Employment pathways of individuals with spinal cord injury living in Switzerland: A qualitative study

Marti, Albert; Escorpizo, Reuben; Schwegler, Urban; Staubli, Stefan; Trezzini, Bruno

doi:10.3233/wor-172617

Cited by 21 publications

(15 citation statements)

References 16 publications

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“…As indicated in figure 1, the initial search yielded 1221 articles. Ultimately, 11 articles were included in the scoping review, three quantitative [32][33][34] and eight qualitative [35][36][37][38][39][40][41][42].…”

Section: Descriptive Characteristics Of Included Studiesmentioning

confidence: 99%

Factors associated with sustaining work with chronic spinal cord injury: a scoping review

Karcz

Trezzini

Escorpizo

et al. 2021

Disability and Rehabilitation

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Work participation remains challenging for people with spinal cord injury (SCI), as reflected in lower employment rates compared to the general population. To promote work participation for people with SCI, practitioners and policymakers need a better understanding of the factors associated with sustaining work in the long term. This study aimed to identify such factors. Materials and methods: Scoping review synthesizing quantitative and qualitative research published between 2000 and 2021. The databases searched were PubMed, CINAHL Complete, PsycINFO, Scopus, and Web of Science. Results: Initially, 1221 articles were identified. Three quantitative studies investigating socio-demographic and injury-related factors and eight qualitative studies exploring mainly personal and environmental facilitators and barriers to working in the long term were retained. The results of the quantitative studies showed the importance of time since injury, age and education. The qualitative findings emphasized the positive influence of self-advocacy, managing health behaviours and a supportive work environment. Main barriers were time organization and societal attitudes.

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Section: Descriptive Characteristics Of Included Studiesmentioning

confidence: 99%

Factors associated with sustaining work with chronic spinal cord injury: a scoping review

Karcz

Trezzini

Escorpizo

et al. 2021

Disability and Rehabilitation

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“…For individuals with spinal cord injury (SCI) and persons with acquired brain injury (ABI), achieving a sustainable employment after RTW is particularly challenging (6,7,11). While SCI impairs the spine and ABI the brain, both conditions strongly limit functional abilities that are critical in today's labor market: mobility, cognitive functioning, work and social life (12)(13)(14).…”

Section: Introductionmentioning

confidence: 99%

“…The employment rate of people with SCI is with 61% about 20% points lower compared to the general population ( 20 , 21 ). Statistical data on the employment situation of persons with ABI living in Switzerland is currently lacking but, as previously shown, sustaining work after the onset of an SCI or ABI represents a major challenge for those affected ( 6 , 7 , 11 ). In addition, Swiss patient organizations for people with SCI and ABI report a substantial number of enquiries from individuals who face problems in maintaining their jobs.…”

Section: Introductionmentioning

confidence: 99%

Facilitators and Barriers to Sustainable Employment After Spinal Cord Injury or Acquired Brain Injury: The Person's Perspective

Karcz¹,

Schiffmann²,

Schwegler³

et al. 2022

Front. Rehabilit. Sci.

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BackgroundSustaining employment after initial return to work represents a major challenge for people with a disability. While individuals with spinal cord injury (SCI) and acquired brain injury (ABI) make a prime example for this challenge, their view on factors supporting and hindering sustainable employment have rarely been investigated in depth so far.PurposeTo examine facilitators and barriers to sustainable employment, as perceived by persons with SCI or ABI.MethodsFourteen focus groups and four individual interviews were conducted and thematically analyzed.ResultsPerceived facilitators and barriers to sustainable employment reflected the three biopsychosocial areas of personal, impairment-related and environmental factors. For both condition groups, key facilitators included environmental factors (i.e., aspects of the work organization, the workplace, supportive private and work environment) and personal factors (i.e., the ability to self-advocate, to communicate and to learn how to live with one's own disability). Major barriers comprised injury-related impairments, including decreased mobility and pain for people with SCI and fatigue and limited cognitive resources for persons with ABI, as well as environmental factors related to insurance procedures and the social security system for both conditions.ConclusionsThe biopsychosocial factors identified in our study as well as their interplay should receive particular attention to optimally support sustainable employment in vocational integration and work retention practice. Interventions should particularly focus on the empowerment of those affected as well as on the creation of supportive work environments that match their abilities and needs.

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“…Labour market participation (LMP) of people with spinal cord injury (SCI) varies greatly between individuals: some remain employed until retirement age, while others gradually reduce their working hours or leave the labour market early before reaching statutory retirement age [ 1 – 3 ]. Employment rates of people with SCI drop drastically after SCI onset [ 3 ], and vary widely across countries ranging from 10.3% in Morocco to 61.4% in Switzerland, as evidenced by a recent study covering 22 countries worldwide [ 4 ]. Despite LMP representing a key goal of SCI rehabilitation [ 5 ], employment rates of those affected are still between 19.7% (Switzerland) to 59.3% (Brazil) lower compared to the general population [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

Predicting change in labour market participation of people with spinal cord injury (SCI): longitudinal evidence from the Swiss SCI community survey

et al. 2022

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Study Design Longitudinal, population-based survey. Objective To examine change in labour market participation (LMP) of people with spinal cord injury (SCI) living in Switzerland and to identify predictors of increase, decrease and stability in LMP between 2012 and 2017. Setting Community. Methods Longitudinal information on LMP (i.e., weekly workload) was obtained from 311 gainfully employed, working-age individuals who participated in the Swiss Spinal Cord Injury Cohort Study (SwiSCI) community survey in 2012 and were still of working age at the time of completing the 2017 questionnaire. Statistical preselection of the predictors of change in LMP was carried out by implementing the least absolute shrinkage and selection operator (LASSO) in a multinomial logistic regression model. The final set of predictors was selected by comparison of several multinomial logistic regression models. Results Out of 311 participants, almost half (43%) changed their LMP between 2012 and 2017, 48 increased their weekly workload, 49 reduced and 37 participants left the labour market prematurely. Age at time of the survey, years of education, having children, intention to change weekly workload, high satisfaction with daily routine, extra-time needs for transportation and managing support were associated with change in LMP. Conclusions Modifiable factors like education and satisfaction with daily routine should receive particular attention in the context of job retention strategies. More longitudinal research focusing on key employment transitions and trajectories over the life course of persons with SCI is needed to complement, validate and extend our findings.

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Employment pathways of individuals with spinal cord injury living in Switzerland: A qualitative study

Cited by 21 publications

References 16 publications

Factors associated with sustaining work with chronic spinal cord injury: a scoping review

Factors associated with sustaining work with chronic spinal cord injury: a scoping review

Facilitators and Barriers to Sustainable Employment After Spinal Cord Injury or Acquired Brain Injury: The Person's Perspective

Predicting change in labour market participation of people with spinal cord injury (SCI): longitudinal evidence from the Swiss SCI community survey

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