Helping Adults With Obsessive-Compulsive Disorder Succeed at Work

Обзор

The purpose of this study is to compare two models of employment services for people with obsessive-compulsive disorder (OCD) interested in finding and maintaining employment. All 40 participants will receive up to 12 sessions of the first-line treatment for OCD called exposure and response prevention, a form of Cognitive Behavioral Therapy (CBT). Assigned by chance, half of the people will also receive Individual Placement and Support (IPS); the other half will receive standard vocational services (SVS). This study will compare these two approaches for helping adults with OCD find and maintain work.

Подробное описание

The purpose of this study is to compare two models of employment services for people with obsessive-compulsive disorder (OCD) interested in finding and maintaining employment. In a randomized controlled trial (RCT), we will compare the work and clinical outcomes of individuals with OCD (n=20) who receive CBT plus standard vocational services (SVS) to those who receive this same course of CBT but who also receive Individual Placement and Support (IPS) (n=20). Work and clinical outcomes will be measured before starting CBT, at the end of CBT treatment, and at 6, 9, and 12-month time points.

Вмешательства

• Поведенческое Individual Placement and Support (IPS)
  Individual Placement and Support is an evidence-based model of supported employment for individuals with mental illness. In IPS, participants will meet with an IPS specialist weekly who will help the study participant create resumes, conduct job searches online or in the community, complete job applications, role-play interviews, and, if requested, accompany them when visiting prospective employers.
• Поведенческое Standard Vocational Services
  In Standard Vocational Services, participants will meet with a representative from the American Jobs Center (AJC) who will help them find a job by identifying their interests, assess their skills and abilities, and advise them on in-demand jobs and potential training opportunities.

Первичные конечные точки

• Competitive employment [Срок оценки: From enrollment to the end of 12 months]
• Hours worked [Срок оценки: From enrollment to the end of 12 months]

Вторичные конечные точки (2)

• Yale-Brown Obsessive Compulsive Scale (scores range from 0-40 with higher scores indicating greater OCD severity) [Срок оценки: From enrollment to the end of 12 months]
• Quality of Life Enjoyment and Satisfaction Scale (scores range from 14-70 with higher scores indicating greater life satisfaction and enjoyment) [Срок оценки: From enrollment to the end of 12 months]

Критерии участия

Критерии включения

• Currently unemployed and interested in finding competitive employment in New York State
• Currently residing in New York State
• Primary diagnosis of OCD
• For those currently on psychiatric medication: On a stable dose of psychiatric medication (for at least 6 weeks) and willing to remain on this dose for the first three months of CBT.
• Access to the internet through a mobile device or computer

Критерии исключения

• In the process of applying for or currently receiving disability benefits
• Currently receiving supported employment services
• Active suicidality or recent suicide attempt
• Active substance use problem (other than nicotine) that warrants treatment
• Comorbid psychiatric conditions that significantly elevate the risk of study participation such as psychotic disorders or bipolar disorder

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Нет

Дизайн исследования

Распределение

Рандомизированное

Модель

Параллельные группы

Маскирование

Двойное слепое

Основная цель

Организация здравоохранения

Центры проведения

США · 1 центр

• The New York State Psychiatric Institute — New York

Идентификаторы

NCT: NCT07124780 · NYSPI2025-79 · 90IFRE0091

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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