Supported Employment and Skills Training in Conjunction With Pharmacotherapy in Schizophrenia Patients
- Conditions
- Schizophrenia
- Interventions
- Behavioral: Individual Placement and Support (Supported Employment)Behavioral: Social Skills Training
- Registration Number
- NCT00183625
- Lead Sponsor
- University of California, Los Angeles
- Brief Summary
This study will compare employment support with behavioral skills training to employment support alone in schizophrenia patients taking either risperidone or olanzapine to determine which is more effective in helping the patients maintain a job.
- Detailed Description
Schizophrenia is a severe mental disorder characterized by disorganized thoughts, difficulty concentrating, and hallucinations. Individuals with schizophrenia often experience reduced emotional, social, and occupational functioning. Data indicate that antipsychotic drug treatment and occupational training and support may be effective in helping people with schizophrenia maintain a stable job. Risperidone and olanzapine are antipsychotic drugs; participants in this study will be taking either risperidone or olanzapine for the duration of the study. This study will provide schizophrenia patients with employment support alone or with behavioral skills training to determine which combination is more effective in helping patients obtain and maintain a job.
At study entry, participants will undergo a clinical and diagnostic evaluation to determine the severity of their schizophrenia. Participants will be tapered off their regular medication for schizophrenia over 4 weeks. At the end of Week 4, they will be randomly assigned to receive either risperidone or olanzapine. Participants will then be assigned an Individual Placement and Support (IPS) specialist to assist them in finding a job. After participants secure a job, they will be randomly assigned to receive IPS either alone or with the Workplace Fundamentals Skills Training Module for 2 years. Participants' risperidone or olanzapine treatment will continue during this 2-year period. Participants will have clinic visits at study entry and Months 7, 12, and 24. At each visit, participants will complete questionnaires and will be interviewed about their schizophrenia symptoms and occupational functioning.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 107
- Diagnosis of schizophrenia
- Candidate for maintenance schizophrenia treatment
- Willing to initiate and continue risperidone or olanzapine therapy for the duration of the study
- Any serious medical problems other than schizophrenia that would interfere with the study
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Risperidone Plus Supported Employment Individual Placement and Support (Supported Employment) - Risperidone Plus Supported Employment Risperidone - Olanzapine Plus Supported Employment Individual Placement and Support (Supported Employment) - Olanzapine Plus Supported Employment Olanzapine - Olanzapine+Supported Employment+Skills Individual Placement and Support (Supported Employment) - Risperidone+Supported Employment+Skills Individual Placement and Support (Supported Employment) - Risperidone+Supported Employment+Skills Social Skills Training - Olanzapine+Supported Employment+Skills Social Skills Training - Olanzapine+Supported Employment+Skills Olanzapine - Risperidone+Supported Employment+Skills Risperidone -
- Primary Outcome Measures
Name Time Method Total Weeks Worked 24 months
- Secondary Outcome Measures
Name Time Method Body Mass Index First 18 months of study Intent was to compare medication and not work group conditions. This was initially assessed at baseline and includes total time on either risperidone or olanzapine up to 18 months.
Trial Locations
- Locations (2)
West Los Angeles Veterans Healthcare Center
🇺🇸Los Angeles, California, United States
Greater Manchester Mental Health Center
🇺🇸Manchester, New Hampshire, United States