An RCT of Virtual Reality Job Interview Training for Individuals With Serious Mental Illness in IPS Supported Employment
| العنوان: | An RCT of Virtual Reality Job Interview Training for Individuals With Serious Mental Illness in IPS Supported Employment |
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| المؤلفون: | Matthew J. Smith, Justin D. Smith, Shannon Blajeski, Brittany Ross, Neil Jordan, Morris D. Bell, Susan R. McGurk, Kim T. Mueser, Jane K. Burke-Miller, Eugene A. Oulvey, Michael F. Fleming, Karley Nelson, Adrienne Brown, John Prestipino, Nicole J. Pashka, Lisa A. Razzano |
| المصدر: | Psychiatric Services. 73:1027-1038 |
| بيانات النشر: | American Psychiatric Association Publishing, 2022. |
| سنة النشر: | 2022 |
| مصطلحات موضوعية: | Psychiatry and Mental health, Inservice Training, Employment, Supported, Mental Disorders, Virtual Reality, Humans, Rehabilitation, Vocational |
| الوصف: | Virtual Reality Job Interview Training (VR-JIT) is a computerized interview simulator with efficacy at enhancing interview skills and employment outcomes. A randomized controlled trial assessed VR-JIT effectiveness for participants in individual placement and support (IPS), in which approximately 55% of individuals with serious mental illness obtain employment.Ninety participants with serious mental illness were randomly assigned to IPS+VR-JIT (N=54) or IPS as usual (N=36), completing pretest-posttest assessments and an employment evaluation at 9 months. Intent-to-treat chi-square analysis, multivariable logistic regression, Cox proportional hazards models, and mixed-effects linear regressions were conducted. Fifty-one percent were IPS nonresponders (i.e., no employment within the first 90 days of IPS).IPS+VR-JIT participants did not have significantly higher employment rates, compared with IPS-as-usual participants (43% versus 28%). IPS nonresponders (N=46) in the IPS+VR-JIT group had greater odds of obtaining employment (odds ratio [OR]=5.82, p=0.014) and shorter time to employment (hazard ratio=2.70, p=0.044) compared with IPS nonresponders in the IPS-as-usual group. Intent-to-treat mixed-effects linear analyses indicated that IPS+VR-JIT, compared with IPS as usual, significantly improved interview skills (p=0.006), interview confidence (p=0.013), and interview anxiety (p=0.019).VR-JIT's potential benefits (increased employment in a shorter time) appeared to be specific to IPS nonresponders, whereas employment outcomes for recent IPS enrollees were not affected. VR-JIT could be a valuable resource for employment specialists to support IPS nonresponders, because 47% of participants engaged in mock interview training with their specialist. Future research should focus on evaluating the effectiveness and implementation of VR-JIT among IPS nonresponders. |
| تدمد: | 1557-9700 1075-2730 |
| DOI: | 10.1176/appi.ps.202100516 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::93567b1b82e47850072a7739405dd0ad https://doi.org/10.1176/appi.ps.202100516 |
| رقم الانضمام: | edsair.doi.dedup.....93567b1b82e47850072a7739405dd0ad |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 15579700 10752730 |
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| DOI: | 10.1176/appi.ps.202100516 |