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Trial registered on ANZCTR
Registration number
ACTRN12605000554662
Ethics application status
Approved
Date submitted
26/09/2005
Date registered
29/09/2005
Date last updated
27/07/2016
Type of registration
Prospectively registered
Titles & IDs
Public title
Vocational rehabilitation in first episode psychosis
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Scientific title
The effect of vocational rehabilitation on employment and health outcomes in first episode psychosis: A randomised controlled pilot study
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Secondary ID [1]
280981
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Nil
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
First-episode psychosis
679
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Condition category
Condition code
Mental Health
754
754
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Psychosis and personality disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
6 month intervention with Youth Employment Specialist.
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Intervention code [1]
676
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Rehabilitation
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Comparator / control treatment
Treatment as Usual.
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Control group
Active
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Outcomes
Primary outcome [1]
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Vocational status.
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Assessment method [1]
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Timepoint [1]
942
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Measured at baseline and at the end of the 6 month intervention in the intervention group and at 6 months post baseline assessment in the control group.
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Secondary outcome [1]
1798
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Symptom severity
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Assessment method [1]
1798
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Timepoint [1]
1798
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Measured at baseline and at the end of the 6 month intervention in the intervention group and at 6 months post baseline assessment in the control group.
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Secondary outcome [2]
1799
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Quality of life
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Assessment method [2]
1799
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Timepoint [2]
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Measured at baseline and at the end of the 6 month intervention in the intervention group and at 6 months post baseline assessment in the control group.
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Eligibility
Key inclusion criteria
Stated desire to seek employment.
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Minimum age
15
Years
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Maximum age
25
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Intellectual disability.
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Study design
Purpose of the study
Educational / counselling / training
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Computer randomisation carried out by independent party
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 2 / Phase 3
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
3/10/2005
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Actual
3/10/2005
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Date of last participant enrolment
Anticipated
10/04/2006
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Actual
10/04/2006
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Date of last data collection
Anticipated
10/10/2006
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Actual
10/10/2006
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Sample size
Target
40
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Accrual to date
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Final
41
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Recruitment in Australia
Recruitment state(s)
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Funding & Sponsors
Funding source category [1]
834
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Government body
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Name [1]
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NHMRC - Program Grant
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Address [1]
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National Health and Medical Research Council
GPO Box 1421
Canberra ACT 2601
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Country [1]
834
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Australia
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Funding source category [2]
835
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Commercial sector/Industry
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Name [2]
835
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BMS
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Address [2]
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Bristol-Myers Squibb
556 Princess Highway
NOBLE PARK NORTH, VICTORIA 3174
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Country [2]
835
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United States of America
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Primary sponsor type
Other
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Name
ORYGEN Research Centre
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Address
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Country
Australia
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Secondary sponsor category [1]
702
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University
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Name [1]
702
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The UNiversity of Melbourne
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Address [1]
702
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The University of Melbourne
Victoria 3010
Australia
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Country [1]
702
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
287775
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Melbourne Health Mental Health Research and Ethics Committee
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Ethics committee address [1]
287775
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Royal Melbourne Hospital
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Ethics committee country [1]
287775
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Australia
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Date submitted for ethics approval [1]
287775
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15/08/2005
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Approval date [1]
287775
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15/09/2005
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Ethics approval number [1]
287775
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New ethics HREC. Please modify.
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Summary
Brief summary
The aim of this project is to examine the acceptability and effectiveness of introducing a vocational specialist into the clinical program of a service providing clinical interventions for people aged between 15 and 25 experiencing a first episode of psychosis in the north and west regions of Melbourne. In the project a person with expertise in the rehabilitation employment sector will be employed to provide specialist input with clients of the Early Psychosis, Prevention and Intervention Centre (EPPIC). The proposed intervention is based upon a model called supported employment (sometimes called individual placement and support). This model has been found to be the most effective model of vocational rehabilitation for people with chronic mental illnesses. However, to date only one published pilot study has examined the usefulness of this model in people in the early phase of their illnesses. This study, conducted in England, and another, unpublished from America, suggests that this model may be successfully applied to helping young people with mental illness return to work and study. Unemployment and withdrawal from training and study are often sequelae of psychosis, and for the group who go on to develop schizophrenia, unemployment rates of 80% and above have been reported both in Australia and other comparable countries. Unemployment, leads to social isolation, and lower socio-economic status, both of which, along with unemployment itself, are risk factors for further psychotic episodes. This intervention seeks to prevent this sequence of events from beginning by actively supporting young people who wish to work. Supported employment works by having a specialist who collaborates with the young person to help them identify competitive work (i.e. work opportunities that are open to the public as opposed to sheltered work opportunities available only to particular groups) that they would like to do, prepare for interviews and crucially, supports the person in the role after they have obtained the job. This support is often not at the workplace, but consists of meetings outside work. In all of the interventions the vocational specialist liaises with the clientÿ¢ÿ¿ÿ¿s case manager, and clinical care is continued throughout. The study will be conducted by recruiting clients of the EPPIC service who have expressed an interest in working. They will be randomised to either a group that will work with the vocational specialist or to a group that will receive EPPIC treatment as usual. Participants will be assessed at the time of coming into the study and six months later. The assessment battery will include demographic questions, measures of psychopathology, symptomatology and quality of life. There will also be a questionnaire examining work history in the previous six months. This information will be collected by a trained research assistant.
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Trial website
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Trial related presentations / publications
Baksheev, G. N., et al. (2012). "Predictors of vocational recovery among patients with first-episode psychosis: findings from a randomised controlled trial." Psychiatric rehabilitation journal 35(6): 421-427.
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Public notes
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Contacts
Principal investigator
Name
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Address
36294
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Country
36294
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Phone
36294
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Fax
36294
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Email
36294
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Contact person for public queries
Name
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Dr Eoin Killackey
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Address
9865
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University of Melbourne
35 Poplar Road
Parkville VIC 3052
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Country
9865
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Australia
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Phone
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+61 3 93422900
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Fax
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Email
9865
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[email protected]
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Contact person for scientific queries
Name
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Dr Eoin Killackey
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Address
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University of Melbourne
35 Poplar Road
Parkville VIC 3052
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Country
793
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Australia
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Phone
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+61 3 93422900
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Fax
793
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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