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Preventing Mid- and Later-Life Work Limitations

Tufts University logo

Tufts University

Status

Completed

Conditions

Depression

Treatments

Behavioral: Usual Medical or Behavioral Intervention
Behavioral: Work and Health Initiative

Study type

Interventional

Funder types

Other

Identifiers

NCT01163890
1R01AG033125-01A1

Details and patient eligibility

About

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.

Full 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.

Enrollment

431 patients

Sex

All

Ages

45+ years old

Volunteers

No Healthy Volunteers

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

Trial design

Primary purpose

Supportive Care

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

None (Open label)

431 participants in 2 patient groups

WHI
Experimental group
Treatment:
Behavioral: Work and Health Initiative
Usual Care
Active Comparator group
Treatment:
Behavioral: Usual Medical or Behavioral Intervention

Trial contacts and locations

1

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Data sourced from clinicaltrials.gov

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