Individual Placement and Support for Veterans With Opioid Use Disorder: A Mixed Methods Study
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 120
- 试验地点
- 4
- 主要终点
- number of weeks worked
研究概览
简要总结
The purpose of this study is to help Veterans who have opioid use problems with gaining and maintaining meaningful employment. The investigators also want to know employment helps with other aspects of the Veteran's life including starting and staying on necessary medications, mental health needs, and feeling a part of society.
详细描述
The primary aim of this study is to evaluate the employment outcomes of Individual Placement and Support (IPS) compared to Treatment-as-Usual Vocational Rehabilitation (TAU-VR) in 120 Veterans who are recovering from opioid use disorder (OUD) over 15 months. Specifically, the investigators will see which treatment yields more weeks worked in a competitive job with the hypothesis that IPS will result in better outcomes than TAU-VR. The investigators will interview Veterans in both IPS and TAU-VR groups to investigate the contextual barriers and facilitators of implementing vocational services among Veterans with OUD with the aim to provide solutions and leverage facilitators of success as the VHA expands supported employment services to a new priority population. Investigators will evaluate the impact of vocational services on adherence to prescribed treatment and OUD relapse rates. This study is especially timely given the societal impact of the COVID-19 pandemic on employment and occupational functioning.
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
- 19 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •age 19* (<19 year of age in the state of AL is defined minor)
- •DSM-5 Axis I diagnosis of OUD
- •currently unemployed or underemployed, defined as working <20hrs/week in a meaningful competitive job for a wage, salary, or commission
- •expression of interest in competitive employment; and willing and able to give informed consent
排除标准
- •current diagnosis of psychotic disorders since these Veterans already can receive IPS in usual care at TVAMC and BVAMC
- •diagnosis of dementia (evidenced in the medical record)
- •presence of current severe and unstable medical condition or terminal illness, that would contraindicate study participation or expose them to an undue risk
- •unlikely that participant can complete the study
- •e.g., expected deployment, incarceration, long-term hospitalization, or relocation from the vicinity
- •active suicidal or homicidal ideation making it unsafe for Veteran to be included
- •current participation in another vocational interventional trial
结局指标
主要结局
number of weeks worked
时间窗: 15 months
A "week worked" is defined as working either part time or full time in a competitive job during a Sunday to Saturday 7-day window. Competitive employment is defined as a job that pays at least minimum wage or is based on salary or commission, is based in a setting alongside others without disabilities, and is not reserved for people with disabilities
次要结局
- Resilience(15 months)
- Quality of Life(15 months)
- social support(15 months)
- Depression(15 months)
- Anxiety(15 months)