2023-09-28 14:46:10 +00:00
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abstract: 'BackgroundUnemployment rates are higher among people with mental health
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issues/illness (MHI) than in the general working population, and many of
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them face the dilemma of whether or not to disclose their MHI when
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searching for employment. Disclosure can lead to rejection and
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discrimination, but alternatively can also have important advantages
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that may be necessary to retain employment. Whether disclosure decisions
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lead to sustainable employment depends on many factors, of which
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unemployed people themselves can only influence their decision to
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disclose or not and the way in which they communicate. This study
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evaluates the cost-effectiveness of an intervention to support
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unemployed people with MHI in their disclosure decision and
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communication.MethodsThis is a two-armed, clustered, randomized
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controlled trial with longitudinal design and randomization at
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organization level. An intervention will be examined, which consists of
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a disclosure decision aid tool (CORAL.NL) for unemployed people and
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workplace stigma-awareness training especially designed for employment
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specialists, which focusses on how to support unemployed people in their
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disclosure decisions. Participants in the intervention group are
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unemployed people who receive support from trained employment
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specialists from organizations allocated to the intervention group, and
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receive the CORAL.NL decision aid after baseline. The control group
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consists of unemployed people who receive support as usual from
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employment specialists from different organizations allocated to the
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control group. Primary outcomes are: cost-effectiveness of the
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intervention, e.g. healthcare costs, having employment, days until start
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of employment, independency of social security, having other forms of
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employment and decision making about disclosing MHI. Secondary outcomes
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are mental health and wellbeing, stigma and discrimination and
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work-related factors. Financial income data are collected via the
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registration systems of Dutch municipalities and Statistics Netherlands,
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and by questionnaires at baseline, and at 3, 6 and 12months.DiscussionIf
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using a decision aid to decide about disclosure of MHI leads to people
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finding and retaining employment more often, this study will contribute
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to lowering healthcare and societal costs.Trial registrationNetherlands
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Trial Register: NL7798. Registered on 4 June 2019.'
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affiliation: 'Janssens, KME (Corresponding Author), Tilburg Univ, Tilburg Sch Social
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\& Behav Sci, Tranzo, Tilburg, Netherlands.
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Janssens, K. M. E.; van Weeghel, J.; Joosen, M. C. W.; Brouwers, E. P. M., Tilburg
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Univ, Tilburg Sch Social \& Behav Sci, Tranzo, Tilburg, Netherlands.
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van Weeghel, J., Kennisctr Phrenos, Utrecht, Netherlands.
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Henderson, C., Kings Coll London, Dept Hlth Serv \& Populat Res, London, England.
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Joosen, M. C. W., Tilburg Univ, Dept Human Resource Studies, Tilburg Sch Social
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\& Behav Sci, Tilburg, Netherlands.'
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author: Janssens, K. M. E. and van Weeghel, J. and Henderson, C. and Joosen, M. C.
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W. and Brouwers, E. P. M.
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author-email: k.m.e.janssens@tilburguniversity.edu
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author_list:
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- family: Janssens
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given: K. M. E.
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- family: van Weeghel
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given: J.
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- family: Henderson
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given: C.
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- family: Joosen
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given: M. C. W.
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- family: Brouwers
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given: E. P. M.
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da: '2023-09-28'
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doi: 10.1186/s13063-020-04376-1
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eissn: 1745-6215
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files: []
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journal: TRIALS
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keywords: 'Mental health issues; illness; Unemployed people; Employment
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specialists; Disclosure; Employment'
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keywords-plus: 'MENTAL-ILLNESS; INDIVIDUAL PLACEMENT; HEALTH-PROBLEMS; PRIME-MD; WORK;
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VALIDATION; STIGMA; AID; EMPLOYEES; UTILITY'
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language: English
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month: MAY 29
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number: '1'
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number-of-cited-references: '48'
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orcid-numbers: Janssens, Kim/0000-0002-6625-3516
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papis_id: 63b4fd5c6baa11a96c92cc084ff8ed27
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ref: Janssens2020evaluationinterventi
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times-cited: '8'
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title: 'Evaluation of an intervention to support decisions on disclosure in the employment
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setting (DECIDES): study protocol of a longitudinal cluster-randomized controlled
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trial'
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000537957200005
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usage-count-last-180-days: '0'
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usage-count-since-2013: '2'
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volume: '21'
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web-of-science-categories: Medicine, Research \& Experimental
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year: '2020'
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