SCI-VIP: Predictive Outcome Model Over Time for Employment (PrOMOTE)
| Status: | Completed |
|---|---|
| Conditions: | Hospital, Orthopedic |
| Therapuetic Areas: | Orthopedics / Podiatry, Other |
| Healthy: | No |
| Age Range: | 18 - 65 |
| Updated: | 4/21/2016 |
| Start Date: | August 2011 |
| End Date: | March 2015 |
Predictive Outcome Model Over Time for Employment (PROMOTE)
This study will be an extension of the Spinal Cord Injury Vocational Integration Program
(SCI-VIP). The study involves research about how to help Veterans with spinal cord injury
(SCI) gain employment. Vocational rehabilitation is a special field of service aimed at
putting persons with disabilities in the best possible position to become employed. The
Veterans Administration has a long history of providing vocational rehabilitation for
Veterans with mental health issues and has recently started providing similar services to
persons with physical disabilities, including SCI. Past research has shown that vocational
rehabilitation is effective in helping some Veterans with spinal cord injury (SCI) gain
employment. The extension of this work through PrOMOTE study will establish a large national
database of over 2000 Veterans with SCI, containing extensive employment, medical,
functional and psychosocial data. The study will analyze both quantitative and qualitative
measures to maximize its findings.
(SCI-VIP). The study involves research about how to help Veterans with spinal cord injury
(SCI) gain employment. Vocational rehabilitation is a special field of service aimed at
putting persons with disabilities in the best possible position to become employed. The
Veterans Administration has a long history of providing vocational rehabilitation for
Veterans with mental health issues and has recently started providing similar services to
persons with physical disabilities, including SCI. Past research has shown that vocational
rehabilitation is effective in helping some Veterans with spinal cord injury (SCI) gain
employment. The extension of this work through PrOMOTE study will establish a large national
database of over 2000 Veterans with SCI, containing extensive employment, medical,
functional and psychosocial data. The study will analyze both quantitative and qualitative
measures to maximize its findings.
Extending SCI-VIP through PrOMOTE will operationalize the critical features of supported
employment that lead to obtaining and maintaining employment over time in spinal cord
injury. There are no current studies that examine how the level and intensity of supported
employment services by Veterans with SCI impacts employment outcomes. This extension will
allow the examination of longitudinal factors associated with successful employment that are
not possible within the time constrains of SCI-VIP and to extend the cost-effectiveness
analysis and budget impact analysis to include longer term and costs of quality of life
outcomes. The study will include a more comprehensive qualitative analysis across several
sites of factors that contribute to program success. The PrOMOTE study will add three more
sites. This expansion will allow examination of outcomes in areas where there is a high
penetration of OIF/OEF Veterans as well as sites where there are other vocational programs
available.
Primary HO: Higher levels of SE will be associated with a higher incidence of employment.
Secondary HO 1: Higher levels of SE will be cost-effective compared to lower levels of SE.
Secondary HO 2: When compared to the standard care group of SCI-VIP, the higher employment
rate of the SCI-VIP SE group will endure longitudinally.
Secondary HO 3: Continued vocational services versus discontinued vocational services will
result in sustained employment outcomes.
employment that lead to obtaining and maintaining employment over time in spinal cord
injury. There are no current studies that examine how the level and intensity of supported
employment services by Veterans with SCI impacts employment outcomes. This extension will
allow the examination of longitudinal factors associated with successful employment that are
not possible within the time constrains of SCI-VIP and to extend the cost-effectiveness
analysis and budget impact analysis to include longer term and costs of quality of life
outcomes. The study will include a more comprehensive qualitative analysis across several
sites of factors that contribute to program success. The PrOMOTE study will add three more
sites. This expansion will allow examination of outcomes in areas where there is a high
penetration of OIF/OEF Veterans as well as sites where there are other vocational programs
available.
Primary HO: Higher levels of SE will be associated with a higher incidence of employment.
Secondary HO 1: Higher levels of SE will be cost-effective compared to lower levels of SE.
Secondary HO 2: When compared to the standard care group of SCI-VIP, the higher employment
rate of the SCI-VIP SE group will endure longitudinally.
Secondary HO 3: Continued vocational services versus discontinued vocational services will
result in sustained employment outcomes.
Inclusion Criteria:
All Veterans who meet inclusion criteria will be approached about completing a baseline
interview to gather information on employment, health, and quality of life after spinal
cord injury.
Inclusion criteria for the baseline interview include:
- 18 to 65 years old
- Spinal Cord Injury
- Medically and neurologically stable
At the end of the baseline interview, some of these Veterans who meet additional inclusion
criteria will be enrolled to receive the SE intervention or other available vocational
services and complete longitudinal follow-up interviews every three months while
participating in the study.
The additional inclusion criteria for enrollment in vocational services include:
- Unemployed
- Living within 100 mile radius of the enrolling VA Medical Center
- Desiring competitive employment
A subsample of Veterans who consent to the study will be selected for participation in
qualitative interviews. Family members and/or caregivers identified by these Veterans may
also be included in qualitative interviews. A representative sample of VA staff members
who provide care to these Veterans will also be approached to participate in qualitative
interviews.
Exclusion Criteria:
- Medically and/or surgically unstable
- Mentally impaired such that independent reasoning and judgment jeopardize safety of
self or others
- Active alcohol and/or drug dependency that is untreated
We found this trial at
7
sites
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