2/2 Multi-site systems intervention for unemployed persons with social anxiety

2/2 针对社交焦虑失业者的多点系统干预

• 批准号: 8762313
• 负责人: MICHELLE G CRASKE
• 金额: $ 35.64万
• 依托单位: UNIVERSITY OF CALIFORNIA LOS ANGELES
• 依托单位国家: 美国
• 财政年份: 2014
• 资助国家: 美国
• 起止时间: 2014-08-10 至 2019-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8762313
• 关键词: Address; African American; Anxiety; Anxiety Disorders; Appetitive Behavior; Behavior; Client; Cognitive Therapy; Communities; Comorbidity; Control Groups; Coupled; Dependence; Development; Education; Educational Background; Effectiveness; Employment; Employment-Based Services; Ethnic Origin; Future; Goals; Health Maintenance Organizations; Homelessness; Hour; Hybrids; Impairment; Income; Individual; Intervention; Intervention Trial; Lead; Los Angeles; Low income; Maintenance; Mediating; Mental Depression; Mental Health; Mental disorders; Michigan; Minority; Mothers; Occupational; Occupations; Outcome; Participant; Performance at work; Persons; Pharmaceutical Preparations; Productivity; Provider; Public Health; Race; Randomized; Recording of previous events; Reliance; Research; Sampling; Self Efficacy; Services; Site; Social Welfare; Symptoms; System; Technology; Testing; Training; Unemployment; Universities; Urban Population; Vocational rehabilitation; Work; base; cost; design; experience; follower of religion Jewish; improved; innovation; member; multi-site trial; public health relevance; randomized trial; rehabilitation service; response; screening; service intervention; social; social stigma; success; tool; uptake

DESCRIPTION (provided by applicant): "Multi-site systems intervention for unemployed persons with social anxiety" The goal of the proposed research is to conduct a multi-site trial of a cognitive-behavioral intervention for enhancing employment success among unemployed persons whose job attainment efforts have been undermined by social anxiety disorder. Social anxiety disorder is a very common and impairing condition, with negative impacts on occupational functioning. Work-related impairments include turning down job offers and promotions, reduced productivity and job performance, lowered educational attainment, increased unemployment, financial dependence, and reduced income. We have shown that social anxiety disorder was the strongest psychiatric predictor of sustained reliance on welfare for support. In response to these documented employment-related impairments, we produced an eight-session work-related group cognitive behavioral therapy (WCBT) that, when coupled with standard vocational rehabilitation services, significantly improved social anxiety, depression, job search behaviors and job search self-confidence compared to a control group of socially anxious jobs seekers who received only vocational services as usual (VAU). Participants in this pilot R34 study were all homeless, primarily African American, urban-based job-seekers with high levels of psychiatric comorbidity and limited education and employment histories. WCBT is designed in a context and style that overcomes accessibility and stigma-related obstacles with special focus on employment-related targets. The current collaborative RO1 will involve two academic, investigative teams and the staff of two community-based employment service agencies to further evaluate WCBT compared to VAU. This two-region study will address whether WCBT enhances job placement and retention assessed over a one-year interval. In addition, this trial will test the implementation of WCBT in a new vocational service agency that was not involved in the development of WCBT, and whether the effects of WCBT generalize to a new population of urban-based, racially diverse job-seekers with educational and educational histories that differ from the original WCBT study site. We will also investigate the system effects of WCBT in the new site that will be informative for broad implementation of WCBT nationwide. Finally, as an innovative extension from the R34, this project will incorporate implementation tools of technology-assisted provider training and delivery of WCBT.

描述（由申请人提供）：“对社交焦虑的失业者的多站点系统干预”的目的是对认知行为干预的多站点试验，以提高社交焦虑症障碍的失业者的就业成功，以增强失业者的就业成功。社交焦虑症是一种非常普遍且损害的疾病，对职业功能产生了负面影响。与工作有关的障碍包括拒绝工作机会和晋升，生产力和工作绩效降低，受教育程度降低，失业率增加，财务依赖和收入减少。我们已经表明，社交焦虑症是持续依赖福利支持的最强精神病预测指标。为了应对这些与就业相关的障碍，我们产生了与工作相关的八项工作相关的群体认知行为疗法（WCBT），当与标准职业康复服务相结合时，与仅接受的社交焦虑症的工作组相比，与获得职业服务的对照组相比，社交焦虑，抑郁症，工作搜索行为和工作搜索群体的自保留率显着改善了（抑郁症，工作搜索行为和工作搜索自保障）。 这项试点R34研究的参与者都是无家可归的，主要是非裔美国人，基于城市的求职者，具有高水平的精神合并症，教育和就业历史有限。 WCBT的设计以一种环境和风格，可以克服可及性和与污名相关的障碍，并特别关注与就业相关的目标。当前的合作RO1将涉及两个学术，调查团队和两个基于社区的就业服务机构的员工，以进一步评估WCBT与VAU相比。 这项两个区域的研究将解决WCBT是否可以在一年的间隔内增强工作安置和保留率。此外，该试验将在不参与WCBT发展的新职业服务机构中测试WCBT的实施，以及WCBT的影响是否概括为新的基于城市的，种族多样化的求职者，具有与原始WCBT研究站点不同的教育和教育历史。我们还将调查WCBT在新站点中的系统效应，这将为全国WCBT的广泛实施提供信息。最后，作为R34的创新扩展，该项目将结合技术辅助提供者培训和WCBT提供的实施工具。