Malmö University Publications
Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Individual Placement and Support for persons with alcohol and drug addiction in a Swedish context (IPS-ADAS): study protocol for a randomised controlled trial
Lund Univ, Med Fac, Dept Hlth Sci, Lund, Sweden.;Reg Skane Cty, Div Psychiat Habilitat & Aids, Lund, Sweden..ORCID iD: 0000-0001-7505-6955
Reg Skane Cty, Div Psychiat Habilitat & Aids, Lund, Sweden.;Lund Univ, Med Fac, Dept Clin Sci, Lund, Sweden..ORCID iD: 0000-0002-5800-8975
Lund Univ, Dept Social Sci, Sch Social Sci, Lund, Sweden..ORCID iD: 0000-0003-2713-3359
Lund Univ, Med Fac, Dept Hlth Sci, Lund, Sweden.;Study Mid Sweden Univ, Sundsvall, Sweden.;Reg Vasternorrland Cty, Dept Res & Dev, Sundsvall, Sweden..
2024 (English)In: Trials, E-ISSN 1745-6215, Vol. 25, no 1, article id 222Article in journal (Refereed) Published
Abstract [en]

Background: Employment is a vital source for experiencing well-being and lowering the risk of long-term social marginalisation and poverty. For persons with alcohol and drug addiction, it may also improve sobriety. However, the unemployment situation for this group reflects the knowledge gap in effective interventions to support employment. While Individual Placement and Support (IPS) is recognised as evidence-based supported employment for those with serious mental health problems, no scientific evidence for the target group of addiction exists to date. The aim of the present IPS for Alcohol and Drug Addiction in Sweden (IPS-ADAS) trial is to study whether IPS has an effect on gaining employment for this group. Methods: The IPS-ADAS trial is a multisite, pragmatic, parallel, and single-blinded, superiority randomised controlled trial (RCT). Participants (N = 330) will be randomly assigned (1:1) and participate in IPS plus treatment as usual within Addiction Services (IPS + TAU) or Traditional Vocational Rehabilitation (TVR) available plus TAU (TVR + TAU) for 12 months. The principle of intention-to-treat (ITT) will be applied. The hypothesis is that a significantly larger proportion of IPS + TAU participants will be employed for > 1 day (primary outcome), reach employment sooner, work more hours and longer periods of time, and have a higher income as compared to TVR + TAU participants at 18-month follow-up. We further anticipate that those who benefit from IPS + TAU will use less alcohol and drugs, experience better health, and use less care and support, including support from the justice system, in comparison to TVR + TAU participants, at 6, 12, and 18 months. A supplementary process evaluation, using the IPS Fidelity Scale (25 items) and adhered interviews will address delivery and receipt of the IPS as well as contextual hinders and barriers for coproduction and implementation. Working age (18-65), willingness to work, unemployment, participation in an information meeting about the RCT, treatment for addiction diagnosis, and being financially supported by welfare, constitute eligible criteria. Discussion: A primary study on the effectiveness of IPS on employment for the new target group of addictions will add to the international IPS knowledge base and inform national policy to include the underrepresented group in working life.

Place, publisher, year, edition, pages
BioMed Central (BMC), 2024. Vol. 25, no 1, article id 222
Keywords [en]
Supported employment, Recovery, Mental health, Addiction services, Homelessness, Proactive aging
National Category
Health Sciences
Identifiers
URN: urn:nbn:se:mau:diva-66795DOI: 10.1186/s13063-024-08007-xISI: 001195340600001PubMedID: 38539212Scopus ID: 2-s2.0-85189147055OAI: oai:DiVA.org:mau-66795DiVA, id: diva2:1852925
Available from: 2024-04-19 Created: 2024-04-19 Last updated: 2024-04-19Bibliographically approved

Open Access in DiVA

No full text in DiVA

Other links

Publisher's full textPubMedScopus

Authority records

Knutagård, Marcus

Search in DiVA

By author/editor
Bejerholm, UlrikaHakansson, AndersKnutagård, Marcus
In the same journal
Trials
Health Sciences

Search outside of DiVA

GoogleGoogle Scholar

doi
pubmed
urn-nbn

Altmetric score

doi
pubmed
urn-nbn
Total: 46 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf