N/A N=213 Treatment

SCI-VIP: Predictive Outcome Model Over Time for Employment (PrOMOTE)

Spinal Cord Injuries

Bottom Line

View on ClinicalTrials.gov: NCT01141647 ↗

Enrolled (actual)

213

Serious AEs

14.3%

Results posted

Mar 2017

Primary outcome: Primary: Identify Factors That Predict Employment After SCI. — 3.56 Odds Ratio

Study Design & Population

Study type: Interventional
Phase: N/A
Interventions: Vocational Rehabilitation (Behavioral)
Age: Adult, Older Adult · 18+ yrs
Sex: All
Sponsor: VA Office of Research and Development
Primary completion: Mar 2015

Outcome Measures

Outcome	Result	p-value
PRIMARY Identify Factors That Predict Employment After SCI.	3.56	—
SECONDARY Employment Rate	43.2	—
SECONDARY Determine Ongoing Effectiveness of SE Over Time.	5	—
SECONDARY Evaluate the Effectiveness of Implementation Strategy and Level of SE Model Implementation Across Sites.	32; 30; 30; 20; 14; 19	—
SECONDARY Determine Total Cost Per Patient Over 24 Months	134,029; 169,433	—
SECONDARY Determine Cost-effectiveness.	1.27; 1.15	—

Summary

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.

Eligibility Criteria

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

View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT01141647). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.