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）：“多站点系统干预与社会焦虑的失业人员”拟议研究的目标是进行一个多站点的认知行为干预试验，以提高失业人员的就业成功率，他们的工作成就努力已被社会焦虑症破坏。社交焦虑症是一种非常常见的损害性疾病，对职业功能有负面影响。与工作有关的损害包括拒绝工作机会和晋升机会、生产力和工作表现下降、教育程度降低、失业增加、经济依赖和收入减少。我们已经证明，社交焦虑障碍是持续依赖福利支持的最强精神病学预测因子。针对这些记录在案的就业相关障碍，我们制作了一个八届工作相关的群体认知行为疗法（WCBT），当加上标准的职业康复服务，显着改善社交焦虑，抑郁，求职行为和求职自信心相比，对照组的社会焦虑的求职者谁只接受职业服务照常（VAU）。 这项试点R34研究的参与者都是无家可归者，主要是非洲裔美国人，城市求职者，精神科合并症水平高，教育和就业历史有限。WCBT的设计背景和风格克服了与无障碍和耻辱相关的障碍，特别关注与就业相关的目标。目前的合作RO1将涉及两个学术调查小组和两个社区就业服务机构的工作人员，以进一步评估WCBT与VAU相比。 这两个地区的研究将解决WCBT是否提高工作安置和保留超过一年的时间间隔评估。此外，这项试验将测试WCBT的实施在一个新的职业服务机构，没有参与WCBT的发展，以及WCBT的影响是否推广到一个新的人口的城市为基础的，种族多样化的求职者与教育和教育历史，从原来的WCBT研究网站不同。我们还将调查WCBT在新址的系统效果，这将为WCBT在全国范围内的广泛实施提供信息。最后，作为R34的创新延伸，该项目将纳入技术辅助供应商培训和WCBT交付的实施工具。