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Price: EUR 145.00Authors: Soeker, Mogammad Shaheed | Smith, Melissa | Hess April, Lucia
Article Type: Research Article
Abstract: BACKGROUND: Individuals diagnosed with stroke have a poor return to work rate, particularly in rural communities. OBJECTIVE: The aim of the study is to describe the experiences and perceptions of individuals diagnosed with stroke about the usefulness of the Model of Occupational Self Efficacy (MOOSE) in assisting them in returning to their worker role. METHODS: The study utilized an explorative, descriptive, qualitative research design, furthermore the data was analyzed using thematic analysis, resulting in three themes. Seven stroke survivors and one key informant participated in the study. RESULTS: Theme one: …Obstacles that affect the return to work of stroke survivors in a rural community. Theme two: Re-establishing a strong belief in functional ability through participation in occupation. Finally, theme three: The MOOSE enables transition to the worker role in a rural context. CONCLUSION: The findings indicate that the MOOSE is a useful model in facilitating the return to work of individuals diagnosed with a stroke. The participants struggled to return to work not only due to their loss of abilities but also their lack of knowledge with regard to how to return to work and their diagnosis of a stroke. Show more
Keywords: Return to work, adaptation, coping skills and strategies, adaptation, vocational rehabilitation
DOI: 10.3233/JVR-230041
Citation: Journal of Vocational Rehabilitation, vol. Pre-press, no. Pre-press, pp. 1-12, 2023
Authors: Dorstyn, Diana | Oxlad, Melissa | Whitburn, Sharni | Fedoric, Boris | Roberts, Rachel | Chur-Hansen, Anna
Article Type: Research Article
Abstract: BACKGROUND: Using simulation methods that replicate specific job demands can accelerate return-to-work following an illness or injury. However, the components of simulation vary markedly. OBJECTIVE: The current study explores the perceptions and experiences of service users to better understand what aspects are required to facilitate a well-designed, work-specific simulation. METHODS: Thirteen injured workers (10 men, 3 women) and four staff (3 allied health, 1 manager) involved in a simulation-based rehabilitation program were interviewed. Interview data were analysed using reflexive thematic analysis. RESULTS: Three major themes resulted: 1) simulation can facilitate …successful rehabilitation, 2) the importance of offering multiple, realistic simulations to replicate varying occupations, and 3) effective simulation involves collaboration with a worker’s existing health professionals. CONCLUSIONS: Simulation tasks can be effectively integrated into injury rehabilitation, although are challenging to implement and require further validation studies. The present findings may provide some guidance for rehabilitation services looking to implement this method within a broader, biopsychosocial return-to-work program. Show more
Keywords: Employment, unemployment, occupational injuries, rehabilitation
DOI: 10.3233/JVR-230062
Citation: Journal of Vocational Rehabilitation, vol. Pre-press, no. Pre-press, pp. 1-9, 2024
Authors: Krebs, Brandon K. | Rachor, Geoffrey S. | Yamamoto, Shelby S. | Dick, Bruce D. | Brown, Cary A. | Asmundson, Gordon J.G. | Straube, Sebastian | Els, Charl | Jackson, Tanya D. | Brémault-Phillips, Suzette | Voaklander, Don | Stastny, Jarett | Berry, Theodore | Gross, Douglas P.
Article Type: Research Article
Abstract: BACKGROUND: Posttraumatic stress injury (PTSI) is a term used to describe a range of psychiatric difficulties which arise following exposure to a psychologically traumatic event. The impact of being diagnosed with multiple psychiatric conditions on the return-to-work (RTW) outcomes of individuals with PTSI has not been adequately researched. OBJECTIVE: The current study examined whether the presence of two or more psychiatric conditions occurring simultaneously is predictive of RTW outcomes in workers with PTSI. METHOD: A population-based cohort design was conducted using archival data from injured workers admitted to a PTSI rehabilitation program. Differences …in RTW outcomes and demographic, administrative, and clinical variables were compared between individuals with single and multiple psychiatric diagnoses. A range of variables were entered into a multivariable logistic regression model predicting RTW. RESULTS: The final logistic regression model indicated workers had higher odds of RTW if they had a single psychiatric diagnosis (Adjusted Odds Ratio (AOR) 2.20), non-elevated scores on a measure of traumatic stress (AOR 1.85), and reported higher self-perceived readiness to RTW (AOR 1.24). CONCLUSION: Being diagnosed with multiple psychiatric conditions appears to be associated with more negative RTW outcomes following PTSI rehabilitation. Show more
Keywords: Rehabilitation, posttraumatic stress injury, return-to-work, workers’ compensation, compensation and duress
DOI: 10.3233/JVR-230063
Citation: Journal of Vocational Rehabilitation, vol. Pre-press, no. Pre-press, pp. 1-15, 2024
Authors: Savin, Katie | Morris, Zachary A. | Wise, Marion S. | Marinoff, Rebecca
Article Type: Research Article
Abstract: BACKGROUND: People with visual impairment often need many items that their sighted counterparts do not, such as assistive devices, transportation services, and other disability-related goods and services. Acquiring these items represents a major barrier to the employment of people with visual impairment. OBJECTIVE: This study aimed to explore the nature of disability-related employment costs as they relate to engagement in the labor market of people with visual impairment. METHODS: The research consisted of a qualitative analysis of interviews and focus groups with 15 visually impaired adults from the New York metro area. RESULTS: What …emerged were the costs of accessing and maintaining employment— particularly related to meeting the expectations of expediency in the modern world— in areas like communication and transportation. These costs interacted with perceived ableism in the labor market and created a climate of job scarcity and anxiety, which came at additional cost to participants who felt stuck in low-paying work. CONCLUSIONS: Further research is needed on the impact of perceived ableism and disability-related employment costs, and on decreasing barriers to programs that may ameliorate these costs, such as vocational rehabilitation services. Such research would inform policy interventions geared toward enhancing disabled people’s participation in the labor market. Show more
Keywords: Visual impairment, disability discrimination, costs of illness, disability, employment
DOI: 10.3233/JVR-240000
Citation: Journal of Vocational Rehabilitation, vol. Pre-press, no. Pre-press, pp. 1-13, 2024
Authors: Sprong, Matthew E. | Blankenberger, Bob | Pierce, Sami M. | Hollender, Heaven
Article Type: Research Article
Abstract: BACKGROUND: Employment has been shown to be the fourth most commonly reported need for veterans and their families, and unemployment rates have ranged from 1–69% dependent on the mental health diagnosis. Complications from the COVID-19 pandemic have had a significant impact on psychological functioning, and social isolation has led to increased psychiatric symptoms. Vocational rehabilitation is an intervention provided to Veterans in an attempt to remove barriers to employment while also increasing involvement in gainful work activity. OBJECTIVE: The purpose of the current study was to examine the impact that COVID-19 has had on employment rates …at discharge for veterans with mental health disorders participating in a VHA vocational rehabilitation program. METHODS: An outcome-based, summative program evaluation design was used to assess the quality of Veterans served (2016-2021) at a vocational rehabilitation program served at a medical center located in VISN 12 of the U.S. Department of Veteran Affairs. RESULTS: Findings showed that veterans with Bipolar and Psychosis were less likely to discharge with employment (not considering COVID-19). CONCLUSION: No significant meaningful differences existed in employment rates when comparing pre/post March 2020 (official start of COVID-19 pandemic) for veterans with psychiatric diagnoses. Show more
Keywords: Vocational rehabilitation, veterans, employment, veteran affairs, compensated work therapy
DOI: 10.3233/JVR-230065
Citation: Journal of Vocational Rehabilitation, vol. Pre-press, no. Pre-press, pp. 1-10, 2024
Authors: Maroto, Michelle | Pettinicchio, David
Article Type: Research Article
Abstract: BACKGROUND: With at least one-quarter of the U.S. adult population reporting one or more disabilities in 2020, people with disabilities represent a large and diverse group of individuals who often face significant barriers in the labor market, especially job displacement - involuntary job loss due to external factors. OBJECTIVE: We examine how rates of job displacement varied for people with different types of disabilities from 2007–2021, a period that includes the 2008 Great Recession and the COVID-19 pandemic. METHODS: We use data from six waves of Current Population Study Displaced Worker Supplement (CPS …DWS, N = 344,729) and a series of logistic regression models to examine differences in displacement by disability status and type. RESULTS: People with disabilities were approximately twice as likely as those without disabilities to experience job displacement, but more during times of economic turmoil. Although displacement disparities by disability status were decreasing from a high of 6.5 percentage points during the Great Recession, the pandemic increased the gap to 5.8 percentage points. CONCLUSION: Involuntary job loss among people with disabilities is exacerbated by exogenous shocks. We extend work on disability and displacement, incorporating the COVID-19 pandemic in our discussion of explanations of both labor market disadvantage and precarity. Show more
Keywords: Disability studies, employment insecurity, COVID-19, economic recession, United States
DOI: 10.3233/JVR-230064
Citation: Journal of Vocational Rehabilitation, vol. Pre-press, no. Pre-press, pp. 1-13, 2024
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