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Preventing Mid- and Later-Life Work Limitations

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ClinicalTrials.gov Identifier: NCT01163890
Recruitment Status : Completed
First Posted : July 16, 2010
Last Update Posted : April 8, 2014
Sponsor:
Collaborator:
OptumHealth Behavioral Solutions
Information provided by (Responsible Party):
Tufts Medical Center

Brief Summary:
The Work and Health Initiative (WHI) trial is testing an innovative, community-based program that provides mental health and vocational services to workers 50 years or older to improve functioning and reduce productivity loss. The purpose of this study is to test the hypothesis that relative to usual care, the WHI improves the work outcomes of depression and reduces depression-related productivity loss.

Condition or disease Intervention/treatment Phase
Depression Behavioral: Work and Health Initiative Behavioral: Usual Medical or Behavioral Intervention Not Applicable

Detailed Description:
National demographic, economic and cultural trends are creating a need for hiring and retaining older workers. However, while many older people will prefer and/or need to work, chronic health problems occurring in mid-life or later can severely disrupt employment. This study will conduct a randomized controlled trial (RCT) of the Work and Health Initiative (WHI). The WHI is an innovative community-based program that provides mental health and vocational services to workers with depression to improve functioning and reduce productivity loss. This study will focus on workers 50 years of age and older. This study will test the hypothesis that relative to usual care, the WHI improves the work outcomes of depression. Study results potentially will result in a new multi-disciplinary method for addressing a serious public health and employment issue.

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 431 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Supportive Care
Official Title: Preventing Mid- and Later-Life Work Limitations: Community-Based Depression Care
Study Start Date : September 2009
Actual Primary Completion Date : May 2013
Actual Study Completion Date : June 2013

Resource links provided by the National Library of Medicine


Arm Intervention/treatment
Experimental: WHI Behavioral: Work and Health Initiative
Telephone-based multi-modal intervention, consisting of: vocational coaching, cognitive-behavioral therapy strategies and care coordination strategies provided by specially-trained EAP counselors

Active Comparator: Usual Care Behavioral: Usual Medical or Behavioral Intervention
Referral to treatment as usual through personal physician, mental health professional, behavioral health program, and/or Employee Assistance Program




Primary Outcome Measures :
  1. At-work performance deficits and productivity loss as measured by the Work Limitations Questionnaire [ Time Frame: 4 months post-randomization ]
  2. Absenteeism and productivity loss as measured by the Work Limitations Questionnaire Absence Module [ Time Frame: 4 months post-randomization ]

Secondary Outcome Measures :
  1. Depression symptom severity as measured by the Patient Health Questionnaire (PHQ-9) [ Time Frame: 4 months post-randomization ]


Information from the National Library of Medicine

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Ages Eligible for Study:   45 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • age ≥ 45 years
  • working ≥ 15 hours/week
  • DSM-IV current major depression and/or dysthymia
  • Work limitations: at-work productivity loss score ≥ 5%

Exclusion Criteria:

  • severe physical health deficits
  • non-English speaking or reading
  • positive current alcoholism screening
  • psychosis
  • mania

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT01163890


Locations
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United States, Massachusetts
Tufts Medical Center
Boston, Massachusetts, United States, 02111
Sponsors and Collaborators
Tufts Medical Center
OptumHealth Behavioral Solutions
Investigators
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Principal Investigator: Debra Lerner, MS, PhD Tufts Medical Center

Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
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Responsible Party: Tufts Medical Center
ClinicalTrials.gov Identifier: NCT01163890     History of Changes
Other Study ID Numbers: 1R01AG033125-01A1 ( U.S. NIH Grant/Contract )
First Posted: July 16, 2010    Key Record Dates
Last Update Posted: April 8, 2014
Last Verified: April 2014
Keywords provided by Tufts Medical Center:
Depression
Work Performance and Productivity
Worksite Intervention
Additional relevant MeSH terms:
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Depression
Depressive Disorder
Behavioral Symptoms
Mood Disorders
Mental Disorders