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Completed

NCT Number: NCT04025905

Social Cognition Training and Vocational Rehabilitation

Social cognition impairments, frequently encountered in Serial Mental Illness, reduce the ability to find and to keep a job. Cognitive remediation and social cognition training reduce the impact of cognitive impairments on work outcomes . The purpose of this research is to associate a social cognition training program to vocational rehabilitation in the transition network (transitional Workforce Assistance Facilities and Services) to help people to maintain their jobs and to access to work in an ordinary environment. To support the development of social cognition interventions, additional care (users will retain their usual medical follow-up) will be implemented within the Workforce Assistance Facilities and Services.

This project is part of a strong partnership between the Cognitive remediation network (health sector: rehabilitation centers) and the Transition network (medico-social sector: three Workforce Assistance Facilities and Services having partnerships with rehabilitation centers). This partnership has been experienced previously in the RemedRehab project funded by the 2012 hospital clinical research program (PHRC). This project was recently completed.

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Key information

Conditions

Schizophrenia Mental Disorders Schizophrenia Spectrum and Other Psychotic Disorders

Age range

18 year–65 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

centre de réhabilitation - Hôpital le Vinatier

Lyon, Rhône, 69006, France

About this study

Social cognition training concomitant to work help to maintain employment in transitional Workforce Assistance Facilities and Services .

Participation in the study will be offered to anyone with severe psychic disorders and a social cognition disorder who started working in one of the transitional Workforce Assistance Facilities and Services in the year prior to inclusion to limit selection bias.

The study population is defined by the transitional Workforce Assistance Facilities and Services users involved.

The diagnosis is not included in the inclusion criteria. It will, however, be established according to DSM-5 criteria for included users, who will benefit from a semi-structured interview .

The expected benefits in the social cognition training programgroup are: best job maintaining rate in transitional Workforce Assistance Facilities and Services , improvement of social cognition, improvement of interpersonal skills, improvement of self-esteem, improvement of professional insertion and improvement of the patient's vision of his place in society.

Participants enrolled in information group may expect benefits on socialization and empowerment.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Diagnosis of a serious mental illness (The specific diagnosis is not included in the inclusion criteria. It will, however, be established according to DSM-5 criteria for included users, who will benefit from a semi-structured interview (MINI, Sheehan et al., 1998).
  • Admission in an ESAT in the last year prior to enrollment
  • Expected duration of employment beyond two years
  • Tutor's agreement (for persons under tutorship)
  • Affiliation to social insurance

Exclusion criteria

  • Absence of a social cognition disorder at neuropsychological evaluations
  • Simultaneous participation in a social cognition remediation program
  • Insufficient level of understanding of French to participate in the group (verbal exchanges)
  • Insufficient visual acuity to participate in the group (use of slideshow in the group sessions)

Treatment and study plan

Social Cognition Training

Behavioral

Evaluate the impact of the social cognition training on employment maintaining in transitional Workforce Assistance Facilities and Services.

Informations

Behavioral

informations about work environment, social environment, stress management, sleep management, treatments

Primary outcomes

  1. Change from baseline in total number of hours worked

    Time frame: 6 months

    Difference between the total number of hours worked compared to the number of working hours provided for in the work contract for 6 months

Secondary outcomes

  1. Change from baseline in social cognitive

    Time frame: 6 months

    The Ambiguous Intentions Hostility Questionnaire (AIHQ): a measure for evaluating hostile social-cognitive biases in paranoia

  2. Change from baseline in self-esteem

    Time frame: 6 months

    Self-Esteem Rating Scale - Short Form (SERS-SF). Self-esteem was assessed with the Self-Esteem Rating Scale-Short Form (SERS-SF) . The SERS is a 20-item self-rating scale with two subscales: positive and negative self-esteem.

  3. Change from baseline in self-stigmatization

    Time frame: 6 months

    Internalized Stigma of Mental Illness scale (ISMI ). The ISMI scale was developed to measure the internalized stigma of people with a mental illness

  4. Change from baseline in the recovery process

    Time frame: 6 months

    STages Of Recovery Instrument (STORI) The STORI consists of 50 items, presented in 10 groups of five. Each group represents one of the four process components of recovery: hope; identity; meaning; responsibility

Sponsors and collaborators

Lead sponsor

Hôpital le Vinatier

Other

Registry information

Official study title

REMEDEMPLOI: Social Cognition Training and Vocational Rehabilitation

Acronym: REMEDEMPLOI

Important dates

Study start
2020
Primary completion
2025
Study completion
2025
First posted
Jul 19, 2019
Registry last updated
Jul 31, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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