Individual CAReer Management support to improve Education, Employment and Retention for people with anxiety and depression
| ISRCTN | ISRCTN17767032 |
|---|---|
| DOI | https://doi.org/10.1186/ISRCTN17767032 |
| ClinicalTrials.gov number | NCT01599481 |
| Secondary identifying numbers | N/A |
- Submission date
- 14/05/2012
- Registration date
- 21/06/2012
- Last edited
- 11/07/2022
- Recruitment status
- No longer recruiting
- Overall study status
- Completed
- Condition category
- Nervous System Diseases
Plain English Summary
Background and study aims
Supported employment refers to services that help people with disabilities, including mental health conditions, to get a job and stay in work. The main aim of this study is to find out whether the Individual Career Management (ICM) intervention is effective at helping people with anxiety and/or depression to get a job and stay in work. We also want to find out whether the ICM intervention is also effective at encouraging participation in education, training or volunteering, reducing severity of anxiety and/or depression, improving quality of life, and increasing self-esteem. A further aim is to find out whether the ICM intervention is more cost-effective in comparison to standard care.
Who can participate?
People aged 18-65 with anxiety and/or depression who have been unemployed or off sick for at least two weeks and are interested in returning to work.
What does the study involve?
Participants are randomly allocated to one of two groups. One group receives standard care - a course of psychological therapy delivered by the Southwark Psychological Therapies Service. The other group receives standard care and also ICM support, which includes career counselling, motivational coaching, education and training support.
What are the possible benefits and risks of participating?
Participants get a 50% chance of receiving the ICM intervention that is currently not available anywhere else in the NHS. They may also feel good about contributing to research that could help improve services for future patients with anxiety or depression. There are few risks involved in this study. It is minimal risk of harm to the participant as the intervention is voluntary and is not designed to put participants under any additional pressure or danger. The main burden for participants will be giving up their time to attend the interviews which will include the completion of questionnaires.
Where is the study run from?
All participants will be recruited from the Southwark Psychological Therapies Service, part of the South London and Maudsley NHS Foundation Trust (UK).
When is the study starting and how long is it expected to run for?
October 2011 to October 2013.
Who is funding the study?
South London and Maudsley NHS Foundation Trust (UK).
Who is the main contact?
Claire Price
claire.price@slam.nhs.uk
Contact information
Scientific
South London and Maudsley NHS Foundation Trust
Maudsley Hospital
Main Entrance Building, 1st Floor
Denmark Hill
London
SE5 8AZ
United Kingdom
| Phone | +44 (0)20 3228 3221 |
|---|---|
| claire.price@slam.nhs.uk |
Study information
| Study design | Randomised controlled trial |
|---|---|
| Primary study design | Interventional |
| Secondary study design | Randomised controlled trial |
| Study setting(s) | Other |
| Study type | Quality of life |
| Participant information sheet | Not available in web format, please use the contact details below to request a patient information sheet |
| Scientific title | Effectiveness and cost effectiveness of Individual career management for people with anxiety and depression: a randomised controlled trial |
| Study acronym | CAREER |
| Study hypothesis | Is the Individual Career Management (ICM) intervention effective in helping people with anxiety and/or depression to obtain and retain in competitive employment? |
| Ethics approval(s) | NRES Research Ethics Committee Harrow, 12/08/2011, ref: 11/LO/0765 |
| Condition | Anxiety and depression disorders |
| Intervention | Intervention group: Individual Career Management (ICM) support for a six month period. ICM consists of individually tailored support to help an individual to obtain and retain in employment. ICM follows the seven principles of supported employment (often referred to an Individual Placement and Support), but includes the additional principles of career counselling, motivational coaching, education and training support, and specialist job retention support. The length and frequency of ICM support sessions is determined by the needs of the client. Control group participants will receive standard care (IAPT therapy) only. |
| Intervention type | Other |
| Primary outcome measure | 1. The length of competitive employment during the period. The following definition of competitive employment will be used: 1. 1. A job paying at least the national minimum wage 1. 2. A job located in a mainstream setting not set aside for people with disabilities 1. 3. A job that is not owned by the ICM service |
| Secondary outcome measures | 1. Job Type: according to occupational codes 2. Working Hours: average number of hours worked each week 3. Time to Employment: number of days between baseline date and the employment start date 4. Salary: average weekly salary over the 6 month period 5. Number of Jobs: number of different jobs held during the 6 month period 6. Job Terminations: number of job terminations over the 6 month period and the reason for each termination 7. Other occupational activity: non-competitive employment (e.g. sheltered work), education, training or volunteering 8. Anxiety: Generalised Anxiety Disorder Assessment (GAD 7) 9. Depression: Patient Health Questionnaire (PHQ-9) 10. Social Functioning: Work and Social Adjustment Scale (WSAS) 11. Health-related quality of Life: EQ-5D 12. Work-related quality of Life: WRQoL 13. Self Esteem: Rosenberg Self Esteem Scale 14. Career Search Efficacy: Career Search Efficacy Scale (CSES) 15. Return to Work Efficacy: Return to Work Self Efficacy Scale (RTW-SE) 16. Productivity: Absenteeism and presenteeism questions from the World Health Organization's Health and Work Performance Questionnaire (HPQ) Measured 6 months from the date of entry to the study. |
| Overall study start date | 01/10/2011 |
| Overall study end date | 01/10/2013 |
Eligibility
| Participant type(s) | Patient |
|---|---|
| Age group | Adult |
| Lower age limit | 18 Years |
| Sex | Both |
| Target number of participants | 184 (92 in each arm) |
| Total final enrolment | 261 |
| Participant inclusion criteria | 1. Must be either unemployed or off sick for at least two weeks if employed at the time of entry to the study 2. Must be legally allowed to work in the UK 3. Must be between the age of 18 - 65 for men, and 18 - 60 for women (based on UK retirement age) 4. Must have received an Improving Access to Psychological Therpaies (IAPT) assessment and been offered psychological therapy 5. Must not have been receiving therapy for more than one month 6. Must be interested in obtaining competitive employment 7. Must have given full written consent to participate in the study |
| Participant exclusion criteria | 1. People who are employed and attending work or off sick for less than two weeks at the time of entry to the study 2. People who do not have the legal right to work in the UK 3. People who have not yet received an IAPT assessment 4. People who have received an IAPT assessment but not eligible for psychological therapy 5. People who have been receiving therapy for more than one month 6. People who are not interested in obtaining competitive employment 7. People who do not give written consent or who lack mental capacity to give consent at the time of the study |
| Recruitment start date | 01/10/2011 |
| Recruitment end date | 01/10/2013 |
Locations
Countries of recruitment
- England
- United Kingdom
Study participating centre
SE5 8AZ
United Kingdom
Sponsor information
Hospital/treatment centre
South London and Maudsley NHS Foundation Trust
Maudsley Hospital
Main Entrance Building, Ground Floor
Denmark Hill
London
SE5 8AZ
England
United Kingdom
| Phone | +44 (0)20 3228 3221 |
|---|---|
| claire.price@slam.nhs.uk |
Funders
Funder type
Hospital/treatment centre
No information available
Results and Publications
| Intention to publish date | |
|---|---|
| Individual participant data (IPD) Intention to share | No |
| IPD sharing plan summary | Not provided at time of registration |
| Publication and dissemination plan | Not provided at time of registration |
| IPD sharing plan | Not provided at time of registration |
Study outputs
| Output type | Details | Date created | Date added | Peer reviewed? | Patient-facing? |
|---|---|---|---|---|---|
| Thesis results | 01/01/2018 | 11/07/2022 | No | No |
Editorial Notes
11/07/2022: The thesis link has been moved from the publication and dissemination plan to the trial outputs.
14/05/2019: Publication reference and total final enrolment added.
24/01/2018: No publications found in PubMed, verifying study status with principal investigator.
