Impact of social challenges on gaining employment for veterans with posttraumatic stress disorder: an exploratory moderator analysis.
OBJECTIVE
To explore whether psychosocial challenges impact effects of vocational rehabilitation in Veterans with Posttraumatic Stress Disorder (PTSD).


METHODS
A post hoc exploratory analysis of possible moderators of treatment was conducted on outcomes from a randomized, controlled trial of Individual Placement and Support in Veterans with PTSD.


RESULTS
When examining groups within each moderator, there was a greater IPS supportive employment benefit in gaining competitive employment for those with inadequate transportation (number needed to treat [NNT] = 1.5) and inadequate housing (NNT = 1.5) compared with the main finding of the pilot study (NNT = 2.07). Compared with the main finding of the pilot study, there was no greater advantage of IPS for those with adequate transportation (NNT = 2.4) or adequate housing (NNT = 2.4). Compared with the main finding in the pilot study, those without a family care burden had a greater benefit from IPS (NNT = 1.4) and those with family care burden had a reduced treatment effect (NNT = 3.3).


CONCLUSIONS
These results are exploratory and are not intended to guide clinical decision-making, but rather offer a potentially useful strategy in the design of larger trials of IPS.
VA Medical Center.
Lori L
LL
Davis
VA Medical Center.
Patricia
P
Pilkinton
VA Medical Center.
Swati
S
Poddar
VA Medical Center.
Catherine
C
Blansett
VA Medical Center.
Richard
R
Toscano
VA Medical Center.
Pamela E
PE
Parker
D004651:Employment / Q000523:psychology / Q000706:statistics & numerical data; D016832:Employment, Supported / Q000379:methods; D006798:Housing; D006801:Humans; D010865:Pilot Projects; D012050:Rehabilitation, Vocational / Q000379:methods*; D013313:Stress Disorders, Post-Traumatic / Q000523:psychology / Q000534:rehabilitation*; D014186:Transportation; D014728:Veterans / Q000523:psychology* / Q000706:statistics & numerical data