Evidence map›Paper›PMID 22197080›Full record

Trial reportSchizophrenia research2012

The efficacy of supported employment for middle-aged and older people with schizophrenia.

Elizabeth W Twamley, Lea Vella, Cynthia Z Burton, Deborah R Becker, Morris D Bell, Dilip V Jeste

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Schizophrenia research, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 6 pooled it
1.6field-weighted citation impact, top 18% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 6 syntheses or guidelines pooled it, 74 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Pooled it
  7. Trial
  8. Trial
  9. Trial
  10. Trial
  11. Trial
  12. Trial
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Mental health care for older adults: recent advances and new directions in clinical practice and research.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2022
    Article
  19. An Integrative Review of Recovery Services to Improve the Lives of Adults Living with Severe Mental Illness.International journal of environmental research and public health · 2021
    Review
  20. The development of a cognitive rehabilitation task for mice.Neurobiology of learning and memory · 2020
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 5 institutions in 1 country.

Elizabeth W TwamleyDepartment of Psychiatry and Stein Institute for Research on Aging, University of California, San Diego, 9500 Gilman Drive 0851, La Jolla, CA 92093, USA. etwamley@ucsd.edu
Lea Vella
Cynthia Z Burton
Deborah R Becker
Morris D Bell
Dilip V Jeste
San Diego State University · USDartmouth Psychiatric Research Center · USUniversity of California, San Diego · USVA San Diego Healthcare System · USYale University · US

Funding

Cognitive Training to Improve Work Outcomes in Severe Mental IllnessR01MH080150 · NIMH · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI TWAMLEY, ELIZABETH W · 2008 to 2012
$1.4M
Work Rehabilitation For Older Adults With SchizophreniaK23MH066011 · NIMH · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI TWAMLEY, ELIZABETH W · 2003 to 2007
$838k
NIMH NIH HHS K23 MH066011NIMH NIH HHS MH066011NIMH NIH HHS R01 MH080150
6 · The paper itself

Abstract

objectiveSupported employment is the evidence-based treatment of choice for assisting individuals with severe mental illness to achieve competitive employment, but few supported employment programs specifically target older clients with psychiatric illness. The purpose of this study was to evaluate the efficacy of supported employment for middle-aged or older people with schizophrenia.

methodParticipants included 58 outpatients with schizophrenia or schizoaffective disorder aged 45 or older who were recruited from a community mental health clinic. Participants were randomly assigned to receive Individual Placement and Support (IPS; the manualized version of supported employment) or conventional vocational rehabilitation (CVR) for one year, and completed assessments at baseline, six months, and twelve months.

resultsIPS was superior to CVR on nearly all work outcome measures, including attainment of competitive employment, weeks worked, and wages earned. Fifty-seven percent of IPS participants worked competitively, compared with 29% of CVR participants; 70% of IPS participants obtained any paid work, compared with 36% of CVR participants. Within the IPS group, better baseline functional capacity (as measured by the UCSD Performance Based Skills Assessment) and more recent employment were modestly associated with better work outcomes.

conclusionsMiddle-aged and older adults with schizophrenia are good candidates for supported employment services.

Indexed as

Employment, SupportedSchizophrenic PsychologyAgedAgingArea Under CurveEmploymentEvidence-Based MedicineFemaleHumansMaleMiddle AgedOutcome Assessment, Health CarePsychotic DisordersRehabilitation, VocationalSchizophreniaSeverity of Illness Index

Identifiers

PMID22197080
PMCPMC3288765
OpenAlexW2049294452

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.