Preventing Mid- and Later-Life Work Limitations: Community-Based Depression Care
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 431
- 试验地点
- 2
- 主要终点
- At-work performance deficits and productivity loss as measured by the Work Limitations Questionnaire
研究概览
简要总结
The Work and Health Initiative (WHI) trial is testing an innovative, community-based program that provides mental health and vocational services to workers 50 years or older to improve functioning and reduce productivity loss. The purpose of this study is to test the hypothesis that relative to usual care, the WHI improves the work outcomes of depression and reduces depression-related productivity loss.
详细描述
National demographic, economic and cultural trends are creating a need for hiring and retaining older workers. However, while many older people will prefer and/or need to work, chronic health problems occurring in mid-life or later can severely disrupt employment. This study will conduct a randomized controlled trial (RCT) of the Work and Health Initiative (WHI). The WHI is an innovative community-based program that provides mental health and vocational services to workers with depression to improve functioning and reduce productivity loss. This study will focus on workers 50 years of age and older. This study will test the hypothesis that relative to usual care, the WHI improves the work outcomes of depression. Study results potentially will result in a new multi-disciplinary method for addressing a serious public health and employment issue.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- None
入排标准
- 年龄范围
- 45 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •age ≥ 45 years
- •working ≥ 15 hours/week
- •DSM-IV current major depression and/or dysthymia
- •Work limitations: at-work productivity loss score ≥ 5%
排除标准
- •severe physical health deficits
- •non-English speaking or reading
- •positive current alcoholism screening
- •psychosis
结局指标
主要结局
At-work performance deficits and productivity loss as measured by the Work Limitations Questionnaire
时间窗: 4 months post-randomization
Absenteeism and productivity loss as measured by the Work Limitations Questionnaire Absence Module
时间窗: 4 months post-randomization
次要结局
- Depression symptom severity as measured by the Patient Health Questionnaire (PHQ-9)(4 months post-randomization)