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Implementing a Suitable Jobs Register in the Construction Industry: Preliminary Evidence 在建造业推行合适的职位注册:初步证据
IF 0.7 Q3 Medicine Pub Date : 2011-01-01 DOI: 10.1375/JRC.17.1.15
Sophie M. Keele, K. V. Treuer, Vanessa L. Sturre
This pilot study investigated the efficacy of a job register index to support return to work (RTW) for injured workers in the construction industry. Participants included injured workers (n = 22), supervisors/managers (n = 23), treating practitioners (n = 5), occupational rehabilitation consultants (n = 5), union representatives/occupational health and safety representatives (n = 5), RTW coordinators (n = 2), steering committee members (n = 4) and the designated project officer (n = 1). A pre–post test intact group design was used to evaluate the perceived utility of the job register. A partial set of the sample including injured workers and supervisors/managers participated in the pretrial phase (n = 28) while the trial phase included more numerous stakeholder groups to assess the perceived utility of the register (n = 39). Participants completed surveys that incorporated a number of differing sections including injury description and circumstances, communication and collaboration with others, their overall opinion of the return to work process in general and suggestions for future improvements. Additional questions were designed for those participating in the trial with regards to the efficacy of the register. Data were analysed using analysis of variance procedures with pairwise comparisons of pre–post intervention test means. Alternative job options were seen to be offered more frequently. Communication and cooperation improved post implementation. Supervisors perceived the job register a useful innovation to facilitate RTW. The register represents a new resource to the construction industry with potential for wider application following further study.
本研究旨在探讨工作登记指数对建造业受伤工人复工的影响。参与者包括受伤工人(n = 22)、主管/经理(n = 23)、治疗从业人员(n = 5)、职业康复顾问(n = 5)、工会代表/职业健康与安全代表(n = 5)、RTW协调员(n = 2)、指导委员会成员(n = 4)和指定项目官员(n = 1)。采用岗前测试完整组设计来评估工作登记册的感知效用。部分样本包括受伤工人和主管/经理参加了预审阶段(n = 28),而试验阶段包括更多的利益相关者团体来评估登记册的感知效用(n = 39)。参与者完成的调查包含了许多不同的部分,包括伤害描述和情况、与他人的沟通和合作、他们对重返工作过程的总体看法以及对未来改进的建议。为参加试验的人设计了关于登记册功效的附加问题。采用方差分析程序对数据进行分析,并对干预前后的检验方法进行两两比较。其他工作选择被提供的频率更高。提高了执行后的沟通与合作。主管们认为工作登记是一项有益的创新,可以促进RTW。该登记册是建造业的一项新资源,经进一步研究后,有可能得到更广泛的应用。
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引用次数: 0
Rehabilitation Counsellor Preferences for Rural Work Settings: Results and Implications of an Australian Study 康复咨询师对农村工作环境的偏好:一项澳大利亚研究的结果和含义
IF 0.7 Q3 Medicine Pub Date : 2011-01-01 DOI: 10.1375/JRC.17.1.1
Elise Gittoes, E. Mpofu, L. Matthews
This study sought to identify influences on rehabilitation counsellors' preference to work in rural areas, including their recruitment to, and retention in, rural work settings. Participants were 38 practicing rehabilitation counsellors (31% males) recruited through the Australian Society of Rehabilitation Counsellors and the Rehabilitation Counselling Association of Australasia. The mean age of participants was 38.67 years (SD = 12.9 years, age range, 25 to 65 years). Nineteen (50%) were working in rural areas at the time of the survey. A specifically designed survey, the Work Setting Preference Inventory (WSPI), which incorporated both quantitative and qualitative response options, was used to collect data. Analysis involved open coding of data into themes that emerged from the participants' responses. Descriptive statistical analysis was applied to quantify the prevalence or salience of particular themes. Results suggest that participants perceived preference to work in rural area to be influenced by the unique lifestyle of rural communities and family friendly employer policies. They perceived the availability of employment and training opportunities and supplemental financial compensations as incentives to attract rehabilitation counsellors to work in rural areas. Programs to recruit rehabilitation counsellors to rural areas should address employee lifestyle preferences in the context their overall career development.
本研究旨在确定对康复咨询师在农村地区工作的偏好的影响,包括他们在农村工作环境中的招聘和保留。参与者是通过澳大利亚康复顾问协会和澳大利亚康复咨询协会招募的38名执业康复顾问(31%为男性)。参与者的平均年龄为38.67岁(SD = 12.9岁,年龄范围为25至65岁)。19人(50%)在调查时在农村工作。一项专门设计的调查,工作设置偏好量表(WSPI),包括定量和定性的回答选项,用于收集数据。分析包括将数据公开编码成参与者回答中出现的主题。描述性统计分析用于量化特定主题的流行程度或显著性。结果表明,受农村社区独特的生活方式和家庭友好型雇主政策的影响,被试倾向于在农村地区工作。他们认为,提供就业和培训机会以及额外的经济补偿是吸引康复咨询师到农村地区工作的激励措施。向农村地区招募康复咨询师的项目应该在员工整体职业发展的背景下解决他们的生活方式偏好。
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引用次数: 5
Supporting Recovery Orientated Services for People With Severe Mental Illness 支持为严重精神疾病患者提供康复服务
IF 0.7 Q3 Medicine Pub Date : 2009-03-01 DOI: 10.1375/JRC.15.1.1
C. Lloyd, F. Deane, S. Tse, G. Waghorn
There is now wide agreement that people with severe mental illness can be adequately treated and cared for in the community, provided back-up hospital care is available when needed. Another important development has been the recognition that clinical treatment and care is insufficient for recovery and restoration of role functioning following illness onset, and must be supplemented by evidence-based practices in psychiatric rehabilitation. This article describes how allied health professionals can lead recovery oriented approaches that incorporate evidence-based forms of psychiatric rehabilitation. Family psychoeducation and supported employment are provided as examples of such evidence-based practices that require wider implementation.
现在,人们普遍认为,如果在需要的时候有后备医院护理,患有严重精神疾病的人可以在社区得到充分的治疗和照顾。另一个重要的发展是认识到临床治疗和护理对疾病发作后角色功能的恢复和恢复是不够的,必须通过精神康复方面的循证实践来补充。这篇文章描述了联合卫生专业人员如何能够领导以康复为导向的方法,包括基于证据的精神康复形式。家庭心理教育和支助就业是需要更广泛实施的循证做法的例子。
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引用次数: 5
The Rehabilitation Needs of Adult Siblings of Persons with Traumatic Brain Injury: A Quantitative Investigation 外伤性脑损伤成人兄弟姐妹康复需求的定量调查
IF 0.7 Q3 Medicine Pub Date : 2009-03-01 DOI: 10.1375/JRC.15.1.12
C. E. Degeneffe
This study examined the post-injury rehabilitation needs of 158 adult siblings of persons with traumatic brain injury (TBI) in the United States. The mean age of participants was 37.0 years (SD = 10.0 years), and their ages ranged from 19 to 72 years. A total of 120 (75.9%) of the participants were female. Participants completed the Family Needs Questionnaire (FNQ) (Kreutzer, 1988), which measures the unique needs of families following TBI. The FNQ counts the types of needs rated as important and the frequency in which those needs have been met. Data were analysed via hierarchical multiple regression analysis with the number of met needs set as the outcome variable. A total of 15 predictor variables assessed direct and indirect markers of caregiving related stresses corresponding to position in the Pearlin stress process model. Participants indicated that health information was the most important need while needs for involvement with care were the most often met. Results also indicated that participant feelings of more restrictions in valued family activities and perceptions of greater cognitive-behavioural impairments with their injured siblings were associated with lower number of met rehabilitation needs. Participants reported that the use of effective coping behaviours and access to social support were associated with higher numbers of met rehabilitation needs. Findings suggest adult siblings share similar needs to parents and spouses (i.e., the most common primary caregivers) and require professional attention and support following TBI.
本研究调查了美国158名创伤性脑损伤(TBI)患者的成年兄弟姐妹的伤后康复需求。参与者平均年龄为37.0岁(SD = 10.0岁),年龄从19岁到72岁不等。女性120人(75.9%)。参与者完成了家庭需求问卷(FNQ) (Kreutzer, 1988),该问卷测量了创伤性脑损伤后家庭的独特需求。FNQ计算被评为重要的需求类型以及这些需求得到满足的频率。以满足需求的数量为结果变量,采用层次多元回归分析对数据进行分析。在Pearlin应力过程模型中,共有15个预测变量评估了与位置对应的护理相关应力的直接和间接标记。与会者指出,健康信息是最重要的需求,而参与护理的需求是最常得到满足的。结果还表明,参与者在有价值的家庭活动中受到更多限制的感觉,以及与受伤的兄弟姐妹相处时认知行为障碍的感觉,与满足的康复需求数量较低有关。参与者报告说,使用有效的应对行为和获得社会支持与满足更多康复需求有关。研究结果表明,成年兄弟姐妹与父母和配偶(即最常见的主要照顾者)有着相似的需求,在创伤性脑损伤后需要专业的关注和支持。
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引用次数: 12
Psychosocial Adjustment of People with Chronic Pain: A Conceptual Framework of Risk and Resistance Factors 慢性疼痛患者的心理社会适应:风险和阻力因素的概念框架
IF 0.7 Q3 Medicine Pub Date : 2009-03-01 DOI: 10.1375/JRC.15.1.40
Gloria K. Lee, Denise Mercurio-Riley
The purposes of this review article are to gather existing evidence on the contributing factors in affecting the psychosocial adjustment among people with chronic pain, and to promote a comprehensive conceptual framework in this topic by adapting Wallander and colleagues' (1989) Risk and Resistance Model of Adjustment. Our intention is to promote future empirical research that will validate this working conceptual framework and will provide and clinical guidelines for rehabilitation professionals who work with people with chronic pain.
这篇综述文章的目的是收集影响慢性疼痛患者心理社会适应的因素的现有证据,并通过改编Wallander和同事(1989)的风险和阻力模型来促进这一主题的综合概念框架。我们的目的是促进未来的实证研究,以验证这一工作概念框架,并为与慢性疼痛患者一起工作的康复专业人员提供临床指导。
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引用次数: 2
Structure of the SOC-13 in Alcohol and Other Drug Abuse Clients: A Confirmatory Factor Analysis 酒精和其他药物滥用患者SOC-13的结构:一个验证性因素分析
IF 0.7 Q3 Medicine Pub Date : 2009-03-01 DOI: 10.1375/JRC.15.1.28
Chen-Ping Lin, C. Chiu, Connie Sung, J. Lai, Fong Chan, E. Cardoso
The objective of the study was to validate the factorial structure of the short form of the Sense of Coherence Scale (SOC-13) with a sample of substance abuse clients to facilitate health promotion research with this population in the future. Participants were 406 clients recruited from seven residential therapeutic community programs for the treatment of substance abuse. Four confirmatory factor models were tested: (1) a three-factor correlated model; (2) a two-factor correlated model; (3) a 13-item one-factor model; and (4) a 9-item one-factor model. The results indicated that the data did not fit the three-factor correlated model and the two-factor correlated model, whereas empirical data fits the 13-item one-factor and the 9-item one-factor models reasonably well, with the latter representing a significantly better fit than the former one. These results are consistent with previous studies and reflected a unidimensional factor in the sense of coherence, as opposed to the two or three-factor structure. The SOC-9 has considerable promise as a brief measure of SOC in substance abuse assessment and treatment settings.
本研究的目的是在药物滥用客户样本中验证连贯性感量表(SOC-13)的析因结构,以促进未来对这一人群的健康促进研究。参与者是406名来自7个住院治疗社区项目的客户,用于治疗药物滥用。检验了四种验证性因素模型:(1)三因素相关模型;(2)双因素相关模型;(3) 13项单因素模型;(4) 9项单因素模型。结果表明,数据不适合三因素相关模型和两因素相关模型,而经验数据适合13项单因素模型和9项单因素模型,后者的拟合效果显著优于前者。这些结果与以往的研究一致,反映了连贯感的一维因素,而不是两因素或三因素的结构。SOC-9在药物滥用评估和治疗设置中作为SOC的简要测量具有相当大的前景。
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引用次数: 3
Audiology in Developing Countries Editors: Bradley McPherson and Ron Brouillette Nova Science Publishers: New York. ISBN: 9781604569452. Year: 2008 《发展中国家的听力学》编辑:布拉德利·麦克弗森和罗恩·布鲁莱特,《新星科学》出版社:纽约。ISBN: 9781604569452。年:2008
IF 0.7 Q3 Medicine Pub Date : 2009-03-01 DOI: 10.1375/JRC.15.1.61
A. Mupawose
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引用次数: 0
Psychological Wellbeing in Three Groups of Skilled Immigrants to New Zealand 新西兰三组技术移民的心理健康状况
IF 0.7 Q3 Medicine Pub Date : 2007-01-01 DOI: 10.1375/JRC.13.1.1
F. Alpass, R. Flett, A. D. Trlin, Anne Henderson, N. North, M. Skinner, Sarah Wright
The present study sought to investigate the current levels of psychological wellbeing in three immigrant groups to New Zealand. In addition, we sought to determine whether aspects of the acculturation process were related to mental health outcomes. This is a cross-sectional study from the fifth wave of annual in-depth interviews with three groups of recently arrived skilled immigrants from India, the People's Republic of China and South Africa. Interviews focused on international contacts and the migration of relatives and friends, housing, language, qualifications and employment, and social participation. Participants were also asked about health difficulties, homesickness, and whether they felt settled in New Zealand. The SF-36 Health Status Questionnaire (Ware, 1997), assessed the respondent's functional status and wellbeing in relation to four health concepts: vitality, social functioning, role limitations due to emotional health, and general mental wellbeing. The immigrant group differed significantly from the New Zealand population on only one of the four mental health scales, Vitality, with immigrants reporting higher levels. Different acculturation factors were found to predict different mental health subscales in regression analyses. Gender, home contact and health difficulty explained 22% of the unique variance in Vitality; employment status and health difficulty explained 18% of the variance in Social Functioning; health difficulty significantly contributed to the explained variance (14%) in the Role limitations due to emotional health subscale; gender, home contact and health difficulty explained 27% of the variance in the Mental Health subscale. There was little evidence for lower levels of psychological wellbeing for the three immigrant groups compared to the general New Zealand population, nor for differences between the three groups. However, results highlight the importance of differential predictors in the understanding of psychological health in migrant groups.
本研究旨在调查三个新西兰移民群体目前的心理健康水平。此外,我们试图确定文化适应过程的各个方面是否与心理健康结果有关。这是对来自印度、中华人民共和国和南非的三组最近抵达的技术移民进行的第五次年度深度访谈的横断面研究。访谈的重点是国际接触和亲戚朋友的迁移、住房、语言、资格和就业以及社会参与。参与者还被问及健康问题、思乡之情以及他们在新西兰是否安定下来。SF-36健康状况问卷(Ware, 1997年)评估了被调查者与四个健康概念相关的功能状况和健康状况:活力、社会功能、由情绪健康引起的角色限制和一般心理健康。在四个心理健康量表中,移民群体仅在活力这一项上与新西兰人口存在显著差异,移民报告的水平更高。在回归分析中发现不同的文化适应因素可以预测不同的心理健康分量表。性别、家庭接触和健康困难解释了22%的“活力”独特差异;就业状况和健康困难解释了18%的社会功能差异;健康困难显著影响情绪健康角色限制子量表的解释方差(14%);性别、家庭联系和健康困难解释了心理健康亚量表中27%的差异。几乎没有证据表明这三个移民群体的心理健康水平低于新西兰总人口,也没有证据表明这三个群体之间存在差异。然而,研究结果强调了差异预测因子在理解流动人群心理健康方面的重要性。
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引用次数: 11
Identifying and Developing Effective Interventions in Rehabilitation Settings: Recognising the Limits of the Evidence-Based Practice Approach 识别和发展康复设置有效的干预措施:认识到循证实践方法的局限性
IF 0.7 Q3 Medicine Pub Date : 2007-01-01 DOI: 10.1375/JRC.13.1.14
G. Murphy, N. King, T. Ollendick
The evidence-based practice movement has led to higher quality intervention studies being reported in the health sciences literature (see, for example, Mosely et al., 2002), and consequently being available for uptake by practising health professionals. Yet interventions in applied settings need to satisfy more than the methodologically-based criteria associated with being categorised as a 'well-established treatment' (Chambless et al., 1996). Some of these additional criteria were recently described by King and Ollendick (2007). The current article extends these criteria so as to include attributes of interventions that (ideally) are required when designing or delivering services within rehabilitation settings.
循证实践运动已导致卫生科学文献中报告了更高质量的干预研究(例如,见Mosely等人,2002年),因此可供执业卫生专业人员采用。然而,应用环境中的干预措施需要满足的不仅仅是与归类为“成熟治疗”相关的基于方法学的标准(Chambless et al., 1996)。King和Ollendick(2007)最近描述了其中一些附加标准。当前的文章扩展了这些标准,以便包括在康复环境中设计或提供服务时(理想情况下)所需的干预措施的属性。
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引用次数: 3
'Look Mum, No Hands!': Having Fun and Staying Safe are Not Incompatible Outcomes of Exercising Choice “看,妈妈,没有手!”享受乐趣和保持安全并不是运动选择的不相容结果
IF 0.7 Q3 Medicine Pub Date : 2007-01-01 DOI: 10.1375/JRC.13.1.44
I. M. Evans, A. Bingham
This study was designed to investigate the effects of giving choices on the level of enjoyment experienced by children with severe disabilities in a recreational activity, without compromising safety. The children were attending a horse-riding program, designed to be both therapeutic and enjoyable. Initial observations, however, indicated that the lack of choices, and the high level of physical assistance provided to the children resulted in minimal benefit or pleasure for the children. In the role of consultants, we introduced a simple intervention in which two meaningful riding routines were taught and choices of game activities were offered during the riding itself. Affording choices (intervention condition) and program-as-usual (control condition) were randomly alternated within riding sessions. The children's indices of pleasure increased over sessions as they mastered basic riding routines. Seven of the 8 children showed differential increases in enjoyment during the choice condition, without an increase in unacceptably risky behaviour. The study demonstrated the value for leisure programs of emphasising choice and autonomy within safety margins, although there is likely to be an additional, and desirable, influence on the children's enjoyment by virtue of their selecting their preferred or more successful activities when offered choices.
本研究旨在调查在不影响安全的情况下,给予选择对严重残疾儿童在娱乐活动中享受程度的影响。孩子们参加了一个骑马项目,旨在治疗和享受。然而,最初的观察表明,选择的缺乏和向儿童提供的高水平的身体帮助导致儿童的利益或快乐微乎其微。在顾问的角色中,我们引入了一个简单的干预,其中教授了两个有意义的骑行程序,并在骑行过程中提供了游戏活动的选择。提供选择(干预条件)和照常计划(控制条件)在骑行过程中随机交替。孩子们的快乐指数随着他们掌握了基本的骑行套路而增加。在选择条件下,8个孩子中有7个表现出不同程度的快乐增加,而不可接受的危险行为没有增加。这项研究证明了在安全范围内强调选择和自主的休闲项目的价值,尽管在提供选择时,孩子们选择自己喜欢的或更成功的活动,可能会对他们的享受产生额外的、可取的影响。
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引用次数: 3
期刊
Australian Journal of Rehabilitation Counselling
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