Cargando…
Individual Placement and Support supplemented with cognitive remediation and work-related social skills training in Denmark: study protocol for a randomized controlled trial
BACKGROUND: Individual Placement and Support (IPS) appears to be an effective vocational intervention for obtaining competitive employment for people with severe mental illness. However, no IPS studies or trials have been conducted in Denmark, a country characterized by a specialized labor market wi...
Autores principales: | , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2015
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4479316/ https://www.ncbi.nlm.nih.gov/pubmed/26093636 http://dx.doi.org/10.1186/s13063-015-0792-0 |
_version_ | 1782377991584612352 |
---|---|
author | Christensen, Thomas Nordahl Nielsen, Iben Gammelgaard Stenager, Elsebeth Morthorst, Britt Reuter Lindschou, Jane Nordentoft, Merete Eplov, Lene Falgaard |
author_facet | Christensen, Thomas Nordahl Nielsen, Iben Gammelgaard Stenager, Elsebeth Morthorst, Britt Reuter Lindschou, Jane Nordentoft, Merete Eplov, Lene Falgaard |
author_sort | Christensen, Thomas Nordahl |
collection | PubMed |
description | BACKGROUND: Individual Placement and Support (IPS) appears to be an effective vocational intervention for obtaining competitive employment for people with severe mental illness. However, no IPS studies or trials have been conducted in Denmark, a country characterized by a specialized labor market with a higher minimum wage and fewer entry-level jobs in comparison with other countries such as the US. Furthermore, long-term job retention and economic self-sufficiency have not been clearly demonstrated. Integrating methods such as cognitive remediation and work-related social skills training may be ways to address these issues. METHODS/DESIGN: The trial design is an investigator-initiated, randomized, assessor-blinded, multi-center trial. A total of 750 patients with severe mental illness will be randomly assigned into three groups: (1) IPS, (2) IPS enhanced with cognitive remediation and work-related social skills training, and (3) service as usual. The primary outcome is number of hours in competitive employment or education at 18-month follow-up. Secondary and exploratory outcomes are money earned, days to first employment, symptoms, functional level, self-esteem, and self-efficacy at 18-month follow-up. Thirty- and 60-month follow-ups will be register-based. DISCUSSION: This will be one of the largest randomized trials investigating IPS to date. The trial will be conducted with high methodological quality in order to reduce the risk of bias. If the results of this trial show that IPS, or IPS enhanced with cognitive remediation and work-related social skills training, is superior to service as usual, this will support preliminary evidence. Furthermore, it will show that the method is generalizable to a variety of labor markets and welfare systems and provide important knowledge about the effect of adding cognitive remediation and social skills training to the IPS intervention. TRIAL REGISTRATION: ClinicalTrials registration number: NCT01722344 (registered 2 Nov. 2012). |
format | Online Article Text |
id | pubmed-4479316 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-44793162015-06-25 Individual Placement and Support supplemented with cognitive remediation and work-related social skills training in Denmark: study protocol for a randomized controlled trial Christensen, Thomas Nordahl Nielsen, Iben Gammelgaard Stenager, Elsebeth Morthorst, Britt Reuter Lindschou, Jane Nordentoft, Merete Eplov, Lene Falgaard Trials Study Protocol BACKGROUND: Individual Placement and Support (IPS) appears to be an effective vocational intervention for obtaining competitive employment for people with severe mental illness. However, no IPS studies or trials have been conducted in Denmark, a country characterized by a specialized labor market with a higher minimum wage and fewer entry-level jobs in comparison with other countries such as the US. Furthermore, long-term job retention and economic self-sufficiency have not been clearly demonstrated. Integrating methods such as cognitive remediation and work-related social skills training may be ways to address these issues. METHODS/DESIGN: The trial design is an investigator-initiated, randomized, assessor-blinded, multi-center trial. A total of 750 patients with severe mental illness will be randomly assigned into three groups: (1) IPS, (2) IPS enhanced with cognitive remediation and work-related social skills training, and (3) service as usual. The primary outcome is number of hours in competitive employment or education at 18-month follow-up. Secondary and exploratory outcomes are money earned, days to first employment, symptoms, functional level, self-esteem, and self-efficacy at 18-month follow-up. Thirty- and 60-month follow-ups will be register-based. DISCUSSION: This will be one of the largest randomized trials investigating IPS to date. The trial will be conducted with high methodological quality in order to reduce the risk of bias. If the results of this trial show that IPS, or IPS enhanced with cognitive remediation and work-related social skills training, is superior to service as usual, this will support preliminary evidence. Furthermore, it will show that the method is generalizable to a variety of labor markets and welfare systems and provide important knowledge about the effect of adding cognitive remediation and social skills training to the IPS intervention. TRIAL REGISTRATION: ClinicalTrials registration number: NCT01722344 (registered 2 Nov. 2012). BioMed Central 2015-06-21 /pmc/articles/PMC4479316/ /pubmed/26093636 http://dx.doi.org/10.1186/s13063-015-0792-0 Text en © Christensen et al. 2015 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Study Protocol Christensen, Thomas Nordahl Nielsen, Iben Gammelgaard Stenager, Elsebeth Morthorst, Britt Reuter Lindschou, Jane Nordentoft, Merete Eplov, Lene Falgaard Individual Placement and Support supplemented with cognitive remediation and work-related social skills training in Denmark: study protocol for a randomized controlled trial |
title | Individual Placement and Support supplemented with cognitive remediation and work-related social skills training in Denmark: study protocol for a randomized controlled trial |
title_full | Individual Placement and Support supplemented with cognitive remediation and work-related social skills training in Denmark: study protocol for a randomized controlled trial |
title_fullStr | Individual Placement and Support supplemented with cognitive remediation and work-related social skills training in Denmark: study protocol for a randomized controlled trial |
title_full_unstemmed | Individual Placement and Support supplemented with cognitive remediation and work-related social skills training in Denmark: study protocol for a randomized controlled trial |
title_short | Individual Placement and Support supplemented with cognitive remediation and work-related social skills training in Denmark: study protocol for a randomized controlled trial |
title_sort | individual placement and support supplemented with cognitive remediation and work-related social skills training in denmark: study protocol for a randomized controlled trial |
topic | Study Protocol |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4479316/ https://www.ncbi.nlm.nih.gov/pubmed/26093636 http://dx.doi.org/10.1186/s13063-015-0792-0 |
work_keys_str_mv | AT christensenthomasnordahl individualplacementandsupportsupplementedwithcognitiveremediationandworkrelatedsocialskillstrainingindenmarkstudyprotocolforarandomizedcontrolledtrial AT nielsenibengammelgaard individualplacementandsupportsupplementedwithcognitiveremediationandworkrelatedsocialskillstrainingindenmarkstudyprotocolforarandomizedcontrolledtrial AT stenagerelsebeth individualplacementandsupportsupplementedwithcognitiveremediationandworkrelatedsocialskillstrainingindenmarkstudyprotocolforarandomizedcontrolledtrial AT morthorstbrittreuter individualplacementandsupportsupplementedwithcognitiveremediationandworkrelatedsocialskillstrainingindenmarkstudyprotocolforarandomizedcontrolledtrial AT lindschoujane individualplacementandsupportsupplementedwithcognitiveremediationandworkrelatedsocialskillstrainingindenmarkstudyprotocolforarandomizedcontrolledtrial AT nordentoftmerete individualplacementandsupportsupplementedwithcognitiveremediationandworkrelatedsocialskillstrainingindenmarkstudyprotocolforarandomizedcontrolledtrial AT eplovlenefalgaard individualplacementandsupportsupplementedwithcognitiveremediationandworkrelatedsocialskillstrainingindenmarkstudyprotocolforarandomizedcontrolledtrial |