Scoping review of resources for integrating evidence-based supported employment into spinal cord injury rehabilitation

Cotner, Bridget A.; Ottomanelli, Lisa; Keleher, Virginia; Dirk, Lynn

doi:10.1080/09638288.2018.1443161

Cited by 11 publications

(6 citation statements)

References 19 publications

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“…(33). Supported Employment was favored by professionals independent of the health condition of the person and is consistent with international recommendations (35)(36)(37).…”

Section: Discussionsupporting

confidence: 74%

“…In contrast to the professionals themselves, individuals with ABI or SCI or their employers mentioned professionals' lack of knowledge about the consequences of ABI or SCI, incorrect advice on legal issues, a lack of time resources, and sometimes negative attitudes toward disabled workers among professionals, but did not focus on these issues (36,37). This could be because employees and employers experience difficulties with professionals mainly during the post-injury and work integration phases.…”

Section: Discussionmentioning

confidence: 95%

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Factors influencing sustainable employment of persons with acquired brain injury (ABI) or spinal cord injury (SCI): A qualitative study evaluating the perspective of health and work professionals

Finger

Karcz

Schiffmann

et al. 2023

Front. Rehabil. Sci.

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BackgroundThe number of persons with acquired brain injury (ABI) or spinal cord injury (SCI) who leave the labor market early despite successfully return to work post-injury, demonstrates the challenge for them to remain employed. Evidence on how enabling and hindering factors influence daily work across the lifespan and how they affect employment-related services is scarce. Professionals directly involved in work integration can add to this evidence through their experiential knowledge.PurposeTo identify and explore the factors that enable or hinder sustainable employment for persons with ABI or SCI from the perspective of health and work professionals.MethodsWe conducted 23 semi-structured interviews with professionals in Switzerland, directly involved in work reintegration and retention of persons with ABI or SCI. Interviews were transcribed verbatim and thematically analyzed.ResultsParticipants identified three main themes related to the concept of “sustainable employment”. First, the value and impact of initial work integration; an early, multidisciplinary, person-centered work integration, with the early involvement of employers is ideal. A good match between the worker and the workplace is sought. Second, critical factors for long-term sustainable work: the main risks for persons with ABI are changing supervisors, workplace restructuring and the introduction of new technologies, while deteriorating health and the occurrence of secondary health problems are the greatest risk for persons with SCI. Third, the relevance of knowledge, experience and attitudes of professionals; Knowledge of the consequences of an ABI or SCI, the legal basis and the social security process, and the attitude of professionals towards the injured worker were considered important.ConclusionsFrom the professional's perspective, enabling and hindering factors for sustainable employment in the long-term are fundamentally very similar for persons with ABI and SCI. But different physical, mental and neuropsychological effects call for individually adapted measures. While persons with SCI primarily require ongoing medical care, conscious management of changes in the workplace is critical for persons with ABI. For both groups, an easily accessible counseling and support service should be established for work-threatening problems in the long-term. Furthermore, diagnosis-specific training programs for professionals of employment-related services and disability management should be developed.

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“…(33). Supported Employment was favored by professionals independent of the health condition of the person and is consistent with international recommendations (35)(36)(37).…”

Section: Discussionsupporting

confidence: 74%

Section: Discussionmentioning

confidence: 95%

Factors influencing sustainable employment of persons with acquired brain injury (ABI) or spinal cord injury (SCI): A qualitative study evaluating the perspective of health and work professionals

Finger

Karcz

Schiffmann

et al. 2023

Front. Rehabil. Sci.

View full text Add to dashboard Cite

show abstract

“…Employers and employees with positive RTW experiences often express that they miss such long-term support, when problems at work arose for example due to changes in the work environment, a restructuring of the company or a new supervisor or colleague. It is thus crucial that long-term support services (42)(43)(44)(45) are offered, accessible and financed for all persons with a disability especially since current policies do not account for the changing, temporal impact of disability on activities of daily life and potential fluctuations in work ability (41).…”

Section: Discussionmentioning

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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“…Whilst online tools and resources, in themselves, are not sufficient to change the trajectory of employment following a SCI, 'Work and SCI' would work well as a tool to facilitate vocational practices in SCI care. This might include a counselling context to orientate newly injured job-seekers to appropriate accommodations in the workplace, or as a training resource for SCI practitioners and potential employers -akin to print and webbased resources that have been developed internationally [29].…”

Section: Discussionmentioning

confidence: 99%

Work and SCI: a pilot randomized controlled study of an online resource for job-seekers with spinal cord dysfunction

et al. 2018

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Study design: Prospective, parallel randomized controlled trial (RCT) Objectives: To test the preliminary effects of an online resource targeted to job-seekers with spinal cord injury or disorder (SCI/D) and to determine the feasibility of proceeding to a full-scale RCT. Setting: Community cohort in Australia. Methods: Forty-eight adults (M = 42 years, SD = 10.95, 27 male) were randomized to receive 4-weeks access to the 'Work and SCI' resource (n = 25) or to a wait-list control group (n = 23). The 'Work and SCI' intervention involved six stand-alone learning modules which provided job-searching and career planning information through text, videos and interactive activities. Self-report measures were administered at baseline and 4-weeks post: Job Procurement Self-Efficacy Scale (JSES), Life Orientation Test-Revised (LOT-R) and Patient Health Questionnaire-9 (PHQ-9). Results: Online usage data identified high uptake of the 'Work and SCI' resource, although study attrition was problematic. Intention-to-treat analyses failed to reach statistical significance whereas completer data revealed a significant interaction effect for optimism (LOT-R). Conclusion: Further research to develop and enhance 'Work and SCI' is indicated. Remediable strategies to optimize recruitment and statistical power in a future definitive RCT are discussed. Sponsorship: This project was funded by the auDA Foundation (project. 16019)

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Scoping review of resources for integrating evidence-based supported employment into spinal cord injury rehabilitation

Cited by 11 publications

References 19 publications

Factors influencing sustainable employment of persons with acquired brain injury (ABI) or spinal cord injury (SCI): A qualitative study evaluating the perspective of health and work professionals

Factors influencing sustainable employment of persons with acquired brain injury (ABI) or spinal cord injury (SCI): A qualitative study evaluating the perspective of health and work professionals

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

Work and SCI: a pilot randomized controlled study of an online resource for job-seekers with spinal cord dysfunction

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