A Life Course Perspective to Spinal Cord Injury and Employment Participation in Canada

Jetha, Arif; Dumont, Frédéric; Noreau, Luc; Leblond, Jean

doi:10.1310/sci2004-310

Cited by 14 publications

(7 citation statements)

References 35 publications

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“…Risk factors for unemployment after TSCI are reported to be older age, not being married, unmet SCI needs, as well as lower functional independence measure score, and no participation in social roles. 45,46 The same trends were observed in our cases as the rational for lower employment rate.…”

Section: Discussionsupporting

confidence: 88%

“…However, after~29 months post TSCI, 21.9% of our cases were employed (C1-C4: 1%, C5-C8:11.2%, T1-S1: 68.8% for AIS A, B and C, cases; AIS D and E: 19%). The 1-year employment figure in Canada has been 32%, whereas 62% of their cases had been employed before TSCI, 45 their employment rate was near 50%, this figure was 25% for Iranian TSCIs. Risk factors for unemployment after TSCI are reported to be older age, not being married, unmet SCI needs, as well as lower functional independence measure score, and no participation in social roles.…”

Section: Discussionmentioning

confidence: 97%

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Epidemiological study of traumatic spinal cord injuries: experience from a specialized spine center in Iran

et al. 2016

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Section: Discussionsupporting

confidence: 88%

Section: Discussionmentioning

confidence: 97%

Epidemiological study of traumatic spinal cord injuries: experience from a specialized spine center in Iran

et al. 2016

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“…-Low awareness about disability issues in social context 52,60 -Lack of equal opportunities and inclusion 18,21,49,56,89 -Unilateral social policies 76 - -Inequality and inequity, gender discrimination 31,57 -Barriers to higher education and employment 10,31 issues have significant impact on participation, particularly in involvement in community activities. 6 Social relations based on social skills and mutual understanding.…”

Section: Social Model Of Disabilitymentioning

confidence: 99%

“…31,57 Implementation of laws and regulations was difficult because of limited resources, initiatives, and awareness; this was reported in both HICs and LMICs. 52,57,60…”

Section: Social Model Of Disabilitymentioning

confidence: 99%

Factors Influencing Participation in Daily Activities by Persons With Spinal Cord Injury: Lessons Learned From an International Scoping Review

Alve

Bontje

2019

Topics in Spinal Cord Injury Rehabilitation

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Background: It is important to develop further understanding regarding the facilitating and constraining factors that influence participation in daily activities, including social and human rights issues faced by persons with spinal cord injury (SCI) that affect their opportunities to lead full social lives. Objectives: To identify, describe, and compare factors that influence participation in daily activities by persons with SCI living in high-income countries (HICs) and in low-and middle-income countries (LMICs). Method: We performed a scoping review of 2,406 articles published between 2001 and 2016 that were identified from electronic databases. From these, 58 remained after checking inclusion and exclusion criteria. Analyses included (a) identifying factors that facilitate and constrain participation in daily activities; (b) categorizing the identified factors as issues related to medical, social, and human rights models; and (c) comparing determinants between LMICs and HICs. Results: The medical model factors pertained to long-term physical health and functional capacities, self-efficacy and adjustment skills, relearning capacities for performing daily activities, and availability of cost-effective adaptive equipment. The social model factors pertained to developing accommodating communities (accessible environments and mutual understanding). The factors of the human rights model pertained to autonomy (empowerment) and development of social justice (application of policies, advocacy, and negotiation). Conclusion: Eight lessons are proposed to enhance health and functional abilities, ensure disability friendly environments, develop social justice, and provide empowerment to enhance participation in daily activities among person with SCI living in LMICs.

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“…The employment rate post-injury among individuals with SCI in Canada is 32- 38%, which declines dramatically from the 62% working before their injury. 4 , 5 …”

Section: Introductionmentioning

confidence: 99%

Development of employment indicators to advance the quality of spinal cord injury rehabilitation care: SCI-High Project

Alavinia

Jetha

Hitzig

et al. 2021

The Journal of Spinal Cord Medicine

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Context Employment and Return to Work (RTW) rates following spinal cord injury/disease (SCI/D) are low due to individual and impairments characteristics, secondary health conditions, social and environmental barriers, prior work experience, workplace supports and resources, and physical or psychosocial work demands. To improve RTW, the SCI-High Project team developed a set of Employment structure, process, and outcome indicators for adults with SCI/D in the first 18 months after rehabilitation admission. Methods A pan-Canadian Working Group of diverse stakeholders: (1) defined the Employment construct; (2) conducted a systematic search of available outcomes measures; (3) constructed a Driver diagram summarizing factors associated with employment. Subsequent facilitated meetings allowed for the creation of structure and process indicators, and the selection of outcome indicators. Results The structure indicator is the proportion of SCI/D rehabilitation programs with an employment resource center. The process indicator is the proportion of SCI/D rehabilitation inpatients who receive an employment assessment during inpatient rehabilitation. The intermediary and final outcome measures are the Readiness for Return-to-Work Scale (RRTW) and Work Productivity and Activity Impairment (WPAI). Scale A of the RRTW for those who are unemployed and Scale B of RRTW and WPAI will be used for those who are employed. Conclusion This framework of Employment indicators intends to support the RTW needs of persons with SCI/D by ensuring that rehabilitation professionals provide opportunities to explore RTW within the first 18 months after rehab admission. Increased employment rates have the potential to enhance the wellbeing, health, and longevity of individuals with SCI/D.

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A Life Course Perspective to Spinal Cord Injury and Employment Participation in Canada

Cited by 14 publications

References 35 publications

Epidemiological study of traumatic spinal cord injuries: experience from a specialized spine center in Iran

Epidemiological study of traumatic spinal cord injuries: experience from a specialized spine center in Iran

Factors Influencing Participation in Daily Activities by Persons With Spinal Cord Injury: Lessons Learned From an International Scoping Review

Development of employment indicators to advance the quality of spinal cord injury rehabilitation care: SCI-High Project

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