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Differential Effects of Functioning on the Career Development of Individuals with Disabilities 功能对残疾个体职业发展的差异影响
IF 1.3 4区 医学 Q2 REHABILITATION Pub Date : 2022-10-31 DOI: 10.1177/00343552221130311
Chelsea E. Brehmer, D. Strauser, S. Shen, B. Phillips, J. Kosciulek, Bryan S. Austin
Individuals with disabilities experience disproportionate rates of unemployment and underemployment when compared to individuals without disabilities. Furthermore, health functioning impacts career development and employment across multiple life contexts. To build on what is known regarding the relationships between functioning and career development, this study focuses on delineating how varying aspects of functioning differentially impact specific areas of career development. Based on data collected from 674 individuals with disabilities in the United States this study investigated the relationship between individual health functioning and the following three core components of career development: vocational identity, work personality, and work adjustment. Findings illuminate important differences across dimensions of functioning that impact career development. Results suggest that a multidimensional approach to career development would be most efficacious in supporting the functioning of individuals with disabilities.
与非残疾人相比,残疾人的失业率和就业不足率不成比例。此外,健康功能在多种生活环境中影响职业发展和就业。为了建立已知的功能与职业发展之间的关系,本研究侧重于描述功能的不同方面如何对职业发展的特定领域产生不同的影响。基于674名美国残疾人的数据,本研究调查了个人健康功能与职业发展的以下三个核心组成部分:职业认同、工作个性和工作适应之间的关系。研究结果阐明了影响职业发展的职能维度之间的重要差异。结果表明,多维的职业发展方法在支持残疾人的功能方面是最有效的。
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引用次数: 1
The Time Is Ripe for Entrepreneurship in Vocational Rehabilitation: A Four-Pronged Approach 职业康复中创业的时机成熟:四叉法
IF 1.3 4区 医学 Q2 REHABILITATION Pub Date : 2022-10-27 DOI: 10.1177/00343552221116051
Michael P. Frain, M. Bishop, Julianne Frain, Devin Rohack, Ghari Shirley, Jennifer Sánchez
The field of rehabilitation has laid a great foundation for the monumental entrepreneurial changes that have occurred to the worldwide economy due to the COVID-19 pandemic. The use of self-employment as an outcome has fallen below 1% of Vocational Rehabilitation closures but can rise as the field takes a four-pronged approach to helping individuals become entrepreneurs. The idea of entrepreneurship fits rehabilitation philosophy, and through training, legislation, and new vision many persons with disabilities can find successful careers as entrepreneurs.
康复领域为新冠肺炎疫情给全球经济带来的巨大创业变革奠定了巨大基础。自营职业的使用率已降至职业康复关闭的1%以下,但随着该领域采取多管齐下的方法帮助个人成为企业家,这一比例可能会上升。创业理念符合康复哲学,通过培训、立法和新愿景,许多残疾人可以找到成功的创业生涯。
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引用次数: 0
Complete Blood Count-Derived Inflammatory Markers Changes in Dogs with Chronic Inflammatory Enteropathy Treated with Adipose-Derived Mesenchymal Stem Cells. 用脂肪间充质干细胞治疗慢性炎症性肠病犬的全血细胞计数衍生炎症标志物变化
IF 2.7 4区 医学 Q2 REHABILITATION Pub Date : 2022-10-17 DOI: 10.3390/ani12202798
José Ignacio Cristóbal, Francisco Javier Duque, Jesús Usón-Casaús, Rafael Barrera, Esther López, Eva María Pérez-Merino

Adipose-derived mesenchymal stem cells (Ad-MSCs) exhibit anti-inflammatory and immunomodulatory activities. The neutrophil-to-lymphocyte ratio (NLR), platelet-to-lymphocyte ratio (PLR), and systemic immune-inflammation index (SII) have been reported as novel biomarkers of the inflammatory state; however, they have never been examined in dogs with chronic inflammatory enteropathy (CIE) treated with Ad-MSCs. This study aimed to compare the clinical evolution and the changes in the NLR, PLR, and SII in dogs with CIE before and after cell therapy. Sixteen dogs with CIE were administered a single intravenous dose of Ad-MSCs. The canine chronic enteropathy clinical activity index (CCECAI), NLR, PLR, and SII were assessed before treatment (T0) and at 2 (T2) and 9 (T9) months post-treatment and compared over time and with the reference values obtained from a group of healthy dogs. NLR, PLR, and SII were significantly increased at T0 compared to the reference values, decreasing significantly over time. At T9, the NLR and SII did not differ from the reference values, but PLR remained above the reference values. A correlation was observed between CCECAI and the three markers. These findings show that the clinical improvement of dogs with CIE treated with Ad-MSCs is accompanied by a normalization of the inflammatory status.

脂肪间充质干细胞(Ad-MSCs)具有抗炎和免疫调节活性。据报道,中性粒细胞与淋巴细胞比率(NLR)、血小板与淋巴细胞比率(PLR)和全身免疫炎症指数(SII)是炎症状态的新型生物标志物;然而,在使用Ad-间充质干细胞治疗慢性炎症性肠病(CIE)的犬中,这些指标从未被检测过。本研究旨在比较细胞疗法前后 CIE 患犬的临床演变以及 NLR、PLR 和 SII 的变化。16只CIE犬接受了单剂量Ad-MSCs静脉注射。在治疗前(T0)、治疗后 2 个月(T2)和 9 个月(T9)对犬慢性肠病临床活动指数(CCECAI)、NLR、PLR 和 SII 进行了评估,并将不同时期的评估结果与一组健康犬的参考值进行了比较。与参考值相比,NLR、PLR 和 SII 在治疗前(T0)显著升高,并随着时间的推移显著降低。在 T9 时,NLR 和 SII 与参考值没有差异,但 PLR 仍高于参考值。CCECAI与这三种指标之间存在相关性。这些研究结果表明,使用Ad-间充质干细胞治疗CIE犬的临床症状得到改善的同时,炎症状态也趋于正常。
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引用次数: 0
Employers’ Perceptions of Challenges and Strategies in Hiring, Retaining, and Promoting Employees With Physical Disabilities 雇主对雇佣、保留和提升身体残疾员工的挑战和策略的认知
IF 1.3 4区 医学 Q2 REHABILITATION Pub Date : 2022-10-12 DOI: 10.1177/00343552221130304
Elizabeth G. S. Munsell, Angelika Kudla, Han Su, Jasin Wong, D. Crown, Pamela Capraro, Robert Trierweiler, M. Park, A. Heinemann
Disability is a common component of human diversity, yet people with disabilities (PWD) are underrepresented in the workplace despite known benefits to PWD and companies alike. There is an urgent need to promote inclusion of PWD in the workplace. The purpose of this study was to explore employer-perceived challenges and strategies for employing, retaining, and promoting people with physical disabilities (PWPD) and to describe the policies, supports, and job accommodations they provide to PWPD. We administered a cross-sectional, online survey to employers in the Midwestern United States ( n = 53). Employers had an average of 8.5 years of experience in their job roles and represented diverse industries and company sizes. Employers provide a range of job accommodations; however, many reported lacking comprehensive disability policies such as training managers on how to support PWPD, providing employee resource groups for PWPD, and having a specific job accommodation fund. Major challenges reported by employers were related to lacking competencies in supporting employees with physical disabilities. However, employers endorsed the utility of strategies to address these challenges, including providing education and training and increasing buy-in from leadership. Study findings inform employers on ways to best support PWPD and improve diversity, equity, and inclusion in the workplace.
残疾是人类多样性的一个共同组成部分,然而,尽管残疾人和公司都有众所周知的好处,但残疾人在工作场所的代表性不足。我们迫切需要促进残疾人士融入工作场所。本研究的目的是探讨雇主在雇佣、保留和提升残疾人(PWPD)方面所面临的挑战和策略,并描述他们为残疾人提供的政策、支持和工作便利。我们对美国中西部的雇主进行了一项横断面在线调查(n = 53)。雇主的平均工作经验为8.5年,代表着不同的行业和公司规模。雇主提供一系列工作便利;然而,许多报告缺乏全面的残疾政策,例如培训经理如何支持残疾人士,为残疾人士提供员工资源小组,以及设立专门的工作住宿基金。雇主报告的主要挑战与缺乏支持身体残疾雇员的能力有关。然而,雇主们支持利用战略来应对这些挑战,包括提供教育和培训,以及增加领导层的支持。研究结果为雇主提供了最好的支持PWPD和改善工作场所多样性、公平性和包容性的方法。
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引用次数: 1
Evaluating Optimism, Hope, Resilience, Coping Flexibility, Secure Attachment, and PERMA as a Well-Being Model for College Life Adjustment of Student Veterans: A Hierarchical Regression Analysis 乐观、希望、韧性、应对灵活性、安全依恋和PERMA对退伍军人大学生活适应的幸福感模型评价:层次回归分析
IF 1.3 4区 医学 Q2 REHABILITATION Pub Date : 2022-10-08 DOI: 10.1177/00343552221127032
Emre Umucu, Fong Chan, B. Phillips, T. Tansey, N. Berven, William T. Hoyt
The purpose of this study is to examine (a) to what extent demographic covariates, foundational and emerging positive psychology traits (FEPPTs), and PERMA uniquely predict college life adjustment, health-related quality of life (HRQOL), and life satisfaction of student military veterans; (b) PERMA as a happiness and well-being model for college life adjustment, HRQOL, and life satisfaction among student veterans; and (c) FEPPTs as predictors of PERMA. In addition, we tested whether total PERMA scores mediate the relationship between service-connected disability and college adjustment. A total of 205 student veterans responded to an online survey. Results revealed that demographic covariates (e.g., service-connected disability), FEPPTs (e.g., optimism), and PERMA (e.g., positive emotion) significantly accounted for college life adjustment, HRQOL, and life satisfaction of student veterans. In addition, a mediation analysis revealed that PERMA partially mediated the relationship between service-connected disability and college life adjustment of student veterans. The results of this study provide empirical supports for the use of PERMA as a comprehensive well-being model of college life adjustment for student veterans.
本研究的目的是检验(a)人口统计学协变量、基础和新出现的积极心理特征(FEPPT)以及PERMA在多大程度上唯一预测大学生活适应、健康相关生活质量(HRQOL)和退伍军人学生的生活满意度;(b) PERMA作为一种幸福感和幸福感模型,用于衡量退伍军人学生的大学生活适应、HRQOL和生活满意度;以及(c)作为PERMA的预测因子的FEPPT。此外,我们还测试了PERMA总分是否在服务相关残疾和大学适应之间起中介作用。共有205名退伍军人参加了一项在线调查。结果显示,人口统计学协变量(如服务相关残疾)、FEPPT(如乐观主义)和PERMA(如积极情绪)显著影响了退伍军人学生的大学生活适应、HRQOL和生活满意度。此外,一项中介分析显示,PERMA在一定程度上中介了退伍军人学生的服务相关残疾与大学生活适应之间的关系。本研究的结果为使用PERMA作为退伍军人学生大学生活调整的综合幸福感模型提供了实证支持。
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引用次数: 11
Thinking About the Future: Perceived Barriers and Supports Among Israeli Young Adults With Physical Disabilities 对未来的思考:以色列身体残疾青年的感知障碍和支持
IF 1.3 4区 医学 Q2 REHABILITATION Pub Date : 2022-09-22 DOI: 10.1177/00343552221124564
Rinat Michael, Galia Ran, Rachel Gali Cinamon
Young adults with disabilities tend to have lower rates of employment and career indicators as compared with youth without disabilities. Therefore, understanding the factors that may influence such outcomes is crucial. This study examined the future perceptions of 18 young adults with physical disabilities while focusing on the barriers and supports that may impact their transition into adult life. All participants were living in a rehabilitative student community in southern Israel. They participated in an in-depth semi-structured interview. Data analysis, which was conducted according to an adaptation of the Consensual Qualitative Research method, revealed four major domains: emotions, future life roles, barriers, and supports. Findings emphasized that the participants’ disability was extremely dominant in their future perceptions. In general, they expressed caution and concern about their future. They also tended not to express detailed long-term planning. Their perceptions focused on their future work, future intimate relationships, and the need to manage simultaneously different roles. When addressing their possible barriers and supports, they related both to environmental (e.g., social stigma and community support) and to personal (e.g., low self-esteem and high motivation) factors. Implications for research and practice are discussed.
与没有残疾的青年相比,残疾青年的就业率和职业指标往往较低。因此,了解可能影响这些结果的因素至关重要。本研究调查了18名身体残疾的年轻人对未来的看法,同时关注可能影响他们向成年生活过渡的障碍和支持。所有参与者都住在以色列南部的一个康复学生社区。他们参加了一次深入的半结构化访谈。数据分析是根据一种适应性的共识定性研究方法进行的,揭示了四个主要领域:情感、未来生活角色、障碍和支持。研究结果强调,参与者的残疾在他们对未来的看法中起着极其重要的作用。总的来说,他们对自己的未来表示谨慎和关切。他们也倾向于不表达详细的长期规划。他们的看法集中在未来的工作、未来的亲密关系以及同时管理不同角色的需要上。在解决他们可能面临的障碍和支持时,他们既涉及环境因素(例如,社会耻辱和社区支持),也涉及个人因素(例如,低自尊和高动机)。讨论了对研究和实践的启示。
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引用次数: 0
Continuing Education Answer Sheet For Volume 66, No 1 继续教育答卷66卷1
IF 1.3 4区 医学 Q2 REHABILITATION Pub Date : 2022-09-18 DOI: 10.1177/00343552221125017
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引用次数: 0
Predictors of Psychosocial Adaptation and Mental Well-Being Among People With Chronic Illnesses and Disabilities in Hong Kong 香港慢性病及残疾人士的心理社会适应及心理健康预测
IF 1.3 4区 医学 Q2 REHABILITATION Pub Date : 2022-08-19 DOI: 10.1177/00343552221115864
A. Siu, Sam C C Chan, M. Cheung, D. Shek
Psychosocial adaptation to chronic illness and disability (CID) involves a complex interplay of the client’s background factors with resilience and coping. To date, there have been few studies on psychosocial adaptation to CID in the Chinese context. To examine the predictors of psychosocial adaptation, we surveyed people with CID from community-rehabilitation settings and self-help groups ( N = 224). The research questionnaire collected information on demographics, health-related factors, social support, resilience, coping strategies, psychosocial adaptation, and mental well-being. Resilience, coping strategies, health-related factors, and sex were found to be important predictors of psychosocial adaptation. Using structural equation modeling (SEM), we tested a conceptual model on how social support and health-related factors predict adjustment variables (resilience and coping strategies), which further affect psychosocial adaptation and mental well-being. All the variables are closely linked and the path coefficients are all significant. An overall fair model fit (comparative fit index [CFI] = 0.89; root mean square error of approximation [RMSEA] = 0.089) was obtained. The results provide support for the conceptual model we proposed based on health-related coping and the phase model of psychosocial adaptation. The key predictors of psychosocial adaptation and mental well-being in Chinese people with CID in Hong Kong are similar to those identified in non-Chinese studies.
对慢性疾病和残疾的心理社会适应(CID)涉及客户的背景因素与韧性和应对能力的复杂相互作用。到目前为止,很少有研究在中国背景下对CID的心理社会适应。为了检验心理社会适应的预测因素,我们调查了来自社区康复环境和自助团体的CID患者(N=224)。研究问卷收集了有关人口统计、健康相关因素、社会支持、复原力、应对策略、心理社会适应和心理健康的信息。韧性、应对策略、健康相关因素和性别被发现是心理社会适应的重要预测因素。使用结构方程模型(SEM),我们测试了一个关于社会支持和健康相关因素如何预测调整变量(复原力和应对策略)的概念模型,这些变量会进一步影响心理社会适应和心理健康。所有变量都是紧密相连的,路径系数都是显著的。获得了总体的公平模型拟合(比较拟合指数[CFI]=0.89;近似均方根误差[RMSEA]=0.089)。研究结果为我们提出的基于健康相关应对的概念模型和心理社会适应的阶段模型提供了支持。香港CID患者的心理社会适应和心理健康的主要预测因子与非中国研究中确定的预测因子相似。
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引用次数: 0
Telehealth Assessment in Rehabilitation Counseling During the COVID-19 Pandemic COVID-19大流行期间康复咨询的远程医疗评估
IF 1.3 4区 医学 Q2 REHABILITATION Pub Date : 2022-08-13 DOI: 10.1177/00343552221115866
R. Pebdani, Adriana Zeidan, Erin M. Fearn-Smith, L. Matthews
Research has shown that using telehealth for rehabilitation assessment can be an effective approach. The COVID-19 pandemic and subsequent lockdowns led to many rehabilitation counselors pivoting to telehealth assessment with their clients. This study explores rehabilitation counselors’ use of rehabilitation assessments and telehealth since the beginning of the COVID-19 pandemic. Using a mixed-methods approach, data from 41 rehabilitation counselors across Australia were analyzed. Participants were asked which measures they used prior to the pandemic, how their use of the measures changed during telehealth, and how their work changed due to the COVID-19 pandemic. The Depression Anxiety Stress Scales and the Occupational Search Inventory were the most commonly used tests. Theoretical analysis demonstrated that participants utilized tests based on their usefulness in comprehensive assessment and rehabilitation planning, for engaging the client in the assessment process, out of necessity (mandated tests), and due to attributes of the test the counselor valued. Participants described the impact of COVID-19 on assessment practice demonstrating that despite challenges to telehealth, there were also benefits and that assessment measures could be altered for use in telehealth. Although telehealth had an impact on how rehabilitation counselors provided assessments, many found ways to make it work at a distance.
研究表明,使用远程医疗进行康复评估是一种有效的方法。新冠肺炎大流行和随后的封锁导致许多康复顾问转向与客户进行远程健康评估。本研究探讨了自新冠肺炎大流行开始以来,康复顾问对康复评估和远程医疗的使用。采用混合方法,对来自澳大利亚41名康复顾问的数据进行了分析。参与者被问及他们在大流行前使用了哪些措施,他们在远程医疗期间对这些措施的使用发生了怎样的变化,以及他们的工作因新冠肺炎大流行而发生了怎样变化。抑郁焦虑压力量表和职业搜索量表是最常用的测试。理论分析表明,参与者使用测试是基于其在综合评估和康复规划中的有用性,是出于必要(强制性测试),也是由于顾问重视测试的属性,让客户参与评估过程。与会者描述了新冠肺炎对评估实践的影响,表明尽管远程医疗面临挑战,但也有好处,评估措施可以改变以用于远程医疗。尽管远程医疗对康复顾问提供评估的方式产生了影响,但许多人找到了让远程医疗发挥作用的方法。
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引用次数: 1
Social Cognitive Career Theory Predictors of Goal Persistence in African American College Students With Disabilities 非裔美国残疾大学生目标坚持的社会认知职业理论预测因素
IF 1.3 4区 医学 Q2 REHABILITATION Pub Date : 2022-07-14 DOI: 10.1177/00343552221108407
Jia Rung Wu, Madan M. Kundu, Kanako Iwanaga, Fong Chan, Xiangli Chen, P. Rumrill, P. Wehman
The Black Lives Matter movement exposed the broad and deep issues of institutional racism in the United States. Helping young African Americans with disabilities persevere in their pursuit of college degrees and obtain entry-level professional jobs as career pathways to the middle class will contribute to workplace equity for young adults who are at the intersection of race, disability, and poverty. The Social Cognitive Career Theory (SCCT) has been validated extensively as a model of goal persistence for women and minority college students majoring in science, technology, engineering, mathematics, and medicine (STEMM). The present study evaluated SCCT constructs as predictors of goal persistence in a sample of African American college students with disabilities across various academic majors, using hierarchical regression analysis. The final model accounted for 53% of the variance in goal persistence scores, a large effect size. Academic milestone self-efficacy and career self-efficacy were the most important predictors of goal persistence, followed by academic barrier self-efficacy, deep learning style, and career outcome expectancy. The SCCT interventions designed to increase academic and career efficacy and outcome expectancy will increase the likelihood that African American college students with disabilities will complete their degrees and successfully obtain professional jobs.
“黑人的命也是命”运动暴露了美国制度性种族主义的广泛而深刻的问题。帮助残疾的年轻非裔美国人坚持不懈地追求大学学位,并获得入门级的专业工作,作为通往中产阶级的职业道路,这将有助于处于种族、残疾和贫困交叉点的年轻人的工作场所公平。社会认知职业理论(SCCT)已被广泛验证为科学、技术、工程、数学和医学(STEMM)专业女性和少数民族大学生目标持续性的模型。本研究使用分层回归分析,在不同学术专业的非裔美国残疾大学生样本中,评估了SCCT结构作为目标持续性的预测因素。最终的模型占了目标持续性得分方差的53%,这是一个很大的影响大小。学业里程碑自我效能感和职业自我效能感是目标持久性的最重要预测因素,其次是学业障碍自我效能感、深度学习风格和职业结果预期。SCCT旨在提高学术和职业效能以及预期结果的干预措施将增加非裔美国残疾大学生完成学位并成功获得专业工作的可能性。
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引用次数: 1
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