Recruitment

Recruitment Status
Completed
Estimated Enrollment
250

Exclusion Criterias

bipolar disorder
Non-English speaking or reading
psychosis
...
bipolar disorder
Non-English speaking or reading
psychosis
and/or planning to take maternity leave at any point in the next nine months

Summary

Conditions
Depression
Type
Interventional
Design
  • Allocation: Randomized
  • Intervention Model: Parallel Assignment
  • Masking: Double (Investigator, Outcomes Assessor)
  • Primary Purpose: Treatment

Participation Requirements

Age
Between 18 years and 125 years
Gender
Both males and females

Description

With the goal of helping employed Veterans with depression to participate fully in the labor market, this randomized controlled trial has two objectives: 1) test the effectiveness of a new evidence-based, vocationally-focused telephonic counseling program for employed Veterans with depression, the V...

With the goal of helping employed Veterans with depression to participate fully in the labor market, this randomized controlled trial has two objectives: 1) test the effectiveness of a new evidence-based, vocationally-focused telephonic counseling program for employed Veterans with depression, the Veterans Work and Health Initiative (V-WHI), which was developed by this study's research partners from the Tufts Medical Center; and 2) if the V-WHI is effective, quantify its return on investment. This study will test the impact of the BWAW intervention in combination with the Philadelphia VA's Primary Care Mental Health Integration program, the Behavioral Health Lab (BHL). For the main hypothesis, concerning the effect of BWAW, the primary endpoint is the post-intervention at-work mean productivity loss score based on the validated Work Limitation Questionnaire (WLQ) adjusted for baseline score. For Hypothesis 2, concerning maintenance of post-intervention effects at nine months, the primary outcome is the mean difference of the change in productivity loss score. For hypothesis 3, the primary outcome was the return on investment (ROI) from BWAW. After informed consent and eligibility screening, subjects are randomized to one of two groups: the V-WHI intervention group or to the usual care group (BHL). 250 employed Veterans with depression and work limitations will be enrolled (half per group). The "usual care" group participants are assigned to standard behavioral health care. The second group, assigned to BWAW intervention, is the experimental group. Participants in this group are assigned to an innovative program designed explicitly to address mental health and vocational issues that interfere with working in addition to standard care. V-WHI counselors offer work coaching and modification strategies and work-focused cognitive behavioral therapy (CBT). This counseling is provided solely over the phone with sessions every 2 weeks for 4 months (eight sessions total). At 8 months post-baseline, the V-WHI group is provided with a booster session. Participants in both groups are administered follow-up questionnaires at two time-points: month four (post-intervention) and month nine.

Exclusion Criterias

bipolar disorder
Non-English speaking or reading
psychosis
...
bipolar disorder
Non-English speaking or reading
psychosis
and/or planning to take maternity leave at any point in the next nine months

Locations

Coatesville, Pennsylvania, 19320
Philadelphia, Pennsylvania, 19104
Coatesville, Pennsylvania, 19320
Philadelphia, Pennsylvania, 19104

Tracking Information

NCT #
NCT02111811
Collaborators
Tufts Medical Center
Investigators
  • Principal Investigator: David W. Oslin, MD Corporal Michael J. Crescenz VA Medical Center, Philadelphia, PA
  • David W. Oslin, MD Corporal Michael J. Crescenz VA Medical Center, Philadelphia, PA