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NCT00333801

The Impact of Vocational Rehabilitation on Mentally III Veterans

Completed NA Results posted Last updated 20 February 2024
What this trial tests

NA trial testing Vocational Rehabilitation Program (VRP) in Posttraumatic Stress Disorder (PTSD) in 100 participants. Completed in 26 July 2012.

Timeline
1 April 2006
Primary endpoint
24 April 2010
26 July 2012

Quick facts

Lead sponsorVA Office of Research and Development
PhaseNA
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingnone
Primary purposetreatment
Enrollment100
Start date1 April 2006
Primary completion24 April 2010
Estimated completion26 July 2012
Sites1 location across United States

Drugs / interventions tested

Conditions studied

Sponsor

VA Office of Research and Development — full company profile →

Who can join

Adults 19 to 60, any sex, with Posttraumatic Stress Disorder (PTSD). Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Obtain Competitive Employment Primary · 1 calendar year

The primary outcome: competitive employment (Yes or No). Competitive employment was defined as a job for regular wages in a setting that was not set aside, or sheltered, that is, the job could be held by people without a mental illness or disability and was not a set-aside job in the VRP. Day labor (babysitting, manual labor by the day, drill, temporary work for family or friends) was not considered competitive employment.

GroupValue95% CI
VA Vocational Rehabilitation Program (Treatment-as-usual)12
Individual Placement and Support (IPS) Supported Employment32
PTSD, Depression, Disability Outcomes Secondary · one-year

Clinician Administered PTSD Scale for DSM-IV (CAPS) score range 0-136 with higher=more severe; Quick Inventory of Depression Scale - Clinician-rated (QIDS-CR) score range 0-27 with higher=more severe; Clinical Global Impression-Severity (CGI-S) score range 1-7 with higher=more severe; Davidson Trauma Scale (DTS) score range 0-136 with higher=more severe; and World Health Organization Disability Assessment Scale (WHODAS-II) 36-items rated on 5-point scale, from 1 (no difficulty) to 5 (extreme difficulty/cannot do) in 6 domains of life; domain scores are transformed from the total raw score (sum

CAPS
GroupValue95% CI
VA Vocational Rehabilitation Program (Treatment-as-usual)78.4± 18.3
Individual Placement and Support (IPS) Supported Employment77.3± 24
QIDS-CR
GroupValue95% CI
VA Vocational Rehabilitation Program (Treatment-as-usual)12.2± 4.2
Individual Placement and Support (IPS) Supported Employment12.3± 4.5
CGI-S
GroupValue95% CI
VA Vocational Rehabilitation Program (Treatment-as-usual)5.0± 1.0
Individual Placement and Support (IPS) Supported Employment4.8± 0.9
DTS
GroupValue95% CI
VA Vocational Rehabilitation Program (Treatment-as-usual)82.9± 28.4
Individual Placement and Support (IPS) Supported Employment84.9± 28.4
WHODAS II
GroupValue95% CI
VA Vocational Rehabilitation Program (Treatment-as-usual)81.1± 20.5
Individual Placement and Support (IPS) Supported Employment82.6± 19.6
Employment Outcomes (Weeks Competitively Employed) Secondary · one year

Number of weeks employed for any time in a competitive job (not set-aside job)

GroupValue95% CI
VA Vocational Rehabilitation Program (Treatment-as-usual)6.8± 13.8
Individual Placement and Support (IPS) Supported Employment21.6± 17.7
Employment Outcomes (Days Competitively Employed Secondary · one year

Number of days employed in a competitive job (not set-aside job)

GroupValue95% CI
VA Vocational Rehabilitation Program (Treatment-as-usual)29.3± 61.9
Individual Placement and Support (IPS) Supported Employment83.8± 80.6
Employment Outcomes (Hours Competitively Employed) Secondary · one year

hours employed in a competitive (not set-aside) job

GroupValue95% CI
VA Vocational Rehabilitation Program (Treatment-as-usual)236± 494
Individual Placement and Support (IPS) Supported Employment656± 661
Employment Outcomes (Gross Income Competitive) Secondary · one year

total gross income (US dollars) from all competitive wages, salary, commissions

GroupValue95% CI
VA Vocational Rehabilitation Program (Treatment-as-usual)2,601± 6,009
Individual Placement and Support (IPS) Supported Employment9,264± 13,294
Employment Outcomes (Total Gross Income From All Sources Secondary · one year

total gross income from all sources of work including noncompetitive and competitive jobs

GroupValue95% CI
VA Vocational Rehabilitation Program (Treatment-as-usual)3,909± 6,212
Individual Placement and Support (IPS) Supported Employment13,449± 9,308

Adverse events — posted to ClinicalTrials.gov

Time frame: Serious adverse events were carefully reviewed with the patients during their participation in the study (1 year), regardless of cause. All serious adverse events were reported to the IRB within 48 hours from the time the PI learned of the event.. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

VA Vocational Rehabilitation Program (Treatment-as-usual)
Serious: 11/43 (26%)
Deaths:
Individual Placement and Support (IPS) Supported Employment
Serious: 5/42 (12%)
Deaths:

Serious adverse events (8 terms)

ReactionSystemVA Vocational Rehabilitati…Individual Placement and S…
Suicidal IdeationPsychiatric disorders
Severe Staph InfectionInfections and infestations
Surgical procedureSurgical and medical procedures
PneumoniaRespiratory, thoracic and mediastinal disorders
Motor Vehicle Accident complicationsGeneral disorders
Medical StabilizationGeneral disorders
COPDRespiratory, thoracic and mediastinal disorders
Abnormally high blood pressureCardiac disorders
Other adverse events (8 terms — click to expand)

ReactionSystemVA Vocational Rehabilitati…Individual Placement and S…
Alcohol withdrawalInjury, poisoning and procedural complications
Severe migraine headacheGeneral disorders
Respiratory distressRespiratory, thoracic and mediastinal disorders
Chest painRespiratory, thoracic and mediastinal disorders
Injury to fingerInjury, poisoning and procedural complications
Hypertrophy adnoidsEar and labyrinth disorders
Neck swellingGeneral disorders
Cyst underarmInfections and infestations

Most-reported serious reactions: Suicidal Ideation, Severe Staph Infection, Surgical procedure, Pneumonia, Motor Vehicle Accident complications, Medical Stabilization, COPD, Abnormally high blood pressure.

Data from ClinicalTrials.gov NCT00333801 adverse events section.

Sponsor's own description

To study the impact of Individual Placement and Support (IPS) supported employment (SE) compared to treatment-as-usual vocational rehabilitation program (VRP) for veterans with posttraumatic stress disorder (PTSD).

Publications & conference data

No peer-reviewed publications indexed yet for this trial. Completed trials usually publish results within 12-18 months.

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Data sources for this page

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Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing