Posttraumatic Stress Disorder (PTSD) Clinical Trial
— VIP-STAROfficial title:
CSP #589 - Veterans Individual Placement and Support Towards Advancing Recovery
NCT number | NCT01817712 |
Other study ID # | 589 |
Secondary ID | |
Status | Completed |
Phase | N/A |
First received | |
Last updated | |
Start date | December 31, 2013 |
Est. completion date | February 3, 2017 |
Verified date | February 2019 |
Source | VA Office of Research and Development |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
The primary objective of CSP#589 VIP-STAR is to evaluate the effectiveness of Individual
Placement & Support (IPS) in unemployed Veterans with PTSD. The primary hypothesis is that,
compared to those treated with transitional work program (TWP), unemployed Veterans with PTSD
treated with IPS will be significantly more likely to become a steady worker. A steady worker
is defined as holding a competitive job for greater than or equal to 50% of the 18-month
study follow-up period (i.e., greater than or equal to 39 of the 78 weeks). All participants
will be followed for 18 months post-randomization.
12/14/12: Analytic plan augmented to allow for a sensitivity analysis of the primary outcome
that would exclude the first 12 weeks post-randomization, and evaluate between group
proportion of steady worker status, as defined by working in a competitive job for greater
than or equal to 50% of the weeks during week 13-78.
7/1/13: Analysis plan has been augmented to include a logistic regression analysis of the
primary outcome, adjusted for participating medical center.
10/4/13: Addition of the IPS-25 Fidelity Scale. The addition of the IPS-25 scale should
increase the validity of study results.
1/15/15: Addition of an Interactive Voice Recognition/Web-based (IVR/Web) System; as an
option for weekly data capture of the primary outcome data (employment history).
8/17/15: Approval of Supplemental Data Collection at Participant Study Exit; use of the data
collected will supplement the study analysis plan and, provide further insight into the
impact of vocational rehab. A Participant Satisfaction Survey will allow study participants
to indicate their level of satisfaction with the study, vocational rehabilitation
intervention and, suggestions for future research.
Status | Completed |
Enrollment | 541 |
Est. completion date | February 3, 2017 |
Est. primary completion date | December 20, 2016 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years to 65 Years |
Eligibility |
Inclusion Criteria: - Veteran - Age greater than or equal to 18* (*18 or 19 depending on state legal definition of a minor) to age 65 - Eligible for VA TWP services - Diagnosis of PTSD, as confirmed by Clinician Administered PTSD Scale (CAPS) - Currently unemployed (and not participating in TWP - Impact Statement #3 10/4/13) - Expression of interest in competitive employment (part-time or full-time - Impact Statement #3 10/4/13) - Willing and able to give informed consent Exclusion Criteria: - Lifetime diagnosis if (i) schizophrenia, (ii) schizoaffective or (iii) bipolar I disorder - Diagnosis of dementia or severe cognitive disorder (evidenced in the medical record) - Unlikely that participant can complete the study; reasons may include: expected deployment, expected incarceration, expected long-term hospitalization, or expected relocation from the vicinity of the participating medical center (PMC) during the study period - Active suicidal or homicidal ideation - Current participation in another interventional trial |
Country | Name | City | State |
---|---|---|---|
United States | New Mexico VA Health Care System, Albuquerque, NM | Albuquerque | New Mexico |
United States | Birmingham VA Medical Center, Birmingham, AL | Birmingham | Alabama |
United States | James J. Peters VA Medical Center, Bronx, NY | Bronx | New York |
United States | Ralph H. Johnson VA Medical Center, Charleston, SC | Charleston | South Carolina |
United States | VA North Texas Health Care System Dallas VA Medical Center, Dallas, TX | Dallas | Texas |
United States | Durham VA Medical Center, Durham, NC | Durham | North Carolina |
United States | Edward Hines Jr. VA Hospital, Hines, IL | Hines | Illinois |
United States | Michael E. DeBakey VA Medical Center, Houston, TX | Houston | Texas |
United States | William S. Middleton Memorial Veterans Hospital, Madison, WI | Madison | Wisconsin |
United States | Miami VA Healthcare System, Miami, FL | Miami | Florida |
United States | Minneapolis VA Health Care System, Minneapolis, MN | Minneapolis | Minnesota |
United States | San Francisco VA Medical Center, San Francisco, CA | San Francisco | California |
United States | Tuscaloosa VA Medical Center, Tuscaloosa, AL | Tuscaloosa | Alabama |
Lead Sponsor | Collaborator |
---|---|
VA Office of Research and Development |
United States,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Number of Participants Who Obtained and Maintained Competitive Employment for at Least 50% of the Active Follow-up Period | The primary outcome will be achievement of a "steady worker" status, defined as obtaining and maintaining competitive employment for at least 50% of the active follow-up period (i.e., greater than or equal to 39 weeks). | 78 weeks | |
Secondary | Cumulative Gross Income | Cumulative Gross Income is collected using the Employment Calendar source document and Employment Calendar Reconciliation case report form used for the primary outcome ascertainment. When possible, the CRC verifies income earned by reviewing paycheck stubs that the participant is instructed to maintain with the Employment Calendar. | Weekly for 78 weeks | |
Secondary | Change in PCL-5 Score of PTSD Symptoms | PTSD Symptoms are assessed every three months during the follow-up period using the self-report PTSD Checklist (PCL-5) that the participant completes during the follow-up visits. Range of values 0-80 (higher score is worse). | 18-months (Change from baseline) |
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