employment than control service patients. Secondary hypotheses were that they would be in open employment for longer than the control patients, and that they would not spend more time in hospital.

Read the detailed description

An RCT was conducted in six European centres: London (UK), Ulm-Guenzburg (Germany), Rimini (Italy), Zurich (Switzerland), Groningen (the Netherlands) and Sofia (Bulgaria). Patients were included if they had a diagnosis of SMI (psychotic illness including bipolar disorder), were aged 18 to retirement age, had been ill and had major role dysfunction for at least two years, were living in the community at baseline, had not been in competitive employment in the preceding year and expressed the desire to enter competitive employment. They were randomly allocated to receive either IPS or the 'Vocational Service' (control service). Given the need to consider the impact of gender and work history on vocational outcomes (20), service allocation was stratified by centre, gender and work history (more or less than a month's competitive employment in the five years prior to baseline). Randomisation was conducted centrally using MINIM Version 1.5. A researcher at each centre recruited the patients, submitted them to the statistician for randomisation and received the allocation by email. The allocation sequence was concealed until the services had been assigned, but it was not possible for patients, professionals or researchers to be blind to service allocation thereafter.

Conditions
Psychosis
Being tested
Individual placement and support (vocational rehabilitation)
Keywords
vocational rehabilitation, psychosis, cross country comparison
Medical subject headings
Psychotic Disorders

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Individual placement and support (vocational rehabilitation)Procedure or surgery

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. sucessful employment for one day in the open labour market

Secondary outcomes (3)
  1. duration of employment

  2. psychiatric hospitalisation

  3. well-being

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted18 Apr 2007 (estimated)
  2. Study startApr 2003
  3. Study completionNov 2005

Resources

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
None (open label)
Enrolment
300 participants
IDs, dates and publications
ClinicalTrials.gov ID
NCT00461318
Sponsor's protocol ID
QLRT-2001-00683
Acronym
EQOLISE
Status last verified
Apr 2007
First submitted
16 Apr 2007
Last updated
18 Apr 2007
Results posted
No
Data monitoring committee
No

Publications

  • Burns T, Catty J, Becker T, Drake RE, Fioritti A, Knapp M, Lauber C, Rossler W, Tomov T, van Busschbach J, White S, Wiersma D; EQOLISE Group. The effectiveness of supported employment for people with severe mental illness: a randomised controlled trial. Lancet. 2007 Sep 29;370(9593):1146-52. doi: 10.1016/S0140-6736(07)61516-5.

    PubMed 17905167

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