Sveinsdottir Vigdis, Tveito Torill Helene, Bond Gary R, Grasdal Astrid Louise, Lie Stein Atle, Reme Silje Endresen
Uni Research Health, Uni Research, POB 7810, 5020, Bergen, Norway.
Dartmouth Psychiatric Research Center, Rivermill Commercial Center, 85 Mechanic St., Suite B4-1, Lebanon, NH 03766, USA.
BMC Public Health. 2016 Jul 15;16:579. doi: 10.1186/s12889-016-3280-x.
Early withdrawal or exclusion from the labor market leads to significant personal and societal costs. In Norway, the increasing numbers of young adults receiving disability pension is a growing problem. While a large body of research demonstrates positive effects of Supported Employment (SE) in patients with severe mental illness, no studies have yet investigated the effectiveness of SE in young adults with a range of social and health conditions who are receiving benefits.
METHODS/DESIGN: The SEED-trial is a randomized controlled trial (RCT) comparing traditional vocational rehabilitation (TVR) to SE in 124 unemployed individuals between the ages of 18-29 who are receiving benefits due to various social- or health-related problems. The primary outcome is labor market participation during the first year after enrollment. Secondary outcomes include physical and mental health, health behaviors, and well-being, collected at baseline, 6, and 12 months. A cost-benefit analysis will also be conducted.
The SEED-trial is the first RCT to compare SE to TVR in this important and vulnerable group, at risk of being excluded from working life at an early age.
Clinicaltrials.gov, registration number NCT02375074 . Registered on December 3rd 2014.
过早退出或被排除在劳动力市场之外会导致巨大的个人和社会成本。在挪威，领取残疾抚恤金的年轻人数量不断增加，这一问题日益严重。虽然大量研究表明支持性就业（SE）对重症精神疾病患者有积极影响，但尚未有研究调查SE对一系列患有社会和健康问题且正在领取福利的年轻人的有效性。
方法/设计：SEED试验是一项随机对照试验（RCT），将124名年龄在18至29岁之间、因各种社会或健康相关问题而领取福利的失业人员的传统职业康复（TVR）与SE进行比较。主要结局是入组后第一年的劳动力市场参与情况。次要结局包括在基线、6个月和12个月时收集的身心健康、健康行为和幸福感。还将进行成本效益分析。
SEED试验是第一项在这个重要且易受影响的群体中比较SE和TVR的随机对照试验，该群体面临着过早被排除在工作生活之外的风险。
Clinicaltrials.gov，注册号NCT02375074。于2014年12月3日注册。
