Evidence map›Paper›PMID 30932508›Full record

Trial reportPsychiatric rehabilitation journal2019

Positive impact of IPS supported employment on PTSD-related occupational-psychosocial functional outcomes: Results from a VA randomized-controlled trial.

Lisa Mueller, William R Wolfe, Thomas C Neylan, Shannon E McCaslin, Rachel Yehuda, Janine D Flory, Tassos C Kyriakides, Rich Toscano, Lori L Davis

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Psychiatric rehabilitation journal, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
3.9field-weighted citation impact, top 7% 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

9 citing papers in PubMed, 22 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Individual placement and support: History, current status, and future directions.PCN reports : psychiatry and clinical neurosciences · 2023
    Review
  5. Article
  6. Article
  7. Article
  8. Article
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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

9 authors at 3 institutions in 1 country.

Lisa MuellerDepartment of Psychology, Edith Nourse Rogers Memorial Veterans Hospital.
William R WolfeSan Francisco Veterans Affairs Medical Center.
Thomas C NeylanSan Francisco Veterans Affairs Medical Center.
Shannon E McCaslinDissemination & Training Division, National Center for PTSD.
Rachel YehudaJames J. Peters Veterans Affairs Medical Center.
Janine D FloryJames J. Peters Veterans Affairs Medical Center.
Tassos C KyriakidesCooperative Studies Program Coordinating Center, Veterans Affairs Connecticut Healthcare System.
Rich ToscanoTuscaloosa Veterans Affairs Medical Center.
Lori L DavisTuscaloosa Veterans Affairs Medical Center.
James J. Peters VA Medical Center · USSan Francisco VA Medical Center · USTuscaloosa VA Medical Center · US

Funding

CSP VA 589Department of Veterans Affairs Office of Research and Development; Cooperative Studies Program
6 · The paper itself

Abstract

objectivePosttraumatic stress disorder (PTSD) has significant negative effects on occupational, interpersonal, and social functioning. Supported employment is highly effective in helping people with a diagnosis of PTSD obtain and maintain competitive employment. However, less is known about the impact of supported employment on functioning in work or school, social, and interpersonal areas as specifically related to the symptoms of PTSD.

methodThe Veterans Individual Placement and Support Toward Advancing Recovery study was a prospective, multisite, randomized, controlled trial that compared Individual Placement and Support (IPS) supported employment with a stepwise vocational rehabilitation involving transitional work (TW) assignments with unemployed veterans with PTSD diagnoses (n = 541) at 12 Veterans Administration (VA) medical centers. This analysis focuses on the PTSD-related functional outcomes over the 18-month follow-up period.

resultsCompared with those randomized to TW, the PTSD Related Functioning Inventory (PRFI) total score significantly improved for participants randomized to IPS (LSMeans difference = -3.92, 95% CI [-7.49, -.36]; p = .03) over 18 months. When the Work/School subscale of the PRFI was removed from the analysis, the IPS group continued to show significant improvements compared with the TW group on the PRFI relationship and lifestyle domains (LSMeans difference = -2.37, 95% CI [-4.74, .00]; p = .05), suggesting a positive impact of IPS beyond work/school functioning.

conclusionCompared with the usual-care VA vocational services for veterans with PTSD, IPS supported employment is associated with greater improvement in overall PTSD-related functioning, including occupational, interpersonal, and lifestyle domains. In addition to superior employment outcomes, IPS has a positive impact on occupational-psychosocial functioning outcomes. (PsycINFO Database Record (c) 2019 APA, all rights reserved).

Indexed as

Employment, SupportedOutcome Assessment, Health CareUnited States Department of Veterans AffairsVeteransAdultFemaleFollow-Up StudiesHumansMaleMiddle AgedStress Disorders, Post-TraumaticUnited States

Identifiers

PMID30932508
PMCPMC6991705
OpenAlexW2929226159

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.