Preserving Function Among Disability Applicants: A Motivational Enhancement Approach to Benefits Counseling
试验速览
- 阶段
- 1 期
- 状态
- 已完成
- 入组人数
- 120
- 试验地点
- 1
- 主要终点
- Days engaged in work and work-related activities
研究概览
简要总结
To test the hypothesis that veterans counseled around managing their benefits will work more and have a better quality of life than those receiving non-specific counseling.
详细描述
The aim is to develop and test the efficacy of Benefits Counseling to improve quality of life among veterans who apply for VA benefits. Benefits Counseling involves providing claimants information about rehabilitation and work-related activities, benefits determination and management, and available substance abuse treatment . Benefits Counseling is designed to increase motivation to be active and promote engagement in substance abuse treatment. After enrolling 15 participants in an open-label pilot phase, 300 veterans who are not receiving benefits and are applying to VBA for disability benefits will be randomly assigned to Benefits Counseling or the control condition, VA Orientation, and both groups will be followed for one year.
The primary outcome measures will be observer-rated and self-rated quality of life. Secondary outcome measures will include substance use and treatment utilization.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Outcomes Assessor)
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
- •Applying for VA service connection and not currently receiving VBA benefits.
- •Veterans who have been rated 0% service-connected but do not receive financial benefits are eligible to participate.
- •Able to provide valid consent
- •Expresses willingness to discuss benefits with a counselor
- •Anticipates difficulty working
排除标准
- •Already receiving VA payments
- •Already receiving SSI or SSDI
- •Has a conservator
研究组 & 干预措施
1
Benefits Counseling
干预措施: Benefits Counseling (Behavioral)
2
VA Orientation
干预措施: VA Orientation (Behavioral)
结局指标
主要结局
Days engaged in work and work-related activities
时间窗: 6 months
次要结局
- substance use (as measured by days having used illicit drugs, alcohol to intoxication in the preceding days)(6 months)
- treatment utilization (days in last 30 having participated in rehabilitation and work-related activities, number of days having participated in non-inpatient substance abuse treatment, number of days on any inpatient unit)(6 months)