Study protocol: A multisite trial of Work-Related Cognitive behavioral therapy for unemployed persons with social anxiety
This paper provides a methodological description of a multi-site, randomized controlled trial (RCT) of a cognitive-behavioral intervention for enhancing employment success among unemployed persons whose employment efforts have been undermined by social anxiety disorder (SAD). SAD is a common and imp...
| Main Authors: | , , , , , , , , , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2019-12-01
|
| Series: | Contemporary Clinical Trials Communications |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2451865419302261 |
| _version_ | 1818195509260582912 |
|---|---|
| author | Joseph A. Himle Richard T. LeBeau Addie Weaver Daphne M. Brydon Deborah Bybee Amy M. Kilbourne Raphael D. Rose Katherine M. Tucker Richard Kim Marcelina Perez Fonda N. Smith Brandy R. Sinco Scott Levine Nicole Hamameh Zipora Golenberg Monique McKiver Paul T. Wierzbicki Anni M. Hasratian Michelle G. Craske |
| author_facet | Joseph A. Himle Richard T. LeBeau Addie Weaver Daphne M. Brydon Deborah Bybee Amy M. Kilbourne Raphael D. Rose Katherine M. Tucker Richard Kim Marcelina Perez Fonda N. Smith Brandy R. Sinco Scott Levine Nicole Hamameh Zipora Golenberg Monique McKiver Paul T. Wierzbicki Anni M. Hasratian Michelle G. Craske |
| author_sort | Joseph A. Himle |
| collection | DOAJ |
| description | This paper provides a methodological description of a multi-site, randomized controlled trial (RCT) of a cognitive-behavioral intervention for enhancing employment success among unemployed persons whose employment efforts have been undermined by social anxiety disorder (SAD). SAD is a common and impairing condition, with negative impacts on occupational functioning. In response to these documented employment-related impairments, in a previous project, we produced and tested an eight-session work-related group cognitive-behavioral therapy provided alongside vocational services as usual (WCBT + VSAU). WCBT is delivered by vocational service professionals and is designed in a context and style that overcomes accessibility and stigma-related obstacles with special focus on employment-related targets. Our previous project found that WCBT + VSAU significantly improved social anxiety, depression, and a range of employment-related outcomes compared to a control group of socially anxious job-seekers who received vocational services as usual without WCBT (VSAU-alone). Participants in this study were all homeless, primarily African American job-seekers with high levels of psychiatric comorbidity and limited education and employment histories. The present, two-region study addresses whether WCBT + VSAU enhances job placement, job retention and mental health outcomes in a larger sample assessed over an extended follow-up period. In addition, this trial evaluates whether the effects of WCBT + VSAU generalize to a new population of urban-based, racially diverse job-seekers with vocational and educational histories that differ from our original sample. This study also investigates the system-effects of WCBT + VSAU in a new site that will be informative for broad implementation of WCBT + VSAU. Finally, this project involves a refined, technology-assisted form of WCBT + VSAU designed to be delivered more easily by vocational services professionals. Keywords: Social anxiety, Unemployment, Cognitive-behavioral therapy, Minorities |
| first_indexed | 2024-12-12T01:19:19Z |
| format | Article |
| id | doaj.art-d0fdbdcc5564415ca41270bbd83121bc |
| institution | Directory Open Access Journal |
| issn | 2451-8654 |
| language | English |
| last_indexed | 2024-12-12T01:19:19Z |
| publishDate | 2019-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Contemporary Clinical Trials Communications |
| spelling | doaj.art-d0fdbdcc5564415ca41270bbd83121bc2022-12-22T00:43:17ZengElsevierContemporary Clinical Trials Communications2451-86542019-12-0116Study protocol: A multisite trial of Work-Related Cognitive behavioral therapy for unemployed persons with social anxietyJoseph A. Himle0Richard T. LeBeau1Addie Weaver2Daphne M. Brydon3Deborah Bybee4Amy M. Kilbourne5Raphael D. Rose6Katherine M. Tucker7Richard Kim8Marcelina Perez9Fonda N. Smith10Brandy R. Sinco11Scott Levine12Nicole Hamameh13Zipora Golenberg14Monique McKiver15Paul T. Wierzbicki16Anni M. Hasratian17Michelle G. Craske18School of Social Work, University of Michigan, USA; Department of Psychiatry, Medical School, University of Michigan, USA; Corresponding author. University of Michigan, School of Social Work & Department of Psychiatry, Ann Arbor, MI, 48109, USA.Department of Psychology, University of California Los Angeles, USASchool of Social Work, University of Michigan, USAGraduate School of Social Work, University of Denver, USADepartment of Psychology, Michigan State University, USADepartment of Psychiatry, Medical School, University of Michigan, USA; Department of Learning Health Sciences, Medical School, University of Michgan, USADepartment of Psychology, University of California Los Angeles, USASchool of Social Work, University of Michigan, USADepartment of Psychology, University of California Los Angeles, USADepartment of Psychology, University of California Los Angeles, USASchool of Social Work, University of Michigan, USASchool of Social Work, University of Michigan, USAJVS SoCal (JVS), Los Angeles, USAJVS Human Services (JVS), Detroit, USAJVS Human Services (JVS), Detroit, USAJVS SoCal (JVS), Los Angeles, USAJVS Human Services (JVS), Detroit, USADepartment of Psychology, Southern Methodist University, USADepartment of Psychology, University of California Los Angeles, USAThis paper provides a methodological description of a multi-site, randomized controlled trial (RCT) of a cognitive-behavioral intervention for enhancing employment success among unemployed persons whose employment efforts have been undermined by social anxiety disorder (SAD). SAD is a common and impairing condition, with negative impacts on occupational functioning. In response to these documented employment-related impairments, in a previous project, we produced and tested an eight-session work-related group cognitive-behavioral therapy provided alongside vocational services as usual (WCBT + VSAU). WCBT is delivered by vocational service professionals and is designed in a context and style that overcomes accessibility and stigma-related obstacles with special focus on employment-related targets. Our previous project found that WCBT + VSAU significantly improved social anxiety, depression, and a range of employment-related outcomes compared to a control group of socially anxious job-seekers who received vocational services as usual without WCBT (VSAU-alone). Participants in this study were all homeless, primarily African American job-seekers with high levels of psychiatric comorbidity and limited education and employment histories. The present, two-region study addresses whether WCBT + VSAU enhances job placement, job retention and mental health outcomes in a larger sample assessed over an extended follow-up period. In addition, this trial evaluates whether the effects of WCBT + VSAU generalize to a new population of urban-based, racially diverse job-seekers with vocational and educational histories that differ from our original sample. This study also investigates the system-effects of WCBT + VSAU in a new site that will be informative for broad implementation of WCBT + VSAU. Finally, this project involves a refined, technology-assisted form of WCBT + VSAU designed to be delivered more easily by vocational services professionals. Keywords: Social anxiety, Unemployment, Cognitive-behavioral therapy, Minoritieshttp://www.sciencedirect.com/science/article/pii/S2451865419302261 |
| spellingShingle | Joseph A. Himle Richard T. LeBeau Addie Weaver Daphne M. Brydon Deborah Bybee Amy M. Kilbourne Raphael D. Rose Katherine M. Tucker Richard Kim Marcelina Perez Fonda N. Smith Brandy R. Sinco Scott Levine Nicole Hamameh Zipora Golenberg Monique McKiver Paul T. Wierzbicki Anni M. Hasratian Michelle G. Craske Study protocol: A multisite trial of Work-Related Cognitive behavioral therapy for unemployed persons with social anxiety Contemporary Clinical Trials Communications |
| title | Study protocol: A multisite trial of Work-Related Cognitive behavioral therapy for unemployed persons with social anxiety |
| title_full | Study protocol: A multisite trial of Work-Related Cognitive behavioral therapy for unemployed persons with social anxiety |
| title_fullStr | Study protocol: A multisite trial of Work-Related Cognitive behavioral therapy for unemployed persons with social anxiety |
| title_full_unstemmed | Study protocol: A multisite trial of Work-Related Cognitive behavioral therapy for unemployed persons with social anxiety |
| title_short | Study protocol: A multisite trial of Work-Related Cognitive behavioral therapy for unemployed persons with social anxiety |
| title_sort | study protocol a multisite trial of work related cognitive behavioral therapy for unemployed persons with social anxiety |
| url | http://www.sciencedirect.com/science/article/pii/S2451865419302261 |
| work_keys_str_mv | AT josephahimle studyprotocolamultisitetrialofworkrelatedcognitivebehavioraltherapyforunemployedpersonswithsocialanxiety AT richardtlebeau studyprotocolamultisitetrialofworkrelatedcognitivebehavioraltherapyforunemployedpersonswithsocialanxiety AT addieweaver studyprotocolamultisitetrialofworkrelatedcognitivebehavioraltherapyforunemployedpersonswithsocialanxiety AT daphnembrydon studyprotocolamultisitetrialofworkrelatedcognitivebehavioraltherapyforunemployedpersonswithsocialanxiety AT deborahbybee studyprotocolamultisitetrialofworkrelatedcognitivebehavioraltherapyforunemployedpersonswithsocialanxiety AT amymkilbourne studyprotocolamultisitetrialofworkrelatedcognitivebehavioraltherapyforunemployedpersonswithsocialanxiety AT raphaeldrose studyprotocolamultisitetrialofworkrelatedcognitivebehavioraltherapyforunemployedpersonswithsocialanxiety AT katherinemtucker studyprotocolamultisitetrialofworkrelatedcognitivebehavioraltherapyforunemployedpersonswithsocialanxiety AT richardkim studyprotocolamultisitetrialofworkrelatedcognitivebehavioraltherapyforunemployedpersonswithsocialanxiety AT marcelinaperez studyprotocolamultisitetrialofworkrelatedcognitivebehavioraltherapyforunemployedpersonswithsocialanxiety AT fondansmith studyprotocolamultisitetrialofworkrelatedcognitivebehavioraltherapyforunemployedpersonswithsocialanxiety AT brandyrsinco studyprotocolamultisitetrialofworkrelatedcognitivebehavioraltherapyforunemployedpersonswithsocialanxiety AT scottlevine studyprotocolamultisitetrialofworkrelatedcognitivebehavioraltherapyforunemployedpersonswithsocialanxiety AT nicolehamameh studyprotocolamultisitetrialofworkrelatedcognitivebehavioraltherapyforunemployedpersonswithsocialanxiety AT ziporagolenberg studyprotocolamultisitetrialofworkrelatedcognitivebehavioraltherapyforunemployedpersonswithsocialanxiety AT moniquemckiver studyprotocolamultisitetrialofworkrelatedcognitivebehavioraltherapyforunemployedpersonswithsocialanxiety AT paultwierzbicki studyprotocolamultisitetrialofworkrelatedcognitivebehavioraltherapyforunemployedpersonswithsocialanxiety AT annimhasratian studyprotocolamultisitetrialofworkrelatedcognitivebehavioraltherapyforunemployedpersonswithsocialanxiety AT michellegcraske studyprotocolamultisitetrialofworkrelatedcognitivebehavioraltherapyforunemployedpersonswithsocialanxiety |