- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05146362
Vermont RETAIN Impact Evaluation
One-Year Impact Evaluation of Vermont Retaining Employment and Talent After Injury/Illness Network (RETAIN)
Study Overview
Detailed Description
The Vermont Department of Labor is partnering with health care, employment, and other entities to implement "Vermont RETAIN." SSA contracted with Mathematica to conduct an independent evaluation of the program. Under the RETAIN model medical providers receive training and incentives to use occupational health best practices. The state agency also coordinates SAW/RTW services for the enrollee, fosters communication among Vermont RETAIN stakeholders about the treatment enrollee returning to work, and monitors the enrollee's medical and employment progress. Providers at participating practices are trained in the Vermont Best Practice Resources and Training, which explains how to identify early and then manage the risk of work disability to help prevent long-term unemployment. Participants undergo a systematic assessment of barriers to work, work goals, and function in order to create a personalized RTW plan; RTW coordinators use a strength-based coaching model and provide care coordination through a customized mobile health app.
Vermont plans to work with 68 primary care practices across the state and enrolls clusters of medical practices to participate in the study. The evaluation team randomly assigns each cluster to either a treatment or control group. Mathematica conducts random assignment of clusters on a rolling basis as Vermont enrolls clusters. Vermont invites eligible individuals who see a medical provider in either the treatment or control group to enroll in the study. Individuals who see a provider that has been randomly assigned to the treatment group and who enroll in the study are considered "treatment group enrollees" and are eligible for Vermont RETAIN services. Individuals who see a provider in the control group and enroll in the study are considered "control group enrollees" and are not eligible for Vermont RETAIN services.
The evaluation team then compares the outcomes of the treatment and control groups and gathers evidence on how RETAIN shaped the outcomes of enrollees who were eligible for its services, regardless of whether they participated in those services. Data sources include enrollment data, surveys, administrative records, program data, and qualitative data.
Study Type
Enrollment (Anticipated)
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
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New Hampshire
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Lebanon, New Hampshire, United States, 03756
- Recruiting
- Dartmouth-Hitchcock Medical Center
-
Contact:
- Jon Lurie, MD
- Phone Number: 603-650-8380
- Email: jon.d.lurie@dartmouth.edu
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- 18 years or older
- Live or work in Vermont (or if out of work, lives in a border state and plan to work in Vermont)
- Currently employed or actively looking for a job
- Have an injury or illness that is limiting or could limit ability to stay at or return to work
- The injury or illness occurred, flared, or worsened within the past 6 months
Exclusion Criteria:
- Has received care of coordination services from RETAIN before
- Has an active SUD that is currently untreated
- Has been out of work for more than 12 weeks due to injury, illness, or flare
- Currently applying for or receiving disability benefits from Social Security Administration
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Health Services Research
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: RETAIN Programming
The experimental group receives the full set of RETAIN intervention activities.
|
RETAIN projects include a combination of medical provider services, stay-at-work/return-to-work (SAW/RTW) coordination services, and other SAW/RTW services.
The evaluation compares the treatment group that is eligible to receive the full set of RETAIN intervention activities and a control group that is not.
|
No Intervention: Control
This arm receives information about American Job Center services and assistance with opening a JobLink account if an individual doesn't have one.
Medical providers at all practices will receive training on how to identify early and then manage the risk of work disability to help prevent long-term unemployment
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Share of enrollees employed in the fourth quarter after enrollment
Time Frame: Measured in the fourth quarter after enrollment
|
Share of enrollees employed in the fourth quarter after enrollment obtained from state unemployment insurance wage records.
These files include individual-level wage records for six quarters surrounding enrollment in the study, including the quarter prior to enrollment, the quarter of enrollment, and four post-enrollment quarters.
|
Measured in the fourth quarter after enrollment
|
Enrollee earnings in the fourth quarter after enrollment
Time Frame: Measured in the fourth quarter after enrollment
|
Sum of enrollee earnings in the fourth quarter after enrollment obtained from state unemployment insurance wage records.
These files include individual-level wage records for six quarters surrounding enrollment in the study, including the quarter prior to enrollment, the quarter of enrollment, and four post-enrollment quarters.
|
Measured in the fourth quarter after enrollment
|
Share of enrollees that applied for SSDI or SSI during the 12 months after enrollment
Time Frame: Measured in the 12 months after enrollment
|
Share of enrollees that applied for SSDI or SSI during any of the 12 months after enrollment obtained from SSA program data.
These files include detailed information about Social Security Disability Insurance (SSDI) and Supplemental Security Income (SSI) applications SSDI and SSI awards, SSDI and SSI benefit amounts and enrollee characteristics (for enrollees who have ever applied for SSA program benefits)
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Measured in the 12 months after enrollment
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Collaborators and Investigators
Collaborators
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Anticipated)
Study Completion (Anticipated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Other Study ID Numbers
- RTN-VT
- OD-36366-21-75-4-50 (Other Grant/Funding Number: Social Security Administration)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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