Joseph S. Pfaller, Fong Chan, Kanako Iwanaga, Jia-Rung Wu, Stuart P. Rumrill, Xiangli Chen, Deborah Lee, N. Berven
Abstract Multiple sclerosis (MS) is a central nervous system disorder that impacts more than 400,000 people in the U.S. The disease results in multiple functional impairments that are diverse and varied across individuals. Additonally, MS has a profound impact on community participation which, like other rehabilitation outcomes, cannot be explained on the basis of functional limitations alone. The purpose of this study was to develop and evaluate a model of community participation for people living with MS using the World Health Organization (WHO) International Classification of Functioning, Disability, and Health (ICF) framework. The model focused on the roles that personal factors have as predictors of community participation, while also serving as mediators and moderators for the relationship between activity limitation and participation. Results from the hierarchical regression analysis indicated that demographic characteristics (i.e. MS type), personal factors (i.e. core self-evaluations (CSE), MS self-management, resilience, and social skills), and activity limitations accounted for 64% of the variance in participation. Further, mediation analysis indicated that CSE mediated the relationship between activity limitation and community participation. Finally, moderation analysis indicated an interaction effect between educational attainment and MS self-management. Implications for future research in rehabilitation and clinical application are discussed.
{"title":"The International Classification of Functioning, Disability, and Health (ICF) as a community participation model for people with multiple sclerosis: A hierarchical regression analysis","authors":"Joseph S. Pfaller, Fong Chan, Kanako Iwanaga, Jia-Rung Wu, Stuart P. Rumrill, Xiangli Chen, Deborah Lee, N. Berven","doi":"10.1017/jrc.2020.15","DOIUrl":"https://doi.org/10.1017/jrc.2020.15","url":null,"abstract":"Abstract Multiple sclerosis (MS) is a central nervous system disorder that impacts more than 400,000 people in the U.S. The disease results in multiple functional impairments that are diverse and varied across individuals. Additonally, MS has a profound impact on community participation which, like other rehabilitation outcomes, cannot be explained on the basis of functional limitations alone. The purpose of this study was to develop and evaluate a model of community participation for people living with MS using the World Health Organization (WHO) International Classification of Functioning, Disability, and Health (ICF) framework. The model focused on the roles that personal factors have as predictors of community participation, while also serving as mediators and moderators for the relationship between activity limitation and participation. Results from the hierarchical regression analysis indicated that demographic characteristics (i.e. MS type), personal factors (i.e. core self-evaluations (CSE), MS self-management, resilience, and social skills), and activity limitations accounted for 64% of the variance in participation. Further, mediation analysis indicated that CSE mediated the relationship between activity limitation and community participation. Finally, moderation analysis indicated an interaction effect between educational attainment and MS self-management. Implications for future research in rehabilitation and clinical application are discussed.","PeriodicalId":303913,"journal":{"name":"The Australian Journal of Rehabilitation Counselling","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-11-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127693089","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Abstract This article reports on women’s experiences of career change following a breast cancer diagnosis and explores whether their illness represents the driving force to pursue previously unfulfilled career ambitions. The participants were four women who had been diagnosed with breast cancer and had changed career direction after their treatment. Data were conducted through in-depth interviews and were analyzed using Interpretative Phenomenological Analysis (IPA). Four themes prominent throughout each women’s narrative were identified: (i) a pre-diagnosis, unhappiness at work, (ii) a sense of stepping off the treadmill, (iii) a sharp focus upon their “self,” and subsequently (iv) a flourishing “work-life.” Further research is needed to investigate how common these findings are among women with breast cancer.
{"title":"Experiences of positive career change among female breast cancer survivors: An Interpretative Phenomenological Analysis","authors":"K. Woodhouse, J. Yates","doi":"10.1017/jrc.2020.13","DOIUrl":"https://doi.org/10.1017/jrc.2020.13","url":null,"abstract":"Abstract This article reports on women’s experiences of career change following a breast cancer diagnosis and explores whether their illness represents the driving force to pursue previously unfulfilled career ambitions. The participants were four women who had been diagnosed with breast cancer and had changed career direction after their treatment. Data were conducted through in-depth interviews and were analyzed using Interpretative Phenomenological Analysis (IPA). Four themes prominent throughout each women’s narrative were identified: (i) a pre-diagnosis, unhappiness at work, (ii) a sense of stepping off the treadmill, (iii) a sharp focus upon their “self,” and subsequently (iv) a flourishing “work-life.” Further research is needed to investigate how common these findings are among women with breast cancer.","PeriodicalId":303913,"journal":{"name":"The Australian Journal of Rehabilitation Counselling","volume":"45 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114922439","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"How peer support can assist job-seekers with a disability move into work – CORRIGENDUM","authors":"D. Dorstyn, G. Murphy, Elizabeth Potter, A. Craig","doi":"10.1017/jrc.2020.12","DOIUrl":"https://doi.org/10.1017/jrc.2020.12","url":null,"abstract":"","PeriodicalId":303913,"journal":{"name":"The Australian Journal of Rehabilitation Counselling","volume":"28 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126091188","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Deborah Johnston, J. Middleton, G. Murphy, I. Cameron
Abstract A novel inpatient vocational counseling service (named “In-Voc”) was developed and evaluated in three Australian spinal cord injury (SCI) rehabilitation hospitals, aiming to improve vocational outcomes after SCI. The program provided a trained Vocational Counseling Coordinator who worked alongside the allied health team, medical, and nursing staff at each hospital. The Coordinators were interviewed to examine the role expectations and role behaviors associated with the introduction of their novel, vocationally focused, occupational role. The Coordinators’ descriptions of their role behavior were very similar to those defined by rehabilitation counselors in North America. They reported the novel role to be a productive and satisfying one. Encouragingly, the In-Voc program was associated with significantly higher post-injury employment outcomes.
{"title":"Vocational counseling for Australian spinal cord injury inpatients – Defining vocational role expectations and behavior","authors":"Deborah Johnston, J. Middleton, G. Murphy, I. Cameron","doi":"10.1017/jrc.2020.10","DOIUrl":"https://doi.org/10.1017/jrc.2020.10","url":null,"abstract":"Abstract A novel inpatient vocational counseling service (named “In-Voc”) was developed and evaluated in three Australian spinal cord injury (SCI) rehabilitation hospitals, aiming to improve vocational outcomes after SCI. The program provided a trained Vocational Counseling Coordinator who worked alongside the allied health team, medical, and nursing staff at each hospital. The Coordinators were interviewed to examine the role expectations and role behaviors associated with the introduction of their novel, vocationally focused, occupational role. The Coordinators’ descriptions of their role behavior were very similar to those defined by rehabilitation counselors in North America. They reported the novel role to be a productive and satisfying one. Encouragingly, the In-Voc program was associated with significantly higher post-injury employment outcomes.","PeriodicalId":303913,"journal":{"name":"The Australian Journal of Rehabilitation Counselling","volume":"68 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114684150","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Guest Editorial: Implications for practice","authors":"J. Athanasou","doi":"10.1017/jrc.2020.11","DOIUrl":"https://doi.org/10.1017/jrc.2020.11","url":null,"abstract":"","PeriodicalId":303913,"journal":{"name":"The Australian Journal of Rehabilitation Counselling","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127755568","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Abstract Psychogenic gait disorders in children and adolescents represent a unique neuropediatric and rehabilitative challenge. The inability to walk frequently strikes abruptly. Triggers are not easily identifiable. Patients are commonly admitted to the hospital in an emergency. In view of the dramatic clinical picture, parents are perturbed. They expect rapid diagnostic clarification and therapy. If physical, laboratory, and X-ray examinations do not disclose any significant pathological findings, parents generally insist on consulting diverse specialists and clinics. The pivotal point of the course of treatment is the parent–doctor–patient relationship. This is notably true when child psychologists or psychiatrists have to be consulted. Typical risks and decision conflicts of the rehabilitation dynamics are described – these are augmented by several case vignettes.
{"title":"Neuropediatric rehabilitation for psychogenic gait disorders in children and adolescents","authors":"G. Siefen, B. Kirkcaldy, T. Lücke","doi":"10.1017/jrc.2020.5","DOIUrl":"https://doi.org/10.1017/jrc.2020.5","url":null,"abstract":"Abstract Psychogenic gait disorders in children and adolescents represent a unique neuropediatric and rehabilitative challenge. The inability to walk frequently strikes abruptly. Triggers are not easily identifiable. Patients are commonly admitted to the hospital in an emergency. In view of the dramatic clinical picture, parents are perturbed. They expect rapid diagnostic clarification and therapy. If physical, laboratory, and X-ray examinations do not disclose any significant pathological findings, parents generally insist on consulting diverse specialists and clinics. The pivotal point of the course of treatment is the parent–doctor–patient relationship. This is notably true when child psychologists or psychiatrists have to be consulted. Typical risks and decision conflicts of the rehabilitation dynamics are described – these are augmented by several case vignettes.","PeriodicalId":303913,"journal":{"name":"The Australian Journal of Rehabilitation Counselling","volume":"103 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124038262","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Abstract Recently, the Progressive Goal Attainment Program has grown in popularity as an intervention for injured workers experiencing psychosocial barriers when returning to work. This article provides an outline of the program and explores its implementation by a workplace rehabilitation provider. Data from 20 participants have been pooled to highlight typical presentations. Key features of the program and outcomes are discussed.
{"title":"The Progressive Goal Attainment Program: A practitioner’s perspective of the implementation of the program in an Australian Workers’ Compensation setting","authors":"Kelly Alderson, J. Baranoff","doi":"10.1017/jrc.2020.9","DOIUrl":"https://doi.org/10.1017/jrc.2020.9","url":null,"abstract":"Abstract Recently, the Progressive Goal Attainment Program has grown in popularity as an intervention for injured workers experiencing psychosocial barriers when returning to work. This article provides an outline of the program and explores its implementation by a workplace rehabilitation provider. Data from 20 participants have been pooled to highlight typical presentations. Key features of the program and outcomes are discussed.","PeriodicalId":303913,"journal":{"name":"The Australian Journal of Rehabilitation Counselling","volume":"29 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131723390","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Abstract This case study assessed the role of job burnout as it relates to employee organisational commitment. An interview was carried out with a disability support worker and the variables she perceived as contributing to her job burnout, affecting organisational commitment or turnover intentions. The Job Demands-Resources model was used for understanding job burnout; three areas of focus were identified: role ambiguity, role overload, and perceived supervisor support.
{"title":"Case study of a disability support worker’s organizational commitment","authors":"Ngonidzashe Mpofu","doi":"10.1017/jrc.2020.6","DOIUrl":"https://doi.org/10.1017/jrc.2020.6","url":null,"abstract":"Abstract This case study assessed the role of job burnout as it relates to employee organisational commitment. An interview was carried out with a disability support worker and the variables she perceived as contributing to her job burnout, affecting organisational commitment or turnover intentions. The Job Demands-Resources model was used for understanding job burnout; three areas of focus were identified: role ambiguity, role overload, and perceived supervisor support.","PeriodicalId":303913,"journal":{"name":"The Australian Journal of Rehabilitation Counselling","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126581023","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Abstract Vocational assessment is the foundation of future vocational choices available to a person with a disability. In a compensable environment with potential for litigation, the assessment process becomes more complex and challenging for claimant, practitioner, and other stakeholders. The purpose of forensic (medicolegal) vocational assessment in Australia is reviewed. Comparison of ethics, qualifications, and experience of Australian forensic assessors (practitioners) and their North American counterparts points to an urgent need for an accreditation framework. This paper discusses microaccreditation as an independent model of training and credentialing of Australian forensic vocational practitioners. Credentialing the forensic vocational practitioner serves to underpin the quality and rigor of vocational assessments undertaken in a highly scrutinized legal market.
{"title":"Good, better, best? A model for Australian practitioners of forensic vocational assessment","authors":"Marcia S. Lee","doi":"10.1017/jrc.2020.8","DOIUrl":"https://doi.org/10.1017/jrc.2020.8","url":null,"abstract":"Abstract Vocational assessment is the foundation of future vocational choices available to a person with a disability. In a compensable environment with potential for litigation, the assessment process becomes more complex and challenging for claimant, practitioner, and other stakeholders. The purpose of forensic (medicolegal) vocational assessment in Australia is reviewed. Comparison of ethics, qualifications, and experience of Australian forensic assessors (practitioners) and their North American counterparts points to an urgent need for an accreditation framework. This paper discusses microaccreditation as an independent model of training and credentialing of Australian forensic vocational practitioners. Credentialing the forensic vocational practitioner serves to underpin the quality and rigor of vocational assessments undertaken in a highly scrutinized legal market.","PeriodicalId":303913,"journal":{"name":"The Australian Journal of Rehabilitation Counselling","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128511011","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Abstract People with mental illness and traumatic brain injury experience difficulties in gaining and maintaining employment and have a higher unemployment rate because of their symptoms and poor social skills including cognitive impairments. Cognitive remediation is an intervention developed to improve cognitive functioning such as attention, memory, and problem-solving, by providing them with specific designed cognitive exercises. After practicing those cognitive tasks repetitively and massively, people with cognitive deficits will improve cognitive processes which lead to better cognitive performance. There is evidence supporting the benefits of cognitive remediation in improving employment-related outcome. Thus, it might have a role for job seekers with neuropsychiatric disorders and cognitive dysfunctions.
{"title":"A role for cognitive remediation therapy for job seekers with neuropsychiatric disorders","authors":"Kamonnet Wannasewok","doi":"10.1017/jrc.2020.7","DOIUrl":"https://doi.org/10.1017/jrc.2020.7","url":null,"abstract":"Abstract People with mental illness and traumatic brain injury experience difficulties in gaining and maintaining employment and have a higher unemployment rate because of their symptoms and poor social skills including cognitive impairments. Cognitive remediation is an intervention developed to improve cognitive functioning such as attention, memory, and problem-solving, by providing them with specific designed cognitive exercises. After practicing those cognitive tasks repetitively and massively, people with cognitive deficits will improve cognitive processes which lead to better cognitive performance. There is evidence supporting the benefits of cognitive remediation in improving employment-related outcome. Thus, it might have a role for job seekers with neuropsychiatric disorders and cognitive dysfunctions.","PeriodicalId":303913,"journal":{"name":"The Australian Journal of Rehabilitation Counselling","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134285740","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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