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Structural relationships among predictors of employer attitudes toward blind employees 雇主对盲人员工态度的结构关系
IF 0.9 Q3 REHABILITATION Pub Date : 2022-06-16 DOI: 10.3233/jvr-221200
Michele C. McDonnall, Jennifer L. Cmar
BACKGROUND: Negative employer attitudes are a primary factor associated with low employment rates and high unemployment rates of people with blindness and low vision (B/LV). Research has identified correlates of employer attitudes, but no investigations of the structural relationships between variables have been published. OBJECTIVE: The purpose of this study was to extend the current research regarding employer attitudes toward people with B/LV by assessing the structural relationship between variables associated with employer attitudes. METHODS: Participants were 387 hiring managers employed by organizations across the country who completed an online survey. We utilized structural equation modeling to confirm our measurement model and evaluate structural models of predicted relationships between variables. RESULTS: Five variables significantly predicted employer attitudes: awareness of people with disabilities at the worksite, knowledge, inaccurate belief in knowledge, previous hiring of someone with B/LV, and having a personal relationship with someone with B/LV. Previous communication with vocational rehabilitation (VR), having a company policy about hiring people with disabilities, and personal relationship predicted having hired someone with B/LV. CONCLUSIONS: Findings support the value of VR professionals providing education about how people with B/LV perform work tasks while communicating with employers and providing trial work experiences to encourage hiring.
背景:消极的雇主态度是导致低就业率和高失业率的盲、低视力人群(B/LV)的主要因素。研究已经确定了雇主态度的相关性,但没有对变量之间的结构关系进行调查。目的:本研究的目的是通过评估雇主态度相关变量之间的结构关系,来扩展目前关于雇主对B/LV患者态度的研究。方法:参与者是387名来自全国各地组织的招聘经理,他们完成了一项在线调查。我们使用结构方程模型来验证我们的测量模型,并评估预测变量之间关系的结构模型。结果:5个变量显著预测雇主态度:工作场所对残疾人的认识、知识、对知识的不准确信念、以前雇用过B/LV患者、与B/LV患者有个人关系。之前与职业康复(VR)有过沟通,公司有雇佣残障人士的政策,个人关系预测曾雇佣过B/LV患者。结论:研究结果支持VR专业人员在与雇主沟通时提供关于B/LV患者如何执行工作任务的教育,并提供试用工作经验以鼓励招聘的价值。
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引用次数: 1
Social security policy changes in 2013 had a positive impact on work participation for people with reduced work capacity: A regional Danish cohort study 2013年社会保障政策的变化对工作能力下降的人的工作参与产生了积极影响:一项丹麦地区队列研究
IF 0.9 Q3 REHABILITATION Pub Date : 2022-06-16 DOI: 10.3233/jvr-221199
D. Munkedal, N. Weye, K. Fonager
BACKGROUND: In Denmark, people with permanent and significantly reduced work capacity can be assigned to a flexi-job (FJ) scheme. In 2013, the social security policy for FJ was reformed to improve employment possibilities for people with reduced work capacity. OBJECTIVE: To describe work participation in the FJ scheme before and after the reform in the North Denmark Region. METHODS: The study population was assigned to the FJ scheme between 2010 and 2015 and followed for two years. Work participation score (WPS) was defined as the number of working weeks divided by the total number of weeks in the FJ scheme. High WPS was defined as above the median. RESULTS: A total of 4,668 people were included in the study. High WPS was significantly influenced by enrolment after policy changes (odds ratio (OR)) 1.60, 95% CI 1.41–1.81), male sex (OR 1.20, CI 1.06–1.36), age above 50 (OR 0.72, CI 0.58–0.90), peripheral living (OR 0.75, CI 0.63–0.90), contact to both somatic and psychiatric healthcare (OR 0.55, CI 0.43–0.71) and a prior strong association to the labour market (OR 5.70, CI 4.40–7.37). CONCLUSIONS: Policy changes increased work participation in the FJ scheme.
背景:在丹麦,长期和工作能力明显下降的人可以被分配到一个灵活的工作(FJ)计划。2013年,对FJ社会保障政策进行了改革,以改善工作能力下降的人的就业机会。目的:描述北丹麦地区FJ计划改革前后的工作参与情况。方法:研究人群于2010年至2015年被分配到FJ方案,并随访两年。工作参与评分(WPS)定义为工作周数除以FJ计划的总周数。高WPS被定义为高于中位数。结果:共有4668人被纳入研究。高WPS显著受政策变化后入组(比值比(OR)) (1.60, 95% CI 1.41-1.81)、男性(OR 1.20, CI 1.06-1.36)、50岁以上(OR 0.72, CI 0.58-0.90)、外围生活(OR 0.75, CI 0.63-0.90)、接触过躯体和精神保健(OR 0.55, CI 0.43-0.71)以及先前与劳动力市场的强关联(OR 5.70, CI 4.40-7.37)的影响。结论:政策变化增加了FJ计划的工作参与。
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引用次数: 0
Community employment, facility-based work, and day activities for working age people with intellectual and developmental disability 为有智力和发育障碍的适龄工作人士提供社区就业、设施工作和日间活动
IF 0.9 Q3 REHABILITATION Pub Date : 2022-06-15 DOI: 10.3233/jvr-221202
J. Houseworth, S. Pettingell, R. Stancliffe, J. Bershadsky, R. Tichá, Alicia Zhang
BACKGROUND: Individuals with Intellectual and Developmental Disability (IDD) participate in a variety of day/employment activities including community-based activities and work and facility-based activities and work. These different activities have important implications for community inclusion and economic independence. OBJECTIVE: The purpose of this study is to use the National Core Indicators-In person Survey (NCI-IPS) to explore the prevalence of day/employment activities for adult service users with IDD and to determine what personal and environmental factors are related to each type of activity. METHODS: The data analyzed in this study come from the 2018-19 National Core Indicators (NCI), a survey of adult services users with IDD in the U.S. We used descriptive statistics and multinominal logistic regression to explore how the various covariates differentially relate to the four day/employment activity types. RESULTS: A variety of personal and environmental characteristics were associated with each type of activity. Characteristics related to equity (e.g., race and gender) and support needs (e.g., mental health) were associated with less community-based work. CONCLUSIONS: This study was the first, to our knowledge, to describe the complexity of day/employment activities individuals with IDD experience in terms of prevalence and overlap. Further, this study provides evidence that certain profiles are leading to different experiences and that services do impact service users employment opportunities.
背景:患有智力和发育障碍(IDD)的个体参加各种日间/就业活动,包括以社区为基础的活动、工作和设施为基础的活动和工作。这些不同的活动对社区包容和经济独立具有重要意义。目的:本研究的目的是使用国家核心指标-亲自调查(NCI-IPS)来探讨IDD成人服务使用者日间/就业活动的流行程度,并确定个人和环境因素与每种活动类型相关。方法:本研究分析的数据来自2018-19年国家核心指标(NCI),这是一项针对美国IDD成人服务用户的调查。我们使用描述性统计和多项逻辑回归来探讨各种协变量与四天/就业活动类型的差异关系。结果:各种个人和环境特征与每种类型的活动有关。与平等(例如,种族和性别)和支持需求(例如,心理健康)有关的特征与较少的社区工作有关。结论:据我们所知,这项研究首次从患病率和重叠度方面描述了IDD患者日常/就业活动的复杂性。此外,本研究提供的证据表明,某些档案导致不同的经验,服务确实影响服务用户的就业机会。
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引用次数: 0
Use of video self-modelling to teach combined vocational and social skills to an adult with autism spectrum disorder 使用视频自我建模,向患有自闭症谱系障碍的成年人教授职业和社交技能
IF 0.9 Q3 REHABILITATION Pub Date : 2022-06-15 DOI: 10.3233/jvr-221197
N. Parsons, F. D’Aprano, A. Parish, M. E. Hughes, A. Outsikas
BACKGROUND: Autistic adults have difficulty in learning vocational and social skills, which often translates into low employment rates. Video self-modelling (VSM) is an effective educational technique for high-support-needs autistic adults, with the ability to teach challenging vocational skills as well as basic social skills. OBJECTIVE: The present study examined the use of video self-modelling to teach vocational and social skills to a 22-year-old autistic adult. Target behaviours categories included (1) reading order forms, (2) transporting goods, and (3) engaging with customers. METHODS: A multiple baseline design was used to evaluate the effectiveness of the videos in teaching these target behaviours. The dependent variables were the percentage of tasks completed correctly, and quantitative prompt dependency, using a least-to-most prompting strategy. RESULTS: Results showed that VSM modestly improved reading order forms and transporting goods, and moderately improved engagement with customers. CONCLUSION: This intervention resulted in the successful employment of an autistic adult in a job that he desired, whilst teaching him skills he specifically struggled with. As such, VSM should be considered for others wanting to learn combined social and vocational skills.
背景:自闭症成年人在学习职业和社交技能方面有困难,这往往导致就业率低。视频自我建模(VSM)是一种有效的教育技术,对高支持需求的自闭症成年人来说,它能够教授具有挑战性的职业技能以及基本的社交技能。目的:本研究考察了视频自我建模在22岁自闭症成人职业技能和社交技能教学中的应用。目标行为类别包括(1)阅读订单;(2)运输货物;(3)与客户互动。方法:采用多基线设计来评估视频在教授这些目标行为方面的有效性。因变量是正确完成任务的百分比,以及使用最少到最多提示策略的定量提示依赖。结果:VSM适度改善了订单阅读和货物运输,适度改善了与客户的互动。结论:这种干预使一个自闭症成年人成功地找到了他想要的工作,同时教会了他一些他特别难以掌握的技能。因此,对于其他想要学习社交和职业技能的人来说,应该考虑VSM。
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引用次数: 0
Traumatic brain injury vocational rehabilitation counselor competencies: Implications for training and practice 创伤性脑损伤职业康复咨询师胜任能力:对培训和实践的启示
IF 0.9 Q3 REHABILITATION Pub Date : 2022-06-15 DOI: 10.3233/jvr-221198
Keri Bennett, Christina Dillahunt-Aspillaga, Carla Lasley, Laura C. Trexler, W. Schmeeckle, Connie Walker-Egea, Christina M. González, L. Trexler
BACKGROUND: The Administration for Community Living (ACL) TBI State Partnership Program grants support states by providing funding to build capacity and infrastructure to support and maintain a system of services and supports to maximize the independence, well-being, and health of persons with traumatic brain injury (TBI). A Transition and Employment (T&E) workgroup identified competencies needed by Vocational Rehabilitation Counselors (VRC) to support people with TBI to obtain and maintain employment. OBJECTIVE: To: (1) identify self-perceived VRC TBI competence and (2) inform individual state VR training activities and competency goals. METHODS: A self-assessment online survey was employed. RESULTS: A total of 269 VR professionals across four states completed the VRC Self-Assessment between December 2020 and February 2021. The T&E workgroup identified TBI competencies across four domains (1) brain injury medical and rehabilitation, (2) employment, (3) state and local systems, resources, and service coordination, and (4) national systems, research and best practice. The results by TBI competency and the overall score for all participants show that state and local systems, resources, and service coordination is the highest area of competency, placing them close to the proficient level of knowledge. CONCLUSIONS: Future VR education and training opportunities may be informed by the results of this study.
背景:社区生活管理(ACL) TBI州伙伴计划通过提供资金来支持各州建设能力和基础设施,以支持和维护服务系统,并支持最大限度地提高创伤性脑损伤(TBI)患者的独立性、福祉和健康。过渡和就业(T&E)工作组确定了职业康复咨询师(VRC)支持TBI患者获得和维持就业所需的能力。目的::(1)识别自我感知的VRC TBI能力;(2)告知各州VR培训活动和能力目标。方法:采用自评式在线调查。结果:在2020年12月至2021年2月期间,来自四个州的269名VR专业人员完成了VRC自我评估。T&E工作组确定了四个领域的TBI能力(1)脑损伤医疗和康复;(2)就业;(3)州和地方系统、资源和服务协调;(4)国家系统、研究和最佳实践。所有参与者的TBI能力和总体得分显示,州和地方系统、资源和服务协调是最高的能力领域,使他们接近熟练的知识水平。结论:本研究的结果可能会为未来的VR教育和培训机会提供信息。
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引用次数: 0
Employer willingness to hire people with intellectual disability: The influence of employer experience, perception of work, and social responsibility 雇主雇佣智障人士的意愿:雇主经验、工作知觉和社会责任的影响
IF 0.9 Q3 REHABILITATION Pub Date : 2022-06-15 DOI: 10.3233/jvr-221201
Evan E. Dean, Veerle Garrels, H. Sigstad, Christian Wendelborg
BACKGROND: For people with intellectual disability (ID), competitive integrated employment (CIE) offers many important benefits, including opportunities for inclusion as well as enhanced mental health and quality of life. Yet, CIE outcomes for people with ID are low. One systemic issue that has not been completely studied is employer willingness to hire workers with ID. OBJECTIVE: The aim of this study was to understand factors that effect employer willingness to hire people with ID, including employers’ personal experience with ID, corporate social responsibility, and perceptions of work performance. METHOD: This study was conducted in Norway and used a survey design to understand factors that contribute to employer willingness to hire. RESULTS: Four hundred seventy-eight employers responded to the survey. Our findings suggest that employers’ perception of work performance, corporate social responsibility, and prior experience hiring employees with ID are key predictors of willingness to hire. CONCLUSIONS: Supporting employers to gain experience with employees with ID in the workplace and understand the benefits of hiring employees with ID is a critical task in the endeavor to promote competitive integrated employment for people with ID.
背景:对于智障人士(ID)来说,竞争性综合就业(CIE)提供了许多重要的好处,包括融入社会的机会,以及增强的心理健康和生活质量。然而,ID患者的CIE结果很低。一个尚未完全研究的系统性问题是雇主是否愿意雇佣有身份证的工人。目的:本研究的目的是了解影响雇主雇佣ID员工意愿的因素,包括雇主个人ID经历、企业社会责任和工作绩效感知。方法:本研究在挪威进行,并采用调查设计来了解影响雇主雇佣意愿的因素。结果:478名雇主回应了调查。我们的研究结果表明,雇主对工作绩效、企业社会责任和先前雇佣ID员工的经验的看法是雇佣意愿的关键预测因素。结论:支持雇主在工作场所获得与身份证员工的经验,并了解雇用身份证员工的好处,是促进身份证人群竞争性综合就业的关键任务。
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引用次数: 1
Career satisfaction among working age individuals with multiple sclerosis or spinal cord injury 多发性硬化症或脊髓损伤的工作年龄个体的职业满意度
IF 0.9 Q3 REHABILITATION Pub Date : 2022-06-13 DOI: 10.3233/jvr-221196
James S. Krause, C. Dismuke-Greer, Melinda Jarnecke, N. DiPiro
BACKGROUND: Joint studies of multiple sclerosis (MS) and spinal cord injury (SCI), both types of spinal cord dysfunction, have identified barriers and facilitators to employment and key outcomes including earnings and job benefits. However, there has been an absence of research on satisfaction with employment over one’s career. Such knowledge would help to establish the foundation for targeted vocational rehabilitation interventions. as well as differences in quality of employment outcomes, establishing the foundation for targeted vocational rehabilitation interventions. OBJECTIVE: Identify and quantify demographic, educational, vocational, and functional characteristics associated with career satisfaction, a quality employment outcome, among people with MS and SCI. METHODS: There were a total of 3,371 participants, 1,229 with MS and 2,142 with SCI, all of whom were in the traditional working age range (<  65 years old). Participants were identified from the Southeastern and Midwestern regions of the USA and data were collected, processed, and analyzed at a medical university in the Southeastern USA. Econometric modeling identified factors associated with career satisfaction, as defined by a five-item composite scale that was converted to Z-scores, integrating analysis using both diagnostic groups. RESULTS: Participants who were gainfully employed and those who had left the labor force (unemployed with no hopes to return to work), reported higher career satisfaction than those who were unemployed and hoping to return to work. Higher career satisfaction scores were associated with more formal education and having worked in management/professional, natural resources, or service occupations. Higher scores were also observed among those older, not single, and who had fewer functional deficits. No differences were identified as a function of diagnosis, race-ethnicity, sex, or time since injury/diagnosis. CONCLUSION: Career satisfaction was more strongly related to educational attainment, vocational history, and labor force participation, than to demographic and disability factors. Vocational counselors should target those still in the labor force for skills development, job retention and reacquisition to promote career satisfaction.
背景:多发性硬化症(MS)和脊髓损伤(SCI)这两种类型的脊髓功能障碍的联合研究已经确定了就业障碍和促进因素以及包括收入和工作福利在内的关键结果。然而,一直缺乏对职业满意度的研究。这些知识将有助于为有针对性的职业康复干预措施奠定基础。以及就业结果质量的差异,为有针对性的职业康复干预奠定了基础。目的:确定并量化与MS和SCI患者的职业满意度相关的人口统计学、教育、职业和功能特征,这是一种高质量的就业结果。方法:共有3371名受试者,其中MS 1229名,SCI 2142名,均为传统工作年龄范围(< 65岁)。参与者来自美国东南部和中西部地区,数据在美国东南部的一所医科大学收集、处理和分析。计量经济模型确定了与职业满意度相关的因素,由一个五项综合量表定义,该量表转换为z分数,使用两个诊断组进行综合分析。结果:那些有酬就业的参与者和那些已经离开劳动力市场的参与者(失业者,没有希望重返工作岗位),报告的职业满意度高于那些失业并希望重返工作岗位的人。更高的职业满意度得分与更正规的教育和在管理/专业、自然资源或服务行业工作有关。在年龄较大、非单身、功能缺陷较少的人群中,得分也较高。在诊断、种族、性别或损伤/诊断后的时间方面没有发现任何差异。结论:职业满意度与受教育程度、职业经历和劳动参与率的关系比与人口统计学和残疾因素的关系更强。职业咨询师应该针对那些仍在劳动力队伍中的人进行技能发展、工作保留和重新获得,以提高职业满意度。
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引用次数: 0
Elevating the employment outcomes of transition-age youth with disabilities: Four decades of intervention research 提高残疾过渡年龄青年的就业结果:四十年的干预研究
IF 0.9 Q3 REHABILITATION Pub Date : 2022-06-13 DOI: 10.3233/jvr-221194
Michele A. Schutz, E. Carter
BACKGROUND: Preparing students with disabilities for future employment is a primary purpose of special education and secondary transition services. OBJECTIVE: Knowing which interventions lead to subsequent employment is essential for establishing a strong evidence base that can guide the field. METHODS: We systematically reviewed available experimental and quasi-experimental studies that evaluated interventions addressing employment outcomes for transition-age youth with disabilities (ages 14–22). RESULTS: These 25 studies were of varied methodological quality, and most interventions improved employment status for youth. Collectively, these findings emphasize the importance and impact of connecting youth with disabilities to career development experiences while they are still receiving transition supports. CONCLUSION: We offer recommendations for future research focused on unpacking the key features of these multi-component interventions as well as guidance on assessing meaningful employment outcomes for youth with disabilities.
背景:帮助残疾学生为未来就业做好准备是特殊教育和中等过渡服务的主要目的。目的:了解哪些干预措施会导致后续就业,对于建立强有力的证据基础至关重要,可以指导该领域。方法:我们系统地回顾了现有的实验和准实验研究,这些研究评估了针对过渡年龄残疾青年(14-22岁)就业结果的干预措施。结果:这25项研究的方法学质量各不相同,大多数干预措施改善了青年的就业状况。总的来说,这些发现强调了在残疾青年仍在接受过渡支持时将他们与职业发展经验联系起来的重要性和影响。结论:我们为未来的研究提供了建议,重点是揭示这些多成分干预措施的关键特征,以及评估残疾青年有意义的就业结果的指导。
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引用次数: 3
Collaboration in the context of supporting people with mental health and addiction issues into employment: A scoping review 在支持有精神健康和成瘾问题的人就业方面的合作:范围审查
IF 0.9 Q3 REHABILITATION Pub Date : 2022-05-16 DOI: 10.3233/jvr-221191
Mary-Kaye Wharakura, H. Lockett, P. Carswell, Geraldine Henderson, Heather Kongs-Taylor, J. Gasparini
BACKGROUND: People with mental health and addiction issues have significantly lower levels of labor force participation than the general population. How organizations collaborate, particularly employment and health services, influence this disparity. Whilst collaboration has been examined, investigation of the role of collaboration context is limited. OBJECTIVE: To identify what affects collaboration to support people with mental health and addiction issues into employment. METHODS: A review and synthesis of the collaborative healthcare literature identified important a priori factors at macro, meso, and micro levels. A targeted scoping review of vocational rehabilitation literature identified the collaboration factors most relevant to supporting people with mental health and addiction issues into employment. RESULTS: Twenty articles met the inclusion criteria for the scoping review. Whilst some factors effecting collaboration aligned across these different contexts, there were notable differences. The vocational rehabilitation literature emphasized roles and responsibilities, contracting, training and technical assistance, sharing information, relationship continuity and practitioner value alignment. There was less emphasis in the vocational rehabilitation literature on practitioners’ beliefs about collaboration, how agencies work together around the person, and on infrastructure support. CONCLUSIONS: Collaboration in the context of supporting people with mental health and addiction issues into employment needs planning and support. Whilst many factors known to enable collaboration remain important, the collaboration context matters.
背景:有精神健康和成瘾问题的人的劳动参与率明显低于一般人群。各组织的合作方式,特别是就业和保健服务的合作方式,影响着这种差异。虽然协作已经被研究过,但对协作上下文的作用的调查是有限的。目的:确定影响协作的因素,以支持有心理健康和成瘾问题的人就业。方法:回顾和综合协作医疗文献,确定了宏观、中观和微观水平上重要的先验因素。对职业康复文献进行了有针对性的范围审查,确定了与支持有精神健康和成瘾问题的人就业最相关的协作因素。结果:20篇文章符合纳入标准。虽然影响协作的一些因素在这些不同的环境中是一致的,但存在显著的差异。职业康复文献强调角色和责任、合同、培训和技术援助、信息共享、关系连续性和从业者价值一致性。在职业康复文献中,从业者对协作的信念、机构如何围绕个人一起工作以及基础设施支持的强调较少。结论:协作在支持有心理健康和成瘾问题的人进入就业需求规划和支持的背景下。虽然已知的支持协作的许多因素仍然很重要,但协作上下文很重要。
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引用次数: 0
This is me: Impact of an electronic secondary transition tool on novel adults’ knowledge of students with developmental disabilities’ support strategies and interests 这就是我:电子辅助过渡工具对新成人对发育障碍学生支持策略和兴趣的认识的影响
IF 0.9 Q3 REHABILITATION Pub Date : 2022-05-13 DOI: 10.3233/jvr-221190
Eve Müller, Danielle Pouliot Evans, Kelly Offutt, Ann S. Kern
BACKGROUND: Critical information for supporting students with developmental disabilities is often lost in the process of transitioning from school to work and other domains of post-school life. OBJECTIVE: This study examines the impact of This is Me (TiME), an electronic secondary transition tool, on novel adults’ abilities to learn about students’ supports/interests. TiME stories are customized tools, created in collaboration with students using their personal iDevices, that allow students to teach new adults in their lives about themselves by sharing picture and video clip examples of support strategies necessary for communication, executive function, and other vital information. METHODS: Participants were transition-aged students with communication disorders and developmental disabilities (e.g., autism and/or intellectual disabilities) each paired with a novel adult. We used a randomized control design to compare novel adults’ knowledge of students before and after viewing students’ TiME stories. RESULTS: Following sharing of students’ TiME stories, novel adults were able to describe much more about students’ strategies and other personal information than following unaided conversations. CONCLUSION: TiME stories offer a promising tool for supporting transition-aged students to teach new employers, employment service providers, and other adult service staff about their strengths and needs at work and in other post-school contexts.
背景:在从学校过渡到工作和其他领域的学校生活的过程中,支持发育障碍学生的关键信息经常丢失。目的:本研究考察了电子辅助过渡工具“这就是我(时间)”对新成人了解学生支持/兴趣的能力的影响。《时代》杂志的故事是一种定制的工具,由学生们使用他们的个人设备合作创建,让学生们通过分享图片和视频剪辑的例子,向生活中的新成年人介绍他们自己,这些例子是沟通、执行功能和其他重要信息所必需的支持策略。方法:参与者是有沟通障碍和发育障碍(如自闭症和/或智力障碍)的过渡年龄学生,每个学生与一个新成人配对。我们采用随机对照设计比较小说成人在观看学生时代故事前后对学生的认知。结果:在分享学生的时代故事之后,小说成年人能够描述更多关于学生的策略和其他个人信息,而不是在没有帮助的情况下进行对话。结论:时代故事提供了一个很有前途的工具,可以帮助过渡年龄的学生向新雇主、就业服务提供者和其他成人服务人员介绍他们在工作和其他毕业后环境中的优势和需求。
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引用次数: 1
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Journal of Vocational Rehabilitation
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