abstract: 'BACKGROUND: To date, the Individual Placement and Support (IPS) model is

  the only vocational intervention that has been rigorously studied and

  shown to be effective with Veterans with spinal cord injury (SCI).

  Customized Employment (CE) is an innovative vocational intervention with

  promising results among people with disabilities which has yet to be

  tested in persons with SCI.

  OBJECTIVE: To determine whether a Customized Employment (CE)

  intervention adapted for SCI rehabilitation is more effective than the

  standard care (IPS) for helping Veterans with SCI obtain and maintain

  employment.

  METHODS: A 4-year, 2-site randomized clinical trial (RCT) with

  concurrent mixed methods using an intent-to-treat (ITT) approach. The

  primary outcome is competitive integrated employment as defined by the

  Work Innovation and Opportunity Act. Secondary outcomes are employment

  indicators, quality of life (QOL), and participation.

  RESULTS: This is a methods paper so there are no results to present at

  this time.

  CONCLUSION: The proportion of Veterans who attain employment will be

  greater for the CE group than the IPS group and they will outperform the

  IPS group on other employment-related metrics (e.g., higher job

  satisfaction, wages, and retention). Employed Veterans will demonstrate

  significant improvements in self-sufficiency, QOL, and participation.

  Qualitative data obtained from interviews will assist with adaptation

  strategies and will identify barriers to implementing CE.'
affiliation: 'Ottomanelli, L (Corresponding Author), James A HaleyVeterans Hosp \&
  Clin, 13000 Bruce B Downs Blvd, Tampa, FL 33612 USA.

  Ottomanelli, Lisa; Cotner, Bridget A.; Toyinbo, Peter A.; Venkatachalam, Hari H.;
  Cessna-Palas, Julie; Mendelson, Samantha; Cruz, Areana; Pierce, Bradford S., James
  A Haley Vet Hosp \& Clin, Tampa, FL USA.

  Ottomanelli, Lisa; Smith, Tammy Jorgensen; Dillahunt-Aspillaga, Christina J.; Cruz,
  Areana, Univ S Florida, Coll Behav \& Community Sci, Dept Rehabil \& Mental Hlth
  Counseling, Tampa, FL USA.

  Cotner, Bridget A., Univ S Florida, Dept Anthropol, Tampa, FL USA.

  McDonald, Scott, Cent Virginia VA Hlth Care Syst, Mental Hlth Serv, Richmond, VA
  USA.

  McDonald, Scott; Goetz, Lance, Virginia Commonwealth Univ, Sch Med, Dept Phys Med
  \& Rehabil, Richmond, VA USA.

  McDonald, Scott, Virginia Commonwealth Univ, Coll Human \& Sci, Dept Psychol, Richmond,
  VA USA.

  Goetz, Lance, Cent Virginia VA Hlth Care Syst, Spinal Cord Injury \& Disorders Serv,
  Richmond, VA USA.

  McCauley, Liron, Cent Virginia VA Hlth Care Syst, Richmond, VA USA.'
author: Ottomanelli, Lisa and Smith, Tammy Jorgensen and Cotner, Bridget A. and Toyinbo,
  Peter A. and Venkatachalam, Hari H. and McDonald, Scott and Goetz, Lance and Cessna-Palas,
  Julie and Mendelson, Samantha and Dillahunt-Aspillaga, Christina J. and Cruz, Areana
  and McCauley, Liron and Pierce, Bradford S.
author-email: lisa.ottomanelli@va.gov
author_list:
- family: Ottomanelli
  given: Lisa
- family: Smith
  given: Tammy Jorgensen
- family: Cotner
  given: Bridget A.
- family: Toyinbo
  given: Peter A.
- family: Venkatachalam
  given: Hari H.
- family: McDonald
  given: Scott
- family: Goetz
  given: Lance
- family: Cessna-Palas
  given: Julie
- family: Mendelson
  given: Samantha
- family: Dillahunt-Aspillaga
  given: Christina J.
- family: Cruz
  given: Areana
- family: McCauley
  given: Liron
- family: Pierce
  given: Bradford S.
da: '2023-09-28'
doi: 10.3233/JVR-230016
eissn: 1878-6316
files: []
issn: 1052-2263
journal: JOURNAL OF VOCATIONAL REHABILITATION
keywords: 'Customized employment; disability; randomized clinical trial; spinal

  cord injury; supported employment; Veterans; vocational rehabilitation'
keywords-plus: 'QUALITY-OF-LIFE; SUPPORTED EMPLOYMENT; INDIVIDUAL PLACEMENT; VOCATIONAL

  SERVICES; OUTCOMES; ADULTS; PROGRAM; INTERVENTIONS; DISABILITIES;

  WORKFORCE'
language: English
number: '3'
number-of-cited-references: '73'
pages: 279-292
papis_id: 90105db5a0f2e653e090b93691db3909
ref: Ottomanelli2023achievingcompetitive
times-cited: '0'
title: 'Achieving competitive, customized employment through specialized services
  for Veterans with spinal cord injuries (ACCESS-Vets): A randomized clinical trial
  protocol'
type: article
unique-id: WOS:000995589500006
usage-count-last-180-days: '1'
usage-count-since-2013: '1'
volume: '58'
web-of-science-categories: Rehabilitation
year: '2023'