Exploring Barriers and Facilitators of Employment in Veterans with Opioid Use Disorders
探索患有阿片类药物使用障碍的退伍军人就业的障碍和促进因素
基本信息
- 批准号:10252451
- 负责人:
- 金额:--
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:2021
- 资助国家:美国
- 起止时间:2021-05-01 至 2023-04-30
- 项目状态:已结题
- 来源:
- 关键词:AddressAdultAgeAlabamaAlcoholsAreaAttentionCOVID-19 pandemicCapitalCessation of lifeClientCommunitiesCommunity IntegrationCountyCriminal JusticeDataData AnalysesDeteriorationDiagnosisEconomic BurdenEconomic RecessionEconomicsEducational BackgroundEffectivenessEmotionalEmploymentEmployment OpportunitiesEmployment StatusEvaluationFeeling hopelessGeographyGoldHealthHealth Care CostsHealth PersonnelHomelessnessHourHousingIncomeIndividualInformed ConsentInstitutional Review BoardsInterventionInterviewInvestigationKnowledgeLeftMeasurableMedicalMental DepressionMental HealthMethodsOccupationalOccupational StatusOccupationsOpioidOutcomeOverdosePainParticipantPersonsPharmaceutical PreparationsPilot ProjectsPopulationPost-Traumatic Stress DisordersPovertyPredispositionPreventionProceduresProductivityProfessional counselorProviderPublic HealthQuality of lifeRecommendationRecording of previous eventsRecoveryRelapseResearchResearch PersonnelResourcesServicesSocial Well-BeingSocial isolationSocietiesSourceSpecialistSubstance Use DisorderSuicideSupported EmploymentSymptomsTestingUnemploymentUninsuredUnited StatesVeteransVocational rehabilitationWaiting ListsWorkaddictionbasecareerchronic painful conditioncommunity reintegrationcomorbiditycostdepressive symptomsdesigndisorder later incidence preventionevidence baseexperienceexperimental studyhealth care availabilityhealth care service utilizationimprovedmethadone treatmentmiddle agemortalityopioid epidemicopioid overdoseopioid useopioid use disorderpandemic diseasepatient orientedpatient populationphenomenological modelspreferenceprescription opioidprofessorprogramsrehabilitation servicerural areasatisfactionsociodemographicssubstance usesubstance use treatmentsuicidal risktreatment program
项目摘要
Significance: Living with an opioid use disorder (OUD) can make obtaining and sustaining employment
a significant challenge. Adults who have a current OUD are significantly more likely to be unemployed
and make less income compared to those with past OUD or those without lifetime OUD. For most
individuals in treatment for an OUD, being employed is an important part of their recovery journey.
Employment has several benefits, including reductions in preoccupation with symptoms, social isolation,
risk of suicide, hopelessness, and economic instability, which often results in homelessness. However,
with the advent of the COVID-19 pandemic, a significant number of Veterans have lost their jobs are
currently seeking meaningful and competitive employment. Individual Placement and Support (IPS) is
an evidenced-based supported employment intervention that is considered the gold standard of
vocational rehabilitation. Only one small study has examined the effectiveness of IPS among individuals
with OUD on methadone maintenance (n=45) and found that 50% of the IPS participants gained
competitive employment compared to 5% of the waitlist control participants at 6 months (p<0.001). Prior
to launching a well-warranted large-scale study of IPS for OUD, a better understanding of the barriers,
facilitators, preferences, and employment accommodations in this unique patient population is needed to
better tailor IPS delivery for Veterans recovering from OUD.
Specific Aim: Examine the barriers and facilitators of sustained employment, including evaluation of
employment challenges, occupational functioning, community integration, and quality of life and
satisfaction among Veterans with OUD diagnosis.
Methods and Procedures: This pilot study primarily utilizes a qualitative design, specifically
phenomenology. Quantitative data will also be collected to better understand the patient population and
will include (a) socio-demographic information such as age, level of education, employment history,
income and source of income, housing and experiences with homelessness (b) history of substance use,
(c) mental health- specifically depressive symptomology, (d) occupational functioning, and (e) quality of
life related information. Utilizing phenomenology approach, qualitative interviews will be conducted with
50 Veterans, at least 6 of whom are or will be engaged in IPS services, 6 vocational rehabilitation
specialists (includes 4 IPS specialists), 6 mental health or addiction recovery providers, and at least 6
employers/potential employers who may have or would be willing to employ persons with OUD. The
participants must read and sign an IRB-approved informed consent prior to participating. To conduct the
data analyses, the seven steps to procedural data analysis in phenomenological studies will be utilized.
This approach examines participants associated meanings to the phenomenon under investigation and
provides researchers the ability to identify the emerging themes. Primarily, an inductive thematic
approach will be utilized as the primary method of data analysis.
Conclusion: This SPiRE proposal addresses an area that lacks preliminary data, gathers new
knowledge for an urgent need, informs the refinement of a tailored IPS intervention for OUD, allows an
early career investigator to conduct a small study, allows a senior investigator to explore a new research
area, leverages the investigators’ strengths and expertise, and advances the knowledge needed to
promote successful recovery and reintegration into society for Veterans recovering from OUD, especially
during and after the COVID-19 pandemic.
意义:阿片类药物使用障碍(OUD)有助于获得和维持就业
项目成果
期刊论文数量(0)
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{{ truncateString('Mercy N Mumba', 18)}}的其他基金
Exploring Barriers and Facilitators of Employment in Veterans with Opioid Use Disorders
探索患有阿片类药物使用障碍的退伍军人就业的障碍和促进因素
- 批准号:
10833994 - 财政年份:2021
- 资助金额:
-- - 项目类别:
Exploring Barriers and Facilitators of Employment in Veterans with Opioid Use Disorders
探索患有阿片类药物使用障碍的退伍军人就业的障碍和促进因素
- 批准号:
10379096 - 财政年份:2021
- 资助金额:
-- - 项目类别:
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