Skills Training to Enhance Vocational Outcomes in Veterans With Serious Mental Illness

Minneapolis Veterans Affairs Health Care System (VAHCS)

Status: Completed

Conditions: Psychotic Disorders; Schizophrenia; Bipolar Disorder

Treatments: Behavioral: Social Cognition and Intervention Training

Study type: Interventional

Funder types: Other; Other U.S. Federal agency

Identifiers

NCT02663349

4612-A

Details and patient eligibility

About

Maintenance of employment is dependent upon being able to successfully integrate into one's work setting. This can present a significant challenge to individuals with serious mental illness, as they typically exhibit impairment in their ability to accurately perceive and understand social exchanges. Presently the most established intervention is Social Cognition and Interaction Training (SCIT), a 12-week group intervention in which participants learn strategies to enhance emotion recognition and to assess the accuracy of their interpretation of social interactions. To enhance transfer of training gains to functional outcomes, participants will be paired with a social mentor to facilitate completion of homework and to ensure that skills are practiced outside of treatment (supported SCIT). The study will examine the impact of supported SCIT on social and work role functioning.

The specific aims are:

1. To assess the feasibility of providing supported SCIT to individuals with serious mental illness who are engaged in compensated work activity.
2. To assess the impact of supported SCIT on social cognitive skills as well as work and social performance.
3. To assess durability of intervention-induced change 3 months after the end of intervention.

A single blind study will be conducted in which participants between 18-70 with serious mental illness (schizophrenia, schizoaffective disorder, and bipolar disorder) are assigned to 12 weeks of supported SCIT. Intervention will consist of one 2-hour small group training sessions and 30 minutes of individualized supported practice of skills with a treatment facilitator weekly. Feasibility will be assessed with attendance at group and individual sessions. Baseline, post-intervention (3-month), and follow-up (6-month) assessments will measure social cognitive abilities and functional outcomes. Potentially confounding variables such as symptom severity and outside treatment hours will also be assessed. It is hypothesized that supported SCIT will be completed by at least 75% of veterans. The intervention is predicted to improve social cognitive skills and social and work performance. Training gains are expected to be sustained 3 months after intervention.

Enrollment: 22 patients

Sex: All

Ages: 18 to 70 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Diagnosis of Schizophrenia, Schizoaffective Disorder, or Bipolar Disorder
• Veteran
• Engaged in compensated work activity, volunteer work, school
• Age 18 to 70

Exclusion criteria

• Currently meet criteria for substance abuse or have met criteria for substance dependence in that previous 6 months
• Have an estimated premorbid IQ below 70,
• Have a history of a clinically significant head injury or neurological disease
• Do not speak English well enough to comprehend testing procedures
• Do not demonstrate adequate understanding of study procedures to give informed consent

Trial design

Primary purpose: Treatment

Allocation: N/A

Interventional model: Single Group Assignment

Masking: None (Open label)

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22 participants in 1 patient group

Supported SCIT

Experimental group

Description:

Social Cognition and Interaction Training is a manualized intervention that focuses on emotion recognition training, perspective taking, and strategies to avoid jumping to conclusions. One 2-hour group session will be offered once a week for 12 weeks. In addition, 30 minutes of individual training will be provided weekly by an instructor.

Treatment:

Behavioral: Social Cognition and Intervention Training