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The Relationship Between Acceptance, Biopsychosocial Factors, and Quality of Life: A Structural Equation Model 接受度、生物心理社会因素和生活质量之间的关系:一个结构方程模型
IF 1.3 4区 医学 Q2 REHABILITATION Pub Date : 2023-03-02 DOI: 10.1177/00343552231155216
Kaiqi Zhou
Disability acceptance is one of the most significant constructs in the psychosocial adaptation process. Although prior research has examined the relationship among different biopsychosocial factors, disability acceptance, and quality of life (QoL), limited study focused on entering a series of biopsychosocial factors simultaneously into analysis to reflect live experience of individuals with disabilities. This study aimed to examine the role of acceptance regarding the relationship between a series of biopsychosocial factors (i.e., general health, physical functioning, pain, anxiety, depression, stress, loneliness, stigma, sense of community, and neighborhood problems) and QoL based on Livneh’s psychosocial adaptation model to inform psychosocial interventions. A total of 430 participants with disabilities completed an online survey consisting of instruments measuring target variables. Exploratory and confirmatory factor analyses indicated a three-factor structure for selected biopsychosocial factors (i.e., psychological difficulties, physical status, and community issues). Structural equation modeling results showed that the proposed model indicated a fair model fit after respecification. Effect analyses showed that disability acceptance directly affected QoL and partially mediated the relationship between physical status and QoL and psychological difficulties and QoL. In addition, loneliness has been found to significantly and directly predict QoL in the respecified model. The model demonstrated that disability acceptance and loneliness have a significant impact on QoL.
残疾接受是心理社会适应过程中最重要的结构之一。尽管先前的研究考察了不同的生物心理社会因素、残疾接受度和生活质量(QoL)之间的关系,但有限的研究侧重于将一系列生物心理社会因子同时纳入分析,以反映残疾人的生活体验。本研究旨在基于Livneh的心理社会适应模型,检验接受在一系列生物心理社会因素(即一般健康、身体功能、疼痛、焦虑、抑郁、压力、孤独、污名、社区意识和邻里问题)与生活质量之间的关系中的作用,为心理社会干预提供信息。共有430名残疾参与者完成了一项由测量目标变量的仪器组成的在线调查。探索性和验证性因素分析表明,选定的生物心理社会因素(即心理困难、身体状况和社区问题)具有三因素结构。结构方程建模结果表明,该模型在重新指定后具有良好的模型拟合性。效果分析表明,残疾接受直接影响生活质量,部分介导了身体状况与生活质量、心理困难与生活质量之间的关系。此外,在相应的模型中,孤独感可以显著而直接地预测生活质量。该模型表明,残疾接受度和孤独感对生活质量有显著影响。
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引用次数: 0
View of the Work Community and Vocational Rehabilitation Services Among Adults With Autism Spectrum Disorder 成人自闭症谱系障碍的工作、社区和职业康复服务的看法
IF 1.3 4区 医学 Q2 REHABILITATION Pub Date : 2023-02-21 DOI: 10.1177/00343552231155217
Julie D. Doran, Samantha G. McCrary, Blaise Morrison, L. Hiruma, Dara V. Chan
Many adults diagnosed with autism spectrum disorder (ASD) face challenges in establishing and maintaining employment. These difficulties may be related to ASD symptomology or employer attitudes; however, vocational rehabilitation (VR) can provide employment-related resources. This study sought to understand how adults with ASD view their integration into workplace communities and VR services. Qualitative data were collected from 24 adults with ASD, and analysis identified themes surrounding the importance of workplace contributions, interesting work, and positive workplace relationships contributing to feeling integrated into the workplace community. Responses were also examined for perspectives on the role of VR in supporting workplace integration. Findings indicate the importance of attending to individual employment preferences and the need for long-term VR follow-along services to explore opportunities for employment growth. Implications and future recommendations for research and practice are also discussed.
许多被诊断为自闭症谱系障碍(ASD)的成年人在建立和维持就业方面面临挑战。这些困难可能与自闭症谱系障碍症状或雇主态度有关;然而,职业康复(VR)可以提供与就业相关的资源。这项研究试图了解患有自闭症谱系障碍的成年人如何看待他们融入工作场所社区和虚拟现实服务的情况。从24名ASD成年人身上收集了定性数据,分析确定了围绕工作场所贡献、有趣的工作和积极的工作场所关系的重要性的主题,这些主题有助于感受融入工作场所社区的感觉。还审查了对虚拟现实在支持工作场所整合方面的作用的看法。调查结果表明,关注个人就业偏好的重要性,以及长期VR跟踪服务的必要性,以探索就业增长的机会。还讨论了对研究和实践的影响和未来的建议。
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引用次数: 0
The Impact of Organizational Factors and Professional Identity on Turn Over Intent in State Vocational Rehabilitation Agencies 组织因素与职业认同对国家职业康复机构人员离职意向的影响
IF 1.3 4区 医学 Q2 REHABILITATION Pub Date : 2023-02-21 DOI: 10.1177/00343552231155215
T. Landon, B. Phillips, M. McKnight, S. Sabella, K. Kline
Turnover of staff is an ongoing concern in the state-federal vocational rehabilitation (VR) system. To better understand employee turnover intent, a multiple regression analysis was conducted using professional identity and organizational factors (e.g., pay, work tenure) as predictor variables. An internet-based survey solicited counselor perceptions regarding professional identity, turnover intent, and job satisfaction. Respondents ( n = 351) described their level of satisfaction relevant to several workplace conditions (co-workers, job in general, work assignments, pay, promotion, and supervision), and their current level of professional identity. The outcome variable representing current or future turnover intent was whether participants were actively looking for a new position or planning to look for a new position in the next 5 years. Results indicated that a little over one third of current counselors would look for a new position in the coming year, with half of current counselors seeking a new position within 5 years. Findings suggest that turnover in state-federal VR settings exceeds the national average of 19%. Purposeful pre-hire considerations, goodness of fit, motivation factors (i.e., opportunities for promotion), and hygiene factors (i.e., caseload size, supervision, and pay) identified in this study should be elements of a state-federal VR agency’s plan to mitigate turnover intent.
员工流失是一个持续关注的州-联邦职业康复(VR)系统。为了更好地理解员工离职意向,本研究以职业认同和组织因素(如薪酬、工作期限)作为预测变量,进行多元回归分析。一项基于互联网的调查征求了咨询师对职业认同、离职意向和工作满意度的看法。受访者(n = 351)描述了他们对几个工作场所条件(同事、一般工作、工作任务、薪酬、晋升和监督)的满意度,以及他们目前的职业认同水平。代表当前或未来离职意向的结果变量是参与者是否在积极寻找新职位或计划在未来5年内寻找新职位。调查结果显示,略多于三分之一的在职咨询师将在来年寻找新职位,其中一半的在职咨询师将在5年内寻找新职位。调查结果表明,州-联邦虚拟现实机构的人员流动率超过了19%的全国平均水平。本研究中确定的有目的的雇佣前考虑因素、契合度、激励因素(即晋升机会)和卫生因素(即工作量大小、监督和薪酬)应该是州-联邦虚拟现实机构减轻离职意图计划的要素。
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引用次数: 0
Use of Research-Based Transition Recommendations for Youth With Disabilities in Workforce Innovation and Opportunity Act Plans 在劳动力创新和机会法案计划中使用基于研究的残疾青年过渡建议
IF 1.3 4区 医学 Q2 REHABILITATION Pub Date : 2023-02-18 DOI: 10.1177/00343552231155218
Holly N. Whittenburg, Magen Rooney-Kron, Sarah R. Carlson, Emily Malouf, Joshua P. Taylor
As vocational rehabilitation (VR) agencies continue to implement provisions of the Workforce Innovation and Opportunity Act (WIOA) to provide employment-related transition services to youth with disabilities, it is unclear if implementation plans include predictors of post-school employment and evidence-based transition practices. We conducted a content analysis of 54 state/territory VR agency WIOA plans from 2020 to determine the extent to which research-based transition recommendations (RBTRs) were included. Our findings indicate that there was substantial variability in the number of RBTRs present within plans but that most plans ( n = 46) included between 50% and 70% of RBTRs. Career awareness, interagency collaboration, and general work experience activities were most frequently represented. Of note, student involvement in transition planning, technology skills instruction, and career technical education did not appear as frequently in plans. Implications for policy and practice are discussed.
随着职业康复(VR)机构继续实施《劳动力创新与机会法》(WIOA)的规定,为残疾青年提供与就业相关的过渡服务,目前尚不清楚实施计划是否包括毕业后就业的预测指标和基于证据的过渡实践。我们对2020年以来54个州/地区VR机构WIOA计划进行了内容分析,以确定基于研究的过渡建议(RBTRs)的纳入程度。我们的研究结果表明,计划中存在的rbtr数量存在很大差异,但大多数计划(n = 46)包含50%至70%的rbtr。职业意识、机构间合作和一般工作经验活动是最常见的。值得注意的是,学生参与过渡计划、技术技能指导和职业技术教育并没有经常出现在计划中。对政策和实践的影响进行了讨论。
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引用次数: 0
Forensic and Business Ethics 司法及商业道德
IF 1.3 4区 医学 Q2 REHABILITATION Pub Date : 2023-02-10 DOI: 10.1177/00343552221147222
L. Lloyd, Mary Barros-Bailey, Amy Vercillo, T. Landon
Now in its fifth edition, the Code of Professional Ethics for Rehabilitation Counselors continues to clarify and expand behavioral guidelines and practice for those in the rehabilitation counseling profession. Specific to certified rehabilitation counselors (CRC) in the private sector, this article details changes in the revised Code specific to Forensic Services (Section F) and Business Services (Section K). It also briefly describes the historical development of these sections of the Code and explores its implications.
目前,《康复咨询师职业道德规范》已发布第五版,继续澄清和扩大康复咨询行业的行为准则和实践。针对私营部门的注册康复顾问,本文详细介绍了修订后的《司法服务法》(第F节)和《商业服务法》的变化。它还简要介绍了《准则》这些章节的历史发展,并探讨了其含义。
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引用次数: 0
A Way Forward With Multicultural Considerations, Advocacy, and Accessibility Across the 2023 Revised Code of Professional Ethics for Rehabilitation Counselor Educators and Practitioners 2023年修订的康复咨询师、教育工作者和从业者职业道德准则中的多元文化考虑、倡导和可及性的前进之路
IF 1.3 4区 医学 Q2 REHABILITATION Pub Date : 2023-02-03 DOI: 10.1177/00343552221146164
J. Henry, Eric T. Kulesza, N. W. Williams Awodeha, Simone Hicks, Renée A. Middleton, M. Robinson
While the 2017 version of the Commission on Rehabilitation Counselor Certification (CRCC) Code of Ethics engrained diversity considerations across the 12 main sections of professional practice, more explicit ethical expectations related to multicultural competence are needed to govern the future of rehabilitation counseling practice. The 2023 revised CRCC Code of Ethics will include a newly added unit labeled, Section D: Multicultural Considerations, which seeks to reduce bias, minimize discrimination, and prevent harm in practice. This section infuses cultural competencies introduced to the profession and tenets of advocacy as more than just aspirational directives but also as enforceable tenets of conduct. This article provides an overview of the changes made to Section C: Advocacy and Accessibility and explains the significance of Section D across the principles that instruct professional behavior. The authors will describe best practices for operationalizing the ethics code to ensure that services are comprehensive, equitable, and inclusive. Finally, we will present strategies for becoming a culturally competent and ethically conscientious Rehabilitation Counselor.
虽然2017年版的康复咨询师认证委员会(CRCC)道德规范在职业实践的12个主要部分中植入了多样性考虑,但需要更明确的与多元文化能力相关的道德期望来管理康复咨询实践的未来。2023年修订的CRCC道德准则将包括一个新增加的单元,标签为D节:多元文化考虑,旨在减少偏见,最大限度地减少歧视,并防止实践中的伤害。本节介绍了引入职业的文化能力和宣传原则,不仅是理想的指令,也是可执行的行为原则。本文概述了对C部分:倡导和无障碍性的修改,并解释了D部分在指导职业行为的原则中的重要性。作者将描述实施道德准则的最佳实践,以确保服务全面、公平和包容。最后,我们将介绍成为一名有文化能力和道德良知的康复顾问的策略。
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引用次数: 0
Supervision and Ethics: Updates to the CRCC Code of Professional Ethics 监督与道德:CRCC职业道德准则的更新
IF 1.3 4区 医学 Q2 REHABILITATION Pub Date : 2023-02-03 DOI: 10.1177/00343552221146163
T. Landon, Allison Levine, S. Sabella, Julie C. Hill, Uzma Khan, Eric T. Kulesza
Supervision is a key element to the development of ethical skills and awareness in rehabilitation counselors. Ethical standards specific to rehabilitation counselor educators and supervisors were first introduced in 2002 and updated in 2010 and 2017. This article discusses supervision and professional dispositions as constructs that were used to help frame the revision process and outlines some of the key change to Section I. (Supervision, Teaching, and Training) of the Code of Professional Ethics for certified rehabilitation counselors. In conjunction with the revision process, special considerations for multicultural competencies have been strengthened throughout Section I, as well as specific requirements for the measurement and assessment of professional dispositions in educational settings. The article helps to inform and guide supervisors, trainers, and educators as they review Section I and consider their role in the development of ethical skills in those they supervise and their own respective practice.
监督是发展康复顾问的道德技能和意识的关键因素。专门针对康复咨询师、教育工作者和主管的道德标准于2002年首次推出,并于2010年和2017年更新。这篇文章讨论了监督和专业倾向这两个概念,它们被用来帮助构建修订过程,并概述了注册康复咨询师职业道德准则第1节(监督、教学和培训)的一些关键变化。在修订过程中,在整个第一节中加强了对多元文化能力的特别考虑,以及对教育环境中专业倾向的测量和评估的具体要求。这篇文章有助于告知和指导主管、培训师和教育工作者,因为他们审查了第1节,并考虑了他们在他们监督的人和他们各自的实践中发展道德技能的角色。
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引用次数: 0
Embracing the Future: Updating and Revising the Code of Professional Ethics for Rehabilitation Counselors 拥抱未来:《康复咨询师职业道德规范》的更新与修订
IF 1.3 4区 医学 Q2 REHABILITATION Pub Date : 2023-02-03 DOI: 10.1177/00343552221146166
T. Landon, Julie C. Hill, R. Froehlich, P. Shlemon
The Commission on Rehabilitation Counselor Certification (CRCC) certifies qualified candidates as certified rehabilitation counselors in the United States (CRCs) and as Canadian certified rehabilitation counselors (CCRCs) in Canada. Those professionals who are certified as CRCs/CCRCs are expected to adhere to the CRCC Code of Professional Ethics. The CRCC Code of Ethics is updated from time to time. With the completion of the recent revision process, a revised Code of Professional Ethics for CRCs/CCRCs is now being distributed and implemented by the CRCC. Given the changes and updates to the Code of Professional Ethics, this article and subsequent articles in this special issue help to outline the process and rationale that framed the recent revision process. Although some specific changes are highlighted through this special issue, practitioners are encouraged to familiarize themselves with the entire code.
康复顾问认证委员会(CRCC)认证合格的候选人为美国认证康复顾问和加拿大认证康复顾问。那些被认证为CRC/CCRC的专业人员应遵守CRCC职业道德准则。CRCC《道德规范》不时更新。随着最近的修订进程的完成,CRCC正在分发和实施经修订的CRC/CCRC职业道德准则。鉴于《职业道德准则》的变化和更新,本特刊的这篇文章和随后的文章有助于概述最近修订过程的过程和理由。尽管本期特刊强调了一些具体的更改,但我们鼓励从业者熟悉整个代码。
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引用次数: 0
Drug Use Difficulties and Academic Adjustment in Student Veterans With Disabilities: A Parallel Mediation Study 残疾退伍军人学生的药物使用困难与学业调整:平行中介研究
IF 1.3 4区 医学 Q2 REHABILITATION Pub Date : 2023-02-01 DOI: 10.1177/00343552221146162
Stuart P. Rumrill, Yazmin Castruita Rios, Mizuka Yasuoka, Zeynep Aydin, Kaiqi Zhou, Emre Umucu
The attainment of postsecondary education is critical to leading a successful life. Substance abuse is one area that may negatively impact academic and, ultimately, employment outcomes in the student veteran population. We conducted a parallel mediation analysis to examine the relationship between substance use and academic outcomes in a sample of 129 college veterans with disabilities. We explored interpersonal problems, physical health problems, depression, and anxiety as possible mediators. Our results concluded that only interpersonal problems and anxiety mediated the relationship. Implications for practice and research are provided.
获得中学后教育对于过上成功的生活至关重要。药物滥用是一个可能对退伍军人学生群体的学业和就业结果产生负面影响的领域。我们对129名残疾退伍军人进行了平行中介分析,以检验药物使用与学业成绩之间的关系。我们探讨了人际关系问题、身体健康问题、抑郁和焦虑作为可能的媒介。我们的研究结果表明,只有人际问题和焦虑才是这种关系的中介。提供了对实践和研究的启示。
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引用次数: 2
A Psychometric Validation of the Impact on Participation and Autonomy Questionnaire in a Sample of Turkish Cancer Survivors 对土耳其癌症幸存者参与和自主问卷影响的心理测量学验证
IF 1.3 4区 医学 Q2 REHABILITATION Pub Date : 2023-01-27 DOI: 10.1177/00343552221146160
C. Kaya, Fong Chan, Kanako Iwanaga, Jia Rung Wu, J. Bezyak
Community participation and autonomy are two of the vital treatments and rehabilitation outcomes for people with chronic health conditions and disabilities, including people with cancer. The purpose of this study is to investigate psychometric properties of the Impact on Participation and Autonomy Scale (IPA) in a sample of Turkish cancer survivors. An exploratory factor analysis was used to analyze data collected from 186 cancer survivors who completed the IPA, Health Care Climate Questionnaire, Satisfaction with Life Scale, and the Role Functioning subscale of the EORTC Core Quality of Life Questionnaire. In contrast to the original five-factor solution, the results provided a better fit for a three-factor correlated model ( Activities of Daily Living [ADL]/ Instrumental ADL, social relations, and employment and education). The IPA factors were significantly associated with supportive healthcare climate, role functioning, and life satisfaction in the theoretically expected directions, providing support for the nomological construct validity of the Turkish version of the IPA. Overall, the Turkish version of the IPA is a psychometrically sound measure of participation and autonomy that can be used to assess cancer survivors’ levels of community participation for treatment planning and selection of evidence-based healthcare and psychosocial interventions for cancer survivors.
社区参与和自主是慢性病患者和残疾人(包括癌症患者)的两项重要治疗和康复成果。本研究的目的是调查土耳其癌症幸存者样本中参与和自主量表(IPA)的心理测量特性。本研究采用探索性因子分析方法,对186名癌症幸存者完成IPA、医疗环境问卷、生活满意度量表和EORTC核心生活质量问卷中的角色功能子量表的数据进行分析。与最初的五因素解决方案相比,结果更适合三因素相关模型(日常生活活动[ADL]/工具性ADL,社会关系,就业和教育)。在理论预期的方向上,IPA因素与支持性医疗氛围、角色功能和生活满意度显著相关,为土耳其版IPA的法构效度提供了支持。总体而言,土耳其版本的IPA是一种心理计量学上健全的参与和自主措施,可用于评估癌症幸存者在治疗计划和选择循证医疗保健和癌症幸存者社会心理干预方面的社区参与水平。
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引用次数: 0
期刊
Rehabilitation Counseling Bulletin
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