Employment Outcomes Among Clients With Stroke Utilizing Public Vocational Rehabilitation Services in the United States.

IF 3.6 2区医学 Q1 REHABILITATION Archives of physical medicine and rehabilitation Pub Date : 2024-12-19 DOI:10.1016/j.apmr.2024.12.012

Chen Lin, Jinhee Park, Eun-Jeong Lee

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Abstract

Objective: To examine the correlations between individual characteristics among clients with stroke within public vocational rehabilitation (VR) and the employment outcome, as well as the utilization of VR services and their employment outcomes after VR services.

Design: Observational cohort study.

Setting: Nationwide VR data from the Rehabilitation Service Administration Case Service Report for fiscal year 2022.

Participants: Individuals with stroke as primary cause of disability.

Interventions: Not applicable.

Main outcome measures: Employment status and VR service types.

Results: Of those with stroke who received VR services (n=1793), 653 (36.4%) achieved a competitive employment outcome. Black clients were less likely to be competitively employed at closure than White clients, odds ratio (OR, 0.72; 95% CI, 0.56-0.92). Clients whose primary disability was auditory or communicative disabilities were more likely to be competitively employed at closure (OR, 2.25; 95% CI, 1.22-4.17). Regarding VR services, receiving distinct types of VR services significantly was associated with the competitive employment outcome for clients. Clients who received short-term job support services were 6.36 times more likely to be competitively employed at closure than those who did not receive the service (OR, 6.36; 95% CI, 4.28-9.46).

Conclusions: Our results found that race, types of primary disability, level of education, receipt of Supplemental Security Income/Social Security Disability Insurance and the length of the VR services were associated with obtaining or regaining employment among clients with stroke who received public VR services. In terms of VR service patterns, job support services, job placement assistance, rehabilitation technology supports, maintenance services, other services, and VR counseling and guidance were associated with competitive employment outcomes among individuals with stroke.

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利用美国公共职业康复服务的中风患者的就业结果

目的：探讨公共职业康复（VR）中脑卒中患者的个体特征与就业结果的关系，以及VR服务的使用情况和服务后就业结果的关系。设计：观察队列研究设置：来自康复服务管理局案例服务报告（RSA-911）的2022财年全国职业康复数据。结果：接受虚拟现实服务的脑卒中患者（n = 1,793）中，653人（36.4%）获得了有竞争力的就业结果。与白人客户相比，非裔美国客户在关闭时被雇佣的可能性更小，OR = 。72, 95% ci[0.56, 0.92]。主要残疾为听觉或沟通障碍的来访者更有可能在关闭时被竞争性雇用，or = 2.25,95% ci[1.22, 4.17]。就虚拟现实服务而言，接受不同类型的虚拟现实服务与客户的竞争性就业结果显著相关。接受短期工作支持服务的客户在关闭时获得竞争性就业的可能性是未接受服务的客户的6.36倍，OR = 6.36,95% ci[4.28, 9.46]。结论：我们的研究结果发现，在接受公共虚拟现实服务的中风患者中，种族、初级残疾类型、教育水平、接受SSI/SSDI和虚拟现实服务的时间长短与获得或重新就业有关。在虚拟现实服务模式方面，工作支持服务、就业安置援助、康复技术支持、维护服务、其他服务以及虚拟现实咨询和指导与卒中个体的竞争性就业结果相关。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Archives of physical medicine and rehabilitation 医学-康复医学

CiteScore

6.20

自引率

4.70%

发文量

495

审稿时长

38 days

期刊介绍： The Archives of Physical Medicine and Rehabilitation publishes original, peer-reviewed research and clinical reports on important trends and developments in physical medicine and rehabilitation and related fields. This international journal brings researchers and clinicians authoritative information on the therapeutic utilization of physical, behavioral and pharmaceutical agents in providing comprehensive care for individuals with chronic illness and disabilities. Archives began publication in 1920, publishes monthly, and is the official journal of the American Congress of Rehabilitation Medicine. Its papers are cited more often than any other rehabilitation journal.