Pub Date : 2023-12-12DOI: 10.1177/00343552231199243
Jia Rung Wu, Xiangli Chen, Kanako Iwanaga, J. Bezyak, Stuart P. Rumrill, Deborah Lee, Fong Chan
Social support is a significant protective factor for health and well-being of people with chronic health conditions and disabilities. It is important to include a psychometrically sound measure of social support in their clinical assessment practices, especially during the COVID-19 pandemic. The purpose of this study was to validate the Patient-Reported Outcomes Measurement Information System (PROMIS) Social Support Scale in a sample of people with chronic health conditions and disabilities. Exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) were conducted to examine and validate the three-factor measurement structure of the PROMIS Social Support Scale. Exploratory factor analysis and CFA results confirmed that a three-factor measurement structure (instrumental, informational, and emotional support) accounted for 82.75% of the total variance. All items loaded highly onto their respective factors (ranging from .73 to .99). Reliability coefficients of the three subscales ranged from .95 to .97. The three social support factors were positively associated with community participation and subjective well-being in the theoretically expected directions. Findings of this study provide strong empirical support for the psychometric properties of the PROMIS Social Support Scale and its use with people with chronic health conditions and disabilities in clinical practice and research.
{"title":"Psychometric Validation of the PROMIS Social Support Scale in a Sample of Individuals With Chronic Health Conditions and Disabilities: A Factor Analytic Study","authors":"Jia Rung Wu, Xiangli Chen, Kanako Iwanaga, J. Bezyak, Stuart P. Rumrill, Deborah Lee, Fong Chan","doi":"10.1177/00343552231199243","DOIUrl":"https://doi.org/10.1177/00343552231199243","url":null,"abstract":"Social support is a significant protective factor for health and well-being of people with chronic health conditions and disabilities. It is important to include a psychometrically sound measure of social support in their clinical assessment practices, especially during the COVID-19 pandemic. The purpose of this study was to validate the Patient-Reported Outcomes Measurement Information System (PROMIS) Social Support Scale in a sample of people with chronic health conditions and disabilities. Exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) were conducted to examine and validate the three-factor measurement structure of the PROMIS Social Support Scale. Exploratory factor analysis and CFA results confirmed that a three-factor measurement structure (instrumental, informational, and emotional support) accounted for 82.75% of the total variance. All items loaded highly onto their respective factors (ranging from .73 to .99). Reliability coefficients of the three subscales ranged from .95 to .97. The three social support factors were positively associated with community participation and subjective well-being in the theoretically expected directions. Findings of this study provide strong empirical support for the psychometric properties of the PROMIS Social Support Scale and its use with people with chronic health conditions and disabilities in clinical practice and research.","PeriodicalId":47012,"journal":{"name":"Rehabilitation Counseling Bulletin","volume":"52 1","pages":""},"PeriodicalIF":1.3,"publicationDate":"2023-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139007066","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-12-09DOI: 10.1177/00343552231213996
Benjamin C. Schwartzman, Emily R. Lanchak, Erik W. Carter, Laura E. Guest, Elise D. McMillan, Julie L. Taylor
Although families can be critical partners in the pursuit of paid employment of individuals with intellectual and developmental disabilities (IDDs), their insights and experiences in this area are rarely explored. We interviewed 60 parents and other caregivers about the factors that could facilitate integrated employment for their family members with IDD. Participants described dozens of distinct practices and postures that contributed to finding and maintaining paid work in the community. Their recommendations spanned eight major categories: employment mindsets, skill development, family supports, hands-on work experiences, employer connections, job fit, transportation, and workplace supports. We offer recommendations for research and practice aimed at increasing access to the array of benefits that come through meaningful work in one’s community.
{"title":"Family Perspectives on Promoting Paid Employment for Individuals With Intellectual and Developmental Disabilities","authors":"Benjamin C. Schwartzman, Emily R. Lanchak, Erik W. Carter, Laura E. Guest, Elise D. McMillan, Julie L. Taylor","doi":"10.1177/00343552231213996","DOIUrl":"https://doi.org/10.1177/00343552231213996","url":null,"abstract":"Although families can be critical partners in the pursuit of paid employment of individuals with intellectual and developmental disabilities (IDDs), their insights and experiences in this area are rarely explored. We interviewed 60 parents and other caregivers about the factors that could facilitate integrated employment for their family members with IDD. Participants described dozens of distinct practices and postures that contributed to finding and maintaining paid work in the community. Their recommendations spanned eight major categories: employment mindsets, skill development, family supports, hands-on work experiences, employer connections, job fit, transportation, and workplace supports. We offer recommendations for research and practice aimed at increasing access to the array of benefits that come through meaningful work in one’s community.","PeriodicalId":47012,"journal":{"name":"Rehabilitation Counseling Bulletin","volume":"2 10","pages":""},"PeriodicalIF":1.3,"publicationDate":"2023-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138586150","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-11-17DOI: 10.1177/00343552231209939
Emre Umucu, Alexandra M. Kriofske Mainella, Derek Ruiz, Beatrice Lee, Anni Wang, Zeynep Aydin, Mizuka Yasuoka
In higher education, the student veteran population is growing. As we research and research and gain deeper insights into student veterans and the impact that their military service has on their lives, we begin to uncover connections, such as challenges in romantic and sexual aspects, as well as negative emotions, that may provide valuable insight to counselors. This study aimed to examine whether the relationship between unhealthy attachment and academic problems could be mediated by problems in romantic and sexual relationships, as well as negative emotions, among student veterans with disabilities. Data were collected from 129 student veterans with disabilities who receive counseling and accommodation services from college disability services. The findings revealed that, in student veterans with disabilities, the association between unhealthy attachment and academic problems was partially mediated by romantic and sexual relationship problems, as well as negative emotions. We discussed the implications for counselors and researchers.
{"title":"Attachment, Relationships, Academic Problems, and Negative Emotions in Student Veterans With Disabilities","authors":"Emre Umucu, Alexandra M. Kriofske Mainella, Derek Ruiz, Beatrice Lee, Anni Wang, Zeynep Aydin, Mizuka Yasuoka","doi":"10.1177/00343552231209939","DOIUrl":"https://doi.org/10.1177/00343552231209939","url":null,"abstract":"In higher education, the student veteran population is growing. As we research and research and gain deeper insights into student veterans and the impact that their military service has on their lives, we begin to uncover connections, such as challenges in romantic and sexual aspects, as well as negative emotions, that may provide valuable insight to counselors. This study aimed to examine whether the relationship between unhealthy attachment and academic problems could be mediated by problems in romantic and sexual relationships, as well as negative emotions, among student veterans with disabilities. Data were collected from 129 student veterans with disabilities who receive counseling and accommodation services from college disability services. The findings revealed that, in student veterans with disabilities, the association between unhealthy attachment and academic problems was partially mediated by romantic and sexual relationship problems, as well as negative emotions. We discussed the implications for counselors and researchers.","PeriodicalId":47012,"journal":{"name":"Rehabilitation Counseling Bulletin","volume":"80 1","pages":""},"PeriodicalIF":1.3,"publicationDate":"2023-11-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139265010","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The “İllness Intrusiveness Ratings Scale (IIRS)” is a useful, easy-to-apply tool that measures the degree of illness-induced disruptions in the 13 different aspects of life. The main aim of this study is to examine the validity and reliability of the Turkish version of IIRS and provide a new tool to investigate the impact of chronic illnesses in the Turkish population. A total of 376 patients with hypertension, diabetes, and/or osteoarthritis were recruited in this study. Patients completed the survey that consisted of the sociodemographic data, the Turkish translation of the IIRS, and the World Health Organization Quality of Life-Brief Form. The exploratory factor analysis yielded a three-factor structure, “instrumental,” “intimacy,” and “relationship and personal development,” which accounted for 59.9% of the total variance. Confirmatory factor analysis verified the three-factor structure. The IIRS was inversely correlated with the physical, psychological, and social health domains of quality of life. Our findings corroborate the reliability and validity of the Turkish version of the Illness Intrusiveness Ratings Scale. It can be used by healthcare practitioners to measure the illness-induced disruptions of lifestyles, activities, and interests.
{"title":"Illness Intrusiveness Ratings Scale: Translation, Reliability, and Validation Study of the Turkish Version","authors":"Ferit Sahin, Basak Cigdem Karacay, Hayriye Mihrimah Oztürk","doi":"10.1177/00343552231209937","DOIUrl":"https://doi.org/10.1177/00343552231209937","url":null,"abstract":"The “İllness Intrusiveness Ratings Scale (IIRS)” is a useful, easy-to-apply tool that measures the degree of illness-induced disruptions in the 13 different aspects of life. The main aim of this study is to examine the validity and reliability of the Turkish version of IIRS and provide a new tool to investigate the impact of chronic illnesses in the Turkish population. A total of 376 patients with hypertension, diabetes, and/or osteoarthritis were recruited in this study. Patients completed the survey that consisted of the sociodemographic data, the Turkish translation of the IIRS, and the World Health Organization Quality of Life-Brief Form. The exploratory factor analysis yielded a three-factor structure, “instrumental,” “intimacy,” and “relationship and personal development,” which accounted for 59.9% of the total variance. Confirmatory factor analysis verified the three-factor structure. The IIRS was inversely correlated with the physical, psychological, and social health domains of quality of life. Our findings corroborate the reliability and validity of the Turkish version of the Illness Intrusiveness Ratings Scale. It can be used by healthcare practitioners to measure the illness-induced disruptions of lifestyles, activities, and interests.","PeriodicalId":47012,"journal":{"name":"Rehabilitation Counseling Bulletin","volume":"20 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135346349","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-11-07DOI: 10.1177/00343552231209944
James S. Krause, Clara E. Dismuke-Greer, Karla Reed
The purpose of this study was to identify expectations of future engagement with employment among people with spinal cord injury (SCI), the underlying dimensions of engagement, and the relationship with demographic, SCI, and educational factors with engagement scales. Self-report data on the expectation of employment in 5 years were collected and analyzed from adult participants with traumatic SCI. Principal axis factor analysis with the varimax rotation was used to identify the underlying dimensions, and OLS was used to identify the relationship of demographic, SCI, and educational characteristics with the underlying dimensions. Most participants anticipated continuing to work about the same number of hours (61%), with 40% anticipating taking on more responsibility, 38% anticipating career advancement, and only 14% anticipating voluntary retirement. Factor analysis identified two underlying dimensions: job disengagement, measured by four items, and job engagement, measured by three items. Regression analysis indicated aging and years postinjury were highly related to both factors, with greater age and years postinjury related to disengagement. Completing a bachelor’s degree or higher was related to engagement. Non-Hispanic Blacks were more likely to have disengagement. Ambulatory participants were more likely to be engaged in employment. A relatively small number of items can easily measure individual expectations, particularly as they age with SCI.
{"title":"Expectation of Engagement in Employment in 5 Years: Findings Among Participants With Spinal Cord Injury","authors":"James S. Krause, Clara E. Dismuke-Greer, Karla Reed","doi":"10.1177/00343552231209944","DOIUrl":"https://doi.org/10.1177/00343552231209944","url":null,"abstract":"The purpose of this study was to identify expectations of future engagement with employment among people with spinal cord injury (SCI), the underlying dimensions of engagement, and the relationship with demographic, SCI, and educational factors with engagement scales. Self-report data on the expectation of employment in 5 years were collected and analyzed from adult participants with traumatic SCI. Principal axis factor analysis with the varimax rotation was used to identify the underlying dimensions, and OLS was used to identify the relationship of demographic, SCI, and educational characteristics with the underlying dimensions. Most participants anticipated continuing to work about the same number of hours (61%), with 40% anticipating taking on more responsibility, 38% anticipating career advancement, and only 14% anticipating voluntary retirement. Factor analysis identified two underlying dimensions: job disengagement, measured by four items, and job engagement, measured by three items. Regression analysis indicated aging and years postinjury were highly related to both factors, with greater age and years postinjury related to disengagement. Completing a bachelor’s degree or higher was related to engagement. Non-Hispanic Blacks were more likely to have disengagement. Ambulatory participants were more likely to be engaged in employment. A relatively small number of items can easily measure individual expectations, particularly as they age with SCI.","PeriodicalId":47012,"journal":{"name":"Rehabilitation Counseling Bulletin","volume":"267 2","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135475498","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-10-25DOI: 10.1177/00343552231199246
Yunzhen Huang, Jaeyoung Kim, Allison Levine, Jinhee Park, Hung Jen Kuo
Implicit biases about disability contribute to discriminatory behaviors and explicit attitudes toward people with disability, an issue that is of significant importance for rehabilitation researchers. The current study reviewed existing measures of implicit disability biases published between 2000 and April 2022. The search was conducted among seven databases, five major rehabilitation counseling journals, and relevant references in the retrieved articles. A total of 66 studies were identified and reviewed. Results showed that the implicit association test (IAT) was the most frequently used measure of implicit disability biases. A few studies used priming tasks, inhibition tasks, and other tasks based on rating scales to measure implicit disability biases. The strengths and limitations of the measures are discussed, and recommendations for rehabilitation practitioners, educators, and researchers are provided.
{"title":"Measuring Implicit Biases About Disability: A Scoping Review","authors":"Yunzhen Huang, Jaeyoung Kim, Allison Levine, Jinhee Park, Hung Jen Kuo","doi":"10.1177/00343552231199246","DOIUrl":"https://doi.org/10.1177/00343552231199246","url":null,"abstract":"Implicit biases about disability contribute to discriminatory behaviors and explicit attitudes toward people with disability, an issue that is of significant importance for rehabilitation researchers. The current study reviewed existing measures of implicit disability biases published between 2000 and April 2022. The search was conducted among seven databases, five major rehabilitation counseling journals, and relevant references in the retrieved articles. A total of 66 studies were identified and reviewed. Results showed that the implicit association test (IAT) was the most frequently used measure of implicit disability biases. A few studies used priming tasks, inhibition tasks, and other tasks based on rating scales to measure implicit disability biases. The strengths and limitations of the measures are discussed, and recommendations for rehabilitation practitioners, educators, and researchers are provided.","PeriodicalId":47012,"journal":{"name":"Rehabilitation Counseling Bulletin","volume":"AES-18 6","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135113608","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The present study aimed to investigate the effect of Meaning-Centered Group Psychotherapy (MCGP) on promoting meaning in the lives of individuals with spinal cord injury. This single-blind study was quasi-experimental with pre-test, post-test, follow-up, and experimental and control groups. Forty-three patients with poor meaning in life were selected by purposive sampling and randomly assigned to experimental and control groups. The experimental group received MCGP, while the control group received no intervention. The data were collected by the Meaning in Life Questionnaire and analyzed by multivariate analysis of covariance. The results revealed significant differences between the post-test and follow-up scores of the experimental and control groups regarding the presence of meaning in life and the search for meaning in life. Also, no significant difference was found between the post-test and follow-up scores of the experimental group, which demonstrated the stability of the treatment effects. In general, MCGP significantly improved the meaning in the lives of patients with spinal cord injury.
{"title":"The Effect of Meaning-Centered Group Psychotherapy on Promoting Meaning in Lives of Individuals With Spinal Cord Injury","authors":"Mohammadreza Abed, Hasan Rezaei-Jamalouei, Zohreh Raeisi, Mojtaba Ansari Shahidi, Mahdi Taheri","doi":"10.1177/00343552231199244","DOIUrl":"https://doi.org/10.1177/00343552231199244","url":null,"abstract":"The present study aimed to investigate the effect of Meaning-Centered Group Psychotherapy (MCGP) on promoting meaning in the lives of individuals with spinal cord injury. This single-blind study was quasi-experimental with pre-test, post-test, follow-up, and experimental and control groups. Forty-three patients with poor meaning in life were selected by purposive sampling and randomly assigned to experimental and control groups. The experimental group received MCGP, while the control group received no intervention. The data were collected by the Meaning in Life Questionnaire and analyzed by multivariate analysis of covariance. The results revealed significant differences between the post-test and follow-up scores of the experimental and control groups regarding the presence of meaning in life and the search for meaning in life. Also, no significant difference was found between the post-test and follow-up scores of the experimental group, which demonstrated the stability of the treatment effects. In general, MCGP significantly improved the meaning in the lives of patients with spinal cord injury.","PeriodicalId":47012,"journal":{"name":"Rehabilitation Counseling Bulletin","volume":"36 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135816599","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-07-31DOI: 10.1177/00343552231187592
James S. Krause, C. Dismuke-Greer, Karla S. Reed, Melinda Jarnecke
The purpose of this study was to identify job characteristics related to perceived underemployment among people with multiple sclerosis (MS), while controlling for demographic, MS-related, and educational factors. Adults with MS, all of whom were a minimum 1-year post diagnosis, <65, and employed at the time of the study ( n = 585), participated. Perceived underemployment was measured by a single dichotomous variable (yes/no). A restricted model with only demographic, MS, and educational factors explained 8.5% of the variance, whereas the full model with vocational factors explained 26.1%. Only race-ethnicity and fatigue were significant in the restricted model, with greater odds of underemployment among Black non-Hispanic (odds ratio [OR] = 2.0), Hispanic/other (OR = 2.7), and for those reporting fatigue (OR = 2.2). In the final model, the odds of underemployment were lower for those with higher income (≥US$75,000, OR = 0.28) and those in jobs with promotion and recognition (OR = 0.41); with greater odds of underemployment for those with higher education (bachelors or higher, OR = 2.2) and working in professional/managerial occupations (OR = 1.9). Perceived underemployment was related to several quality employment indicators including lower earnings, lesser advancement and/or recognition, higher education, and working in professional/managerial occupations.
{"title":"Characteristics Associated With Perceived Underemployment Among Participants With Multiple Sclerosis","authors":"James S. Krause, C. Dismuke-Greer, Karla S. Reed, Melinda Jarnecke","doi":"10.1177/00343552231187592","DOIUrl":"https://doi.org/10.1177/00343552231187592","url":null,"abstract":"The purpose of this study was to identify job characteristics related to perceived underemployment among people with multiple sclerosis (MS), while controlling for demographic, MS-related, and educational factors. Adults with MS, all of whom were a minimum 1-year post diagnosis, <65, and employed at the time of the study ( n = 585), participated. Perceived underemployment was measured by a single dichotomous variable (yes/no). A restricted model with only demographic, MS, and educational factors explained 8.5% of the variance, whereas the full model with vocational factors explained 26.1%. Only race-ethnicity and fatigue were significant in the restricted model, with greater odds of underemployment among Black non-Hispanic (odds ratio [OR] = 2.0), Hispanic/other (OR = 2.7), and for those reporting fatigue (OR = 2.2). In the final model, the odds of underemployment were lower for those with higher income (≥US$75,000, OR = 0.28) and those in jobs with promotion and recognition (OR = 0.41); with greater odds of underemployment for those with higher education (bachelors or higher, OR = 2.2) and working in professional/managerial occupations (OR = 1.9). Perceived underemployment was related to several quality employment indicators including lower earnings, lesser advancement and/or recognition, higher education, and working in professional/managerial occupations.","PeriodicalId":47012,"journal":{"name":"Rehabilitation Counseling Bulletin","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2023-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48628802","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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