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临床试验/NCT00715650
NCT00715650已完成2 期

Benefits Counseling to Preserve Function Among Disability Applicants

VA Office of Research and Development1 个研究点 分布在 1 个国家目标入组 92 人开始时间: 2008年12月1日最近更新:
适应症
干预措施

试验速览

阶段
2 期
状态
已完成
入组人数
92
试验地点
1
主要终点
Days of Work and Work-related Activity

研究概览

简要总结

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.

详细描述

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.

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
18 Years 至 65 Years(Adult, Older Adult)
性别
All
接受健康志愿者
否

入选标准

  • •Has never received VBA benefits
  • •Able to provide valid consent
  • •Expresses willingness to discuss benefits with a counselor
  • •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):
  • •Cut down on the amount of time you spent on work or other activities?
  • •Accomplished less than you would like?
  • •Didn't do work or other activities as carefully as usual?
  • •Expresses willingness to try Benefits Counseling if assigned to it
  • •An evaluation by a psychiatrist or psychologist is scheduled

排除标准

  • •Already receiving VA payments
  • •Already receiving SSI or SSDI payments
  • •Has a conservator

研究组 & 干预措施

Arm 1

Experimental

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.

干预措施: Benefits Counseling (Behavioral)

Arm 2

Active Comparator

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.

干预措施: VA Orientation (Behavioral)

结局指标

主要结局

Days of Work and Work-related Activity

时间窗: Month 6

Number of days in the past 28 spent engaged in any kind of work or related activity. Measured using a timeline follow-back calendar.

Days of Work and Work-related Activity

时间窗: Baseline

Number of days in the past 28 spent engaged in any kind of work or related activity. Measured using a timeline follow-back calendar.

Days of Work and Work-related Activity

时间窗: Month 1

Number of days in the past 28 spent engaged in any kind of work or related activity. Measured using a timeline follow-back calendar.

Days of Work and Work-related Activity

时间窗: Month 3

Number of days in the past 28 spent engaged in any kind of work or related activity. Measured using a timeline follow-back calendar.

次要结局

未报告次要终点

研究者

申办方类型
Fed
责任方
Sponsor

研究点 (1)

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