Skills Training to Enhance Vocational Outcomes in Veterans With Serious Mental Illness
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 22
- 试验地点
- 2
- 主要终点
- Ambiguous Intentions and Hostility Scale -Hostility and Aggression Scale Total Scores
研究概览
简要总结
Maintenance of employment is dependent upon being able to successfully integrate into one's work setting. This can present a significant challenge to individuals with serious mental illness, as they typically exhibit impairment in their ability to accurately perceive and understand social exchanges. Presently the most established intervention is Social Cognition and Interaction Training (SCIT), a 12-week group intervention in which participants learn strategies to enhance emotion recognition and to assess the accuracy of their interpretation of social interactions. To enhance transfer of training gains to functional outcomes, participants will be paired with a social mentor to facilitate completion of homework and to ensure that skills are practiced outside of treatment (supported SCIT). The study will examine the impact of supported SCIT on social and work role functioning.
The specific aims are:
- To assess the feasibility of providing supported SCIT to individuals with serious mental illness who are engaged in compensated work activity.
- To assess the impact of supported SCIT on social cognitive skills as well as work and social performance.
- To assess durability of intervention-induced change 3 months after the end of intervention.
A single blind study will be conducted in which participants between 18-70 with serious mental illness (schizophrenia, schizoaffective disorder, and bipolar disorder) are assigned to 12 weeks of supported SCIT. Intervention will consist of one 2-hour small group training sessions and 30 minutes of individualized supported practice of skills with a treatment facilitator weekly. Feasibility will be assessed with attendance at group and individual sessions. Baseline, post-intervention (3-month), and follow-up (6-month) assessments will measure social cognitive abilities and functional outcomes. Potentially confounding variables such as symptom severity and outside treatment hours will also be assessed. It is hypothesized that supported SCIT will be completed by at least 75% of veterans. The intervention is predicted to improve social cognitive skills and social and work performance. Training gains are expected to be sustained 3 months after intervention.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 70 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Diagnosis of Schizophrenia, Schizoaffective Disorder, or Bipolar Disorder
- •Engaged in compensated work activity, volunteer work, school
- •Age 18 to 70
排除标准
- •Currently meet criteria for substance abuse or have met criteria for substance dependence in that previous 6 months
- •Have an estimated premorbid IQ below 70,
- •Have a history of a clinically significant head injury or neurological disease
- •Do not speak English well enough to comprehend testing procedures
- •Do not demonstrate adequate understanding of study procedures to give informed consent
结局指标
主要结局
Ambiguous Intentions and Hostility Scale -Hostility and Aggression Scale Total Scores
时间窗: Total score at Baseline and at 6 months
The Hostility Total score is a measure of attributional bias and reflects the amount of hostility that is perceived in the actions of others when a situation is ambiguous. Score ranges from 1 (Not at all Hostile, An accident) to 5 (Very Hostile, the other person intended to hurt me) A higher score indicates greater hostility is perceived. The Aggression Total score is a measure of how aggressively a participant reports that they would respond to an ambiguous situation in which they are mistreated. Score ranges from 1 (Not at all Aggressive, participant says he would do nothing) to 5 (Very Aggressive, participant would retaliate physically). A 1 is a passive response, a 3 is an assertive response, and a 5 is a very aggressive response.
The Awareness of Social Inference Test Total Score for Part 3
时间窗: Total score at Baseline and at 3 months
The Awareness of Social Inference Test (TASIT) total score for Part 3 is a measure of a person's ability to perceive social inferences involved in the telling of lies and the use of sarcasm. The total score ranges from 0 to 64. A higher score indicates better social inference performance.
The Awareness of Social Inference Task Total Score on Part 3
时间窗: Total score at Baseline and at 6 months
The Awareness of Social Inference Test (TASIT) total score for Part 3 is a measure of a person's ability to perceive social inferences involved in the telling of lies and the use of sarcasm. The total score ranges from 0 to 64. A higher score indicates better social inference performance.
Bell-Lysaker Emotion Recognition Task Total Score
时间窗: Total score at Baseline and at 6 months
This task measures emotion recognition ability. Total score ranges from 0-21. A higher score indicates better performance.
Facial Emotion Identification Test Total Score
时间窗: Total score at Baseline and at 6 months
This is a measure of emotion recognition ability. Scores range from 0-19. A higher score indicates better performance.
Ambiguous Intentions and Hostility Scale - Hostility and Aggression Total Scores
时间窗: Total score at Baseline and at 3 months
The Hostility Total score is a measure of attributional bias and reflects the amount of hostility that is perceived in the actions of others when a situation is ambiguous. Score ranges from 1 (Not at all Hostile, An accident) to 5 (Very Hostile, the other person intended to hurt me) A higher score indicates greater hostility is perceived. The Aggression Total score is a measure of how aggressively a participant reports that they would respond to an ambiguous situation in which they are mistreated. Score ranges from 1 (Not at all Aggressive, participant says he would do nothing) to 5 (Very Aggressive, participant would retaliate physically). A 1 is a passive response, a 3 is an assertive response, and a 5 is a very aggressive response.
次要结局
- Social Skill Performance Assessment Total Score(Total score at Baseline and at 6 months)
- First Episode Social Functioning Scale Performance Total Score on Scales 1-7(Total Score at Baseline and at 6 months)
- Mentoring and Communication Support Scale Subscale Total Scores(Total score at Baseline and at 6 month assessments)
- Vocational Efficacy in Trauma Survivors Scale Self Disclosure and Workplace Coping Total Scores(Total score at Baseline and at 3 months)
- Vocational Efficacy in Trauma Survivors Scale Self Disclosure and Workplace Coping Subscale Total Scores(Total score at Baseline and at 6 months)
研究者
Tasha Nienow
Principal Investigator
Minneapolis Veterans Affairs Medical Center