Service factors and personal characteristics associated with employment and job quality for vocational rehabilitation consumers with combined traumatic brain injury and visual impairment

McDonnall, Michele C.; Cmar, Jennifer L.; McKnight, Zhen S.

doi:10.3233/jvr-201073

Cited by 3 publications

(16 citation statements)

References 38 publications

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“…Gender also had a significant association with job quality in both models, with males having higher job quality than females. Similar findings regarding gender and job quality have been documented in the general population (Brucker & Henly, 2019) and other populations of VR consumers (Chan et al, 2016;Cimera et al, 2015;McDonnall & Cmar, 2019;McDonnall et al, 2020). White race was associated with higher job quality in other populations (Brucker & Henly, 2019;Rothwell & Crabtree, 2019), but only African American consumers had significantly lower job quality than consumers of other races in our models, and the effect size was very small.…”

Section: Discussionsupporting

confidence: 86%

“…Several variables demonstrated a consistent relationship with job quality across the two models. Education level at entry to VR was a significant predictor of higher job quality in both models as found in studies of job quality for the general U.S. population (Brucker & Henly, 2019; Rothwell & Crabtree, 2019) and VR consumers (Chan et al, 2016), including subpopulations of VR consumers with B/LV (Cimera et al, 2015; McDonnall & Cmar, 2019; McDonnall et al, 2020). Education level was the strongest predictor of job quality for VR consumers with B/LV who were employed at application and the second strongest predictor for consumers who were not employed at application.…”

Section: Discussionsupporting

confidence: 54%

“…Another service difference was the value of receiving disability-related skills training and rehabilitation technology: These services were significantly associated with higher job quality only for consumers who were employed at application. Neither of these services was a significant predictor of job quality in prior studies of subpopulations of consumers with B/LV, which included all consumers (those who came in with employment and those who did not) in one model (McDonnall & Cmar, 2019;McDonnall et al, 2020). Individuals who have a job at application may be seeking VR services for different reasons than those who are not employed.…”

Section: Discussionmentioning

confidence: 99%

“…Another job quality study included VR consumers with all types of disabilities (Chan et al, 2016). Two subsequent analyses of job quality focused on small subpopulations of individuals with B/LV: VR consumers who are deaf-blind (McDonnall & Cmar, 2019) and VR consumers with combined traumatic brain injury and B/LV (McDonnall et al, 2020). Across the studies, personal characteristics were the primary predictors of job quality, with education level and male gender predicting higher job quality and receipt of cash benefits (including SSI or SSDI) predicting lower job quality (Chan et al, 2016; Cimera et al, 2015; McDonnall & Cmar, 2019; McDonnall et al, 2020).…”

mentioning

confidence: 99%

“…Two subsequent analyses of job quality focused on small subpopulations of individuals with B/LV: VR consumers who are deaf-blind (McDonnall & Cmar, 2019) and VR consumers with combined traumatic brain injury and B/LV (McDonnall et al, 2020). Across the studies, personal characteristics were the primary predictors of job quality, with education level and male gender predicting higher job quality and receipt of cash benefits (including SSI or SSDI) predicting lower job quality (Chan et al, 2016; Cimera et al, 2015; McDonnall & Cmar, 2019; McDonnall et al, 2020). Conversely, relationships between job quality and state-level, agency-level, and service-related predictors varied across studies (Chan et al, 2016; Cimera et al, 2015; McDonnall & Cmar, 2019; McDonnall et al, 2020).…”

mentioning

confidence: 99%

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What Predicts Job Quality of Vocational Rehabilitation Consumers Who Are Blind or Have Low Vision?

McDonnall

Cmar

McKnight

2021

Rehabilitation Counseling Bulletin

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The Workforce Innovation and Opportunity Act emphasizes promoting high-quality, competitive employment for people served by vocational rehabilitation (VR), but few studies have assessed VR consumers’ job quality. The purpose of this study was to investigate job quality and factors that predict the job quality of VR consumers with blindness or low vision (B/LV), taking into consideration their employment status at application. We utilized RSA-911 data of VR consumers with B/LV who were closed in competitive employment during 2015, creating two separate hierarchical linear models to predict job quality for VR consumers (a) who were employed at application and (b) who were not employed at application. We investigated individual-level (consumer personal characteristics and VR services) and state/agency-level predictors. Job quality and some predictors of job quality differed by employment status at application, although the strongest predictors (education level at application, gender, benefit receipt at application, receipt of a bachelor’s or higher degree) were consistent across the models. While several additional individual-level variables were significantly associated with job quality, their effect sizes were very small. With the exception of advancing education to a bachelor’s degree or higher while receiving services, consumer characteristics at application were the primary determinants of their job quality.

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Section: Discussionsupporting

confidence: 86%

Section: Discussionsupporting

confidence: 54%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

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What Predicts Job Quality of Vocational Rehabilitation Consumers Who Are Blind or Have Low Vision?

McDonnall

Cmar

McKnight

2021

Rehabilitation Counseling Bulletin

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Predictors for work participation of people with visual impairments: A systematic review and meta‐analysis

Daniels

Nispen

Vries

et al. 2023

Ophthalmic Physiologic Optic

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IntroductionThe aim of this systematic review and meta‐analysis was to assess factors associated with work participation in people with visual impairments and to explore how these factors may have changed over time.MethodA comprehensive search of PubMed, Embase.com, EBSCO/APA PsycInfo, EBSCO/CINAHL and EBSCO/ERIC from database inception to 1 April 2022 was performed. We included studies with cross‐sectional design, case–control, case‐series or cohort design, involving visually impaired working‐age adults with at least moderate visual impairment, and evaluated the association between visual impairment and work participation. Studies involving participants with deaf‐blindness or multiple disabilities were excluded. We assessed study quality (Newcastle–Ottawa Scale [NOS]), examined between‐study heterogeneity and performed subgroup analyses. The study protocol was registered in PROSPERO, CRD42021241076.ResultsOf 13,585 records, 57 articles described 55 studies including 1,326,091 participants from mostly high‐income countries. Sociodemographic factors associated with employment included higher education (odds ratio [OR] 3.34, 95% confidence interval [CI] 2.47 to 4.51, I2 0%), being male (OR 1.59, 95% CI 1.37 to 1.84, I2 95%), having a partner (OR 1.73, 95% CI 1.12 to 2.67, I2 34%), white ethnicity (OR 1.36, 95% CI 1.07 to 1.74, I2 0%) and having financial assistance (OR 0.38, 95% CI 0.26 to 0.55, I2 85%). Disease‐related factors included worse visual impairment (OR 0.61, 95% CI 0.46 to 0.80, I2 98%) or having additional disabilities (OR 0.55, 95% CI 0.49 to 0.62, I2 16%). Intervention‐related factors included mobility aid utilisation (OR 0.35, 95% CI 0.10 to 1.18, I2 94%). A potential moderating effect of time period and geographical region was observed for some factors. Study quality (NOS) was rated moderate to high.ConclusionSeveral sociodemographic and disease related factors were associated with employment status. However, the results should be interpreted with caution because of overall high heterogeneity. Future research should focus on the role of workplace factors, technological adjustments and vocational rehabilitation services on work participation.

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The Underutilization of Mental Health Care Services in the Lives of People with Blindness or Visual Impairment: A Literature Review on Rehabilitation Factors Toward Provision

Richardson

2024

OPTH

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Purpose Roughly 3 million adult Americans have a visual impairment or blindness, and over 4 million adults aged 40 and older. Despite data demonstrating an elevated prevalence of mental health symptoms in people with BVI, this population remains largely untreated. Given that people with BVI often interface with multiple systems of rehabilitative care that are designed to improve quality of life, the relatively low rates of initiation of mental health care services are particularly alarming. In this review, the systematic processes of mental health care services across pertinent rehabilitation groups are identified and critically examined. Patients and Methods A comprehensive literature review was conducted. The literature review utilized a critical systems typology, whereby relevant literature was selected, reviewed, and analyzed intra and extra organizationally. In addition, a thorough discussion of disability-related factors was provided, lending a socio-political lens to the problem. Results Considerable data indicates that short-term mental health care services for people with BVI are ineffective treatment methods, albeit primarily employed in health-rehabilitative processes. Multiple studies offered data indicating the presence of diverse and entangled mental health issues relative to vocational rehabilitation services, mobility tool utility, and emotional reactions to vision loss. Many studies suggested that disability identity work be integrated into health-rehabilitative processes for people with BVI. Conclusion To improve the utility of mental health care services for people with BVI, a reenergization of the mental health care needs of this population must occur. A critical podcast or forum focused on educating listeners about the health-rehabilitation factors that influence the provision of mental health care services can aid to improve future mental health policy and practice for people with BVI. Disability scholars need to advance research on integrating critical theories in work with people with BVI and accelerate qualitative, community-based methods to enhance understanding of this population and their unique mental health needs.

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Service factors and personal characteristics associated with employment and job quality for vocational rehabilitation consumers with combined traumatic brain injury and visual impairment

Cited by 3 publications

References 38 publications

What Predicts Job Quality of Vocational Rehabilitation Consumers Who Are Blind or Have Low Vision?

What Predicts Job Quality of Vocational Rehabilitation Consumers Who Are Blind or Have Low Vision?

Predictors for work participation of people with visual impairments: A systematic review and meta‐analysis

The Underutilization of Mental Health Care Services in the Lives of People with Blindness or Visual Impairment: A Literature Review on Rehabilitation Factors Toward Provision

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