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| ID | Type | Description | Link |
|---|---|---|---|
| 90IFRE0091 | Other Grant/Funding Number | Administration for Community Living |
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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.
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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Standard Vocational Services plus Cognitive Behavioral Therapy for OCD | Active Comparator | Standard vocational services includes support in finding employment with support from the American Jobs Center over 12 months. Cognitive Behavior Therapy for OCD consists of a standard course of exposure and response prevention over 12 weeks, followed by monthly maintenance sessions for 12 months. |
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| Individual Placement and Support plus Cognitive Behavior Therapy for OCD | Experimental | Individual Placement and Support includes support in finding employment with support from an IPS employment specialist over 12 months. Cognitive Behavior Therapy for OCD consists of a standard course of exposure and response prevention over 12 weeks, followed by monthly maintenance sessions for 12 months. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Individual Placement and Support (IPS) | Behavioral | 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. |
| Measure | Description | Time Frame |
|---|---|---|
| Competitive employment | Employed at least one work shift in an integrated work setting in the open job market at prevailing wages with supervision provided by personnel employed by the business. | From enrollment to the end of 12 months |
| Hours worked | Total hours of competitive employment | From enrollment to the end of 12 months |
| Measure | Description | Time Frame |
|---|---|---|
| Yale-Brown Obsessive Compulsive Scale (scores range from 0-40 with higher scores indicating greater OCD severity) | Change in severity of OCD symptoms | 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) |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Sapana R. Patel, Ph.D. | Contact | 646-774-8491 | sapana.patel@nyspi.columbia.edu | |
| Blair Simpson, M.D., Ph.D. | Contact | 646-774-8110 | Blair.Simpson@nyspi.columbia.edu |
| Name | Affiliation | Role |
|---|---|---|
| Sapana R Patel, Ph.D. | The New York State Psychiatric Institute | Principal Investigator |
| Blair Simpson, MD, Ph.D. | The New York State Psychiatric Institute | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| The New York State Psychiatric Institute | Recruiting | New York | New York | 10032 | United States |
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| Label | URL |
|---|---|
| Link to study abstract on National Rehabilitation Information Center | View source |
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| ID | Term |
|---|---|
| D009771 | Obsessive-Compulsive Disorder |
| ID | Term |
|---|---|
| D001008 | Anxiety Disorders |
| D001523 | Mental Disorders |
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| ID | Term |
|---|---|
| D010166 | Palliative Care |
| ID | Term |
|---|---|
| D005791 | Patient Care |
| D013812 | Therapeutics |
| D006296 | Health Services |
| D005159 | Health Care Facilities Workforce and Services |
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| Standard Vocational Services | Behavioral | 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. |
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Change in degree of enjoyment and satisfaction experienced by subjects in various areas of daily functioning |
| From enrollment to the end of 12 months |