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Contemporary vocational rehabilitation strategies for people with advanced cancer: A literature review and conceptual framework 针对晚期癌症患者的当代职业康复策略:文献综述和概念框架
IF 0.9 Q3 REHABILITATION Pub Date : 2023-11-22 DOI: 10.3233/jvr-230052
Hannah E. Fry, P. Rumrill
BACKGROUND: People with advanced cancer constitute an emerging vocational rehabilitation (VR) consumer population. OBJECTIVE: Following an overview of the nature and needs of Americans who have advanced forms of cancer, the authors present strategies to meet the service and support needs of these individuals across the phases of the VR process. METHODS: The authors present the sequential stages of the VR process, including implications for working with advanced cancer survivors during each stage. RESULTS: The importance of individualized case planning, employer consultation, workplace accommodations, interface with medical and mental health professionals, and adherence to self-care and symptom management regimens is emphasized throughout the article. CONCLUSION: Growing numbers of people worldwide are surviving advanced cancers for longer periods of time than ever before, which makes them an emerging disability population and rehabilitation clientele.
背景:晚期癌症患者是一个新兴的职业康复(VR)消费群体。目的:在概述了美国晚期癌症患者的性质和需求之后,作者介绍了在职业康复过程的各个阶段满足这些人的服务和支持需求的策略。方法:作者介绍了自愿回归过程的各个阶段,包括在每个阶段与晚期癌症幸存者合作的意义。结果:文章通篇强调了个性化个案规划、雇主咨询、工作场所便利、与医疗和心理健康专业人员的沟通以及坚持自我护理和症状管理方案的重要性。结论:全球越来越多的晚期癌症患者存活时间比以往任何时候都要长,这使得他们成为新兴的残疾人群和康复客户。
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引用次数: 0
Relationship between self-esteem and employment in people with severe mental illness: A systematic review and meta-analysis 重度精神疾病患者自尊与就业的关系:系统回顾与元分析
Q3 REHABILITATION Pub Date : 2023-10-28 DOI: 10.3233/jvr-230045
Jiaxuan Deng, Lisa Sarraf, Adèle Hotte-Meunier, Geneviève Sauvé
BACKGROUND: Results from past research on the association between work outcomes and self-esteem were inconsistent. OBJECTIVE: This study aimed to review and quantify the correlation between employment variables and self-esteem in people with severe mental illness. METHOD: The first electronic database search was performed between November 5 and November 12, 2021. A second search update was completed in September 2023. Studies that reported a correlation between at least one employment-related variable and self-esteem were subsequently verified. Pooled effect sizes were calculated with random-effects models by aggregating Fisher’s Z-to-Pearson r transformed correlations. RESULTS: The database search generated 3,547 reports. Thirteen and seven reports were included in the qualitative review and the meta-analyses, respectively. Meta-analyses results based on data from 1,065 participants suggested a positive albeit small correlation between employment variables and self-esteem in people with severe mental illness (r = 0.26, p = .002 for global self-esteem; r = 0.21, p < 0.001 for total self-esteem). It was found through systematic review that greater confidence in personal capacity, more opportunities on novel activities, and positive affirmation from coworkers were some potential mechanisms underlying self-esteem improvement following work. CONCLUSION: Future research on employment in severe mental illness would benefit from including adapted self-esteem measures and can build on this work by examining the relationships between specific employment variables (e.g., job acquisition, job tenure) and self-esteem.
背景:以往关于工作成果与自尊之间关系的研究结果并不一致。目的:回顾并量化重度精神疾病患者就业变量与自尊的相关性。方法:于2021年11月5日至11月12日进行第一次电子数据库检索。第二次搜索更新于2023年9月完成。研究报告了至少一个与就业相关的变量与自尊之间的相关性,这些研究随后得到了证实。通过汇总Fisher的Z-to-Pearson r转换相关性,使用随机效应模型计算合并效应大小。结果:数据库搜索生成了3547份报告。分别有13份和7份报告被纳入定性评价和荟萃分析。基于1065名参与者数据的荟萃分析结果表明,就业变量与严重精神疾病患者的自尊之间存在正相关,尽管相关性很小(r = 0.26, p = 0.002;R = 0.21, p <总自尊为0.001)。通过系统回顾发现,对个人能力的更大信心、更多参与新活动的机会、同事的积极肯定是工作后自尊提升的潜在机制。结论:未来对严重精神疾病患者就业的研究将受益于包括适应性自尊测量,并可以通过检查特定就业变量(如工作获得、工作任期)与自尊之间的关系来建立这项工作。
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引用次数: 0
College degree majors and associated earnings: Are there differences between people with visual impairments and the general population? 大学学位专业和相关收入:视障人士与普通人之间是否存在差异?
IF 0.9 Q3 REHABILITATION Pub Date : 2023-09-13 DOI: 10.3233/jvr-230044
Michele C. McDonnall, Jennifer L. Cmar, Zhen S. McKnight
BACKGROUND: College graduates without visual impairments earn more than college graduates with visual impairments. Differences in degree majors obtained or differences in earnings associated with degree majors for the two groups might explain this discrepancy in earnings. OBJECTIVE: The purpose of this study was to examine (a) differences in degree major categories and (b) relationships between degree majors and earnings for college graduates with and without visual impairments. METHOD: We obtained data for college-educated, working-age adults from the American Community Survey. We utilized descriptive statistics to compare degree major categories by visual impairment and multiple regression to evaluate predictors of annual earnings for college graduates who worked full-time/full-year. RESULTS: Small differences in degree majors obtained were found between college graduates with and without visual impairments. Significant predictors of earnings included 23 out of 25 degree majors and several other demographic and socioeconomic characteristics. Effects of three majors and several other variables differed for people with visual impairments. CONCLUSION: People with visual impairments were slightly more likely to hold degrees with lower-paying majors and less likely to hold degrees with two higher-paying majors. Regardless of degree major, college graduates with visual impairments had substantially lower average earnings than the general population.
背景:无视力障碍的大学毕业生的收入高于有视力障碍的大学毕业生。这两个群体在获得学位专业上的差异或与学位专业相关的收入差异可能是造成这种收入差异的原因。目的:本研究的目的是考察 (a) 有视力障碍和没有视力障碍的大学毕业生在学位专业类别上的差异以及 (b) 学位专业与收入之间的关系。方法:我们从美国社区调查(American Community Survey)中获得了受过大学教育的工作年龄成年人的数据。我们利用描述性统计来比较视力障碍的学位专业类别,并利用多元回归来评估全职/全年工作的大学毕业生的年收入预测因素。结果:有视力障碍和没有视力障碍的大学毕业生在所获学位专业方面存在微小差异。对收入有显著预测作用的因素包括 25 个学位专业中的 23 个,以及其他一些人口和社会经济特征。三个专业和其他几个变量对视障人士的影响有所不同。结论:视障者持有收入较低专业学位的可能性略高,而持有两个收入较高专业学位的可能性较低。无论学位专业如何,视障大学毕业生的平均收入都大大低于普通人。
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引用次数: 0
The Determinants of wages among disabled Americans in Non-STEM and STEM occupations 非STEM和STEM职业中美国残疾人工资的决定因素
Q3 REHABILITATION Pub Date : 2023-09-13 DOI: 10.3233/jvr-230046
Omar S. López
BACKGROUND: More than 1 in 4 adult Americans have a disability limiting their daily functioning to earn living wages. Meanwhile, the shortage of U.S. professionals in STEM fields persists because of underrepresentation of specific groups, such as racial and ethnic minorities, women, and people with disabilities. OBJECTIVE: The study investigates the determinants of wages among Americans with disabilities in non-STEM and STEM occupations to explore the feasibility of broadening their participation in STEM careers where they may earn higher wages and thereby, close the wage-gap with their non-disabled peers. METHODS: The study used a research design based on Mincer’s earnings regression model to analyze select variables as wage determinants based on data from the 2018 American Community Survey (ACS). RESULTS: While the findings suggest that within the Americans with disabilities group, working in a STEM occupation with a college degree in a STEM field was the best route to attain maximum wages, significant wage disparities exist compared to Americans without disabilities. CONCLUSION: Implications of the findings for Vocational Rehabilitation providers are discussed.
背景:超过四分之一的美国成年人患有残疾,限制了他们的日常活动,无法赚取生活工资。与此同时,由于少数族裔、女性和残疾人等特定群体的代表性不足,美国在STEM领域的专业人才短缺问题依然存在。目的:本研究调查了美国残疾人在非STEM和STEM职业中工资的决定因素,以探索扩大他们参与STEM职业的可行性,他们可能会获得更高的工资,从而缩小与非残疾同龄人的工资差距。方法:基于2018年美国社区调查(ACS)的数据,采用基于Mincer收入回归模型的研究设计,对作为工资决定因素的部分变量进行分析。结果:虽然研究结果表明,在美国残疾人群体中,在STEM领域拥有大学学位的STEM职业中工作是获得最高工资的最佳途径,但与没有残疾的美国人相比,存在显著的工资差距。结论:本研究结果对职业康复服务提供者有重要意义。
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引用次数: 0
Employment outcomes and support needs of Michigan Project SEARCH graduates with intellectual and developmental disabilities: A mixed-method study 密歇根州有智力和发育障碍的 SEARCH 项目毕业生的就业成果和支持需求:混合方法研究
IF 0.9 Q3 REHABILITATION Pub Date : 2023-09-13 DOI: 10.3233/jvr-230042
Connie Sung, Marisa H. Fisher, Christiana Okyere, Jiyoon Park, Heerak Choi
BACKGROUND: Project SEARCH is a one-year school-to-work transition program that prepares students with intellectual and developmental disabilities (IDD) for competitive employment. OBJECTIVE: The current study used a mixed-method explanatory design to examine Project SEARCH graduates’ overall experience of transitioning from Project SEARCH to employment, their long-term employment outcomes, and their support needs during and after the program. METHOD: Parents of 31 Project SEARCH graduates completed an online survey regarding the graduates’ outcomes and 9 parents agreed to participate in a follow-up interview. RESULTS: Respondents reported positive employment outcomes for 24 of the Project SEARCH graduates (77.4% employed after Project SEARCH), primarily in the customer service industry. CONCLUSION: The graduates were satisfied with their employment but also experienced difficulties and a need for additional employment preparation and support after Project SEARCH.
背景:"搜索项目 "是一个为期一年的从学校到工作的过渡项目,旨在帮助智力和发育障碍(IDD)学生做好竞争性就业的准备。目的:本研究采用混合方法解释性设计,考察 SEARCH 项目毕业生从 SEARCH 项目过渡到就业的总体经历、他们的长期就业结果以及他们在项目期间和之后的支持需求。方法:31 名 SEARCH 项目毕业生的家长完成了有关毕业生结果的在线调查,9 名家长同意参加后续访谈。结果:受访者称,24 名 SEARCH 项目毕业生(77.4% 在 SEARCH 项目结束后就业)的就业情况良好,主要从事客户服务行业。结论:毕业生对自己的就业情况表示满意,但也遇到了一些困难,需要在 SEARCH 项目结束后为就业做更多准备并获得更多支持。
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引用次数: 0
The generalized impacts of systematic instruction strategy training on the instructional staff of a vocational training center 系统教学策略培训对职业培训中心教学人员的普遍影响
IF 0.9 Q3 REHABILITATION Pub Date : 2023-09-12 DOI: 10.3233/jvr-230049
Cynthia Massey, Kathryn L. Haughney, Stephanie Devine
BACKGROUND: Vocational training centers improve outcomes for people with intellectual and developmental disabilities (IDD), but employment rates remain low. Additionally, vocational direct support professionals (DSPs) often lack the training to implement effective instruction and the administrative procedures needed for change. OBJECTIVE: This study examines the effect of behavioral skill training (BST) on the maintained procedural fidelity of evidence-based practice (EBP) instruction in direct support providers with clients who have moderate to extensive support needs (M-ESN). METHOD: Three instructor-identified EBPs for teaching individuals with IDD were selected for professional development (PD): most-to-least prompting, time delay procedures, and system of least prompts. Three single case multiple probe across behaviors experiments evaluated the efficacy of the researcher-delivered BST instruction model on trainee accuracy as assessed by trained center administrators. RESULTS: A functional relation between the BST instruction and generalized DSP implementation was indicated, despite challenges and limitations related to COVID-19. Social validity measures found the goals, procedures, and outcomes were socially significant, and the intervention was practical and effective. CONCLUSION: Practices in vocational training should reflect the high standards for systematic instruction in the K-12 setting. EPB BST training with administration progress monitoring can improve DSPs’ instruction with clients, thus improving learning outcomes for adults with M-ESN.
背景:职业培训中心改善了智力和发育障碍(IDD)患者的治疗效果,但就业率仍然很低。此外,职业直接支持专业人员(DSP)往往缺乏实施有效指导的培训,也缺乏变革所需的管理程序。目的:本研究探讨了行为技能培训(BST)对有中度至广泛支持需求(M-ESN)的客户的直接支持人员在循证实践(EBP)教学中保持程序一致性的影响。方法:在专业发展(PD)中选择了三项由指导者确定的用于教育 IDD 患者的 EBP:最多提示到最少提示、时间延迟程序和最少提示系统。三项单例多探针跨行为实验评估了研究人员提供的 BST 教学模式对受训者准确性的影响,由经过培训的中心管理人员进行评估。结果:尽管存在与 COVID-19 相关的挑战和限制,但 BST 教学与 DSP 的普遍实施之间仍存在功能关系。社会有效性测量发现,目标、程序和结果具有社会意义,干预措施实用有效。结论:职业培训的实践应反映出 K-12 环境中系统教学的高标准。带有管理进度监控的 EPB BST 培训可以改善 DSP 对客户的指导,从而改善 M-ESN 成人的学习效果。
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引用次数: 0
Describing pathways for return to work following spinal cord injury 描述脊髓损伤后重返工作岗位的途径
IF 0.9 Q3 REHABILITATION Pub Date : 2023-09-12 DOI: 10.3233/jvr-230050
Jennifer A. Dunn, Catey D. Boyce, J. Nunnerley, R. Martin, Deborah L. Snell
BACKGROUND: Spinal cord injury (SCI) frequently occurs in working-aged adults. Following SCI, return to work (RTW) is complex. OBJECTIVE: To describe RTW pathways for people with SCI in New Zealand. METHOD: Data from interviews of people with SCI were analysed using conventional content analysis and themes developed. These themes were used to develop a graphic that described RTW pathways. RESULTS: Three groups of participants were identified: those who had returned to work, those who would work when they were ready and those where work seemed too far off. Among the first two groups, the themes of constantly recalibrating expectations, having a supportive employer, control/autonomy over work role, exploring options, maintaining hope and knowing work will be there when I am ready, were prevalent. For participants where work seemed too far off, two themes, I don’t know if I can work and rehabilitation is my priority, were identified. The resulting model highlighted that RTW pathways following SCI are complex and non-linear. CONCLUSION: While RTW may be reasonably straightforward for some, for others it can be more circuitous and difficult to navigate. Therefore, vocational rehabilitation programmes should consider where the individual is on the RTW pathway and provide appropriate individualised interventions.
背景:脊髓损伤(SCI)经常发生在工作年龄的成年人身上。脊髓损伤后,重返工作岗位(RTW)非常复杂。目的:描述新西兰脊髓损伤患者重返工作岗位的途径。方法:采用传统内容分析法对 SCI 患者的访谈数据进行分析,并确定主题。这些主题被用来绘制描述复健路径的图表。结果:确定了三类参与者:已经重返工作岗位的人,准备好就会工作的人,以及工作似乎遥遥无期的人。在前两组参与者中,普遍存在的主题是:不断重新调整期望值、有一个支持我的雇主、对工作角色的控制/自主权、探索各种选择、保持希望以及知道工作会在我准备好的时候出现。对于那些工作似乎遥遥无期的参与者,有两个主题被确定下来,即我不知道我是否能够工作,以及康复是我的首要任务。由此产生的模型强调了 SCI 后的复工途径是复杂和非线性的。结论:对某些人来说,复工可能比较简单,但对其他人来说,复工可能比较曲折和困难。因此,职业康复计划应考虑个人在复工路径中的位置,并提供适当的个性化干预。
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引用次数: 0
Relationship of business practices and characteristics to supervisors’ perceived effectiveness of disability recruitment 企业做法和特点与主管人员对残疾招聘有效性的看法之间的关系
IF 0.9 Q3 REHABILITATION Pub Date : 2023-09-12 DOI: 10.3233/jvr-230047
Ada Chen, John O’Neill, Kimberly G. Phillips, A. Houtenville, Elaine Katz
BACKGROUND: Employers are increasingly interested in the inclusion of employees with disabilities in the workplace. To be inclusive, employers need effective strategies for recruiting people with disabilities (PWD) that supervisors can endorse, as they are ultimately accountable for the success of all employees that they supervise, including people with disabilities. To date, little research has focused on effective practices for recruiting people with disabilities or the supervisors’ perspectives on successful disability recruitment practices. OBJECTIVE: This study presents results from the 2017 Kessler Foundation National Employment and Disability Survey-Supervisor Perspectives (KFNEDS-SP) that utilized a novel approach to investigating employer organizational characteristics and practices related to the recruitment of PWD. METHODS: The KFNEDS-SP is a web-based survey that used standard, replicable survey methods to collect data from a Qualtrics business-to-business panel of supervisors at U.S. organizations. Respondents included 6,530 supervisors ages 18 and older from private, nonprofit, and governmental organizations across industries. RESULTS: The results show that several organizational characteristics and practices are significantly associated with supervisor perceived effectiveness of disability recruitment processes. The degree of effort put forth to recruit people with disabilities, commitment from upper management in hiring and accommodating employees with disabilities, training hiring managers in accessible recruitment and interview practices for people with disabilities were all positively related to supervisors’ perceived effectiveness of their organizations’ disability recruitment processes. However, organizations that put a lot of effort into recruiting for diversity or had diversity hiring goals were less likely to be perceived by supervisors to have effective disability recruitment processes. CONCLUSION: Supervisors are at the center of an organization’s effort to include people with disabilities in the workplace and, as such, are good barometers of what works and does not work to support the recruitment, hiring and onboarding of people with disabilities. The results of this study point to several organizational characteristics and practices that individually and together are likely to support efforts to include people with disabilities in the workplace. Disability workforce intermediaries can use these findings to assist businesses successfully include people with disabilities in their workforce.
背景:雇主们越来越重视将残疾员工纳入工作场所。为了实现包容性,雇主需要制定主管能够认可的招聘残疾人士(PWD)的有效策略,因为他们最终要对其主管的所有员工(包括残疾人士)的成功负责。迄今为止,很少有研究关注招聘残障人士的有效做法或主管对成功招聘残障人士做法的看法。目的:本研究介绍了 2017 年凯斯勒基金会全国就业与残疾调查--主管视角(KFNEDS-SP)的结果,该调查采用了一种新颖的方法来调查与招聘残疾人相关的雇主组织特征和实践。方法:KFNEDS-SP 是一项基于网络的调查,它采用标准的、可复制的调查方法,从 Qualtrics 企业对企业的美国组织主管小组中收集数据。受访者包括来自各行业私营、非营利和政府组织的 6530 名 18 岁及以上的主管。结果:研究结果表明,一些组织特征和做法与主管认为的残障人士招聘流程的有效性密切相关。为招聘残障人士所付出的努力程度、上层管理者在招聘和照顾残障员工方面的承诺、对招聘经理进行无障碍招聘培训以及残障人士面试实践,都与主管认为其所在组织的残障人士招聘流程的有效性呈正相关。然而,那些在多元化招聘方面投入了大量精力或制定了多元化招聘目标的组织,则不太可能被主管们视为拥有有效的残障人士招聘流程。结论:主管是组织努力将残障人士纳入工作场所的核心,因此,他们可以很好地衡量在支持残障人士招聘、录用和入职方面哪些有效,哪些无效。本研究的结果表明,有几种组织特征和做法可以单独或共同支持将残障人士纳入工作场所的努力。残疾人劳动力中介机构可以利用这些研究结果,帮助企业成功地将残疾人纳入其劳动力队伍。
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引用次数: 0
Choice and outcomes in worker injury rehabilitation: A mixed methods study 工伤康复的选择与结果:混合方法研究
IF 0.9 Q3 REHABILITATION Pub Date : 2023-09-12 DOI: 10.3233/jvr-230048
Olwen Anderson, V. McLennan, Christine Randall
BACKGROUND: Although workplace injury rehabilitation is a significant economic and social burden for injured workers and the community, it remains inconclusive whether the worker’s choice of provider and treatment type influences these costs or the outcome of rehabilitation. OBJECTIVE: This study explored what choices injured workers could access during rehabilitation in terms of their provider and treatment, what hindered or helped their choice, and whether workers perceived that choice influenced the outcome of their rehabilitation. METHODS: A mixed methods study was employed, utilising an online survey and semi-structured telephone interviews. RESULTS: Injured workers reported that being able to choose their provider and treatment was not straightforward. Obstacles included systemic rigidity, poor relationships between stakeholders, and unfamiliarity with the system. Most survey respondents perceived that the degree of choice they had in their treatment influenced the outcome of their rehabilitation and sometimes also their occupational bond, career, and finances. CONCLUSION: The study found that choice of provider and treatment type does matter for workers undergoing rehabilitation, impacting on outcomes including occupational bond, income, and disputes. In balancing the need for cost containment with social responsibility, both financial and psychosocial outcomes are relevant for those engaged in rehabilitation of injured workers.
背景:虽然工伤康复对工伤工人和社区来说是一项重大的经济和社会负担,但工人对医疗服务提供者和治疗类型的选择是否会影响这些成本或康复结果,目前仍无定论。目的:本研究探讨了工伤工人在康复期间可以选择哪些医疗机构和治疗方式,哪些因素阻碍或帮助了他们的选择,以及工人是否认为这种选择影响了他们的康复结果。方法:研究采用了混合方法,包括在线调查和半结构化电话访谈。结果:受伤工人表示,能够选择医疗服务提供者和治疗方法并非易事。障碍包括系统僵化、利益相关者之间关系不佳以及对系统不熟悉。大多数调查对象认为,他们对治疗的选择程度影响了他们的康复结果,有时还影响了他们的职业联系、职业生涯和经济状况。结论:研究发现,对于接受康复治疗的工人来说,选择医疗服务提供者和治疗类型确实很重要,会对包括职业联系、收入和纠纷在内的结果产生影响。在平衡成本控制与社会责任的需要时,经济和社会心理结果对于从事工伤工人康复工作的人员都很重要。
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引用次数: 0
Focus groups on employment related soft skills for transition age youth with disabilities 针对过渡年龄残疾青年就业相关软技能的焦点小组
IF 0.9 Q3 REHABILITATION Pub Date : 2023-07-21 DOI: 10.3233/jvr-230033
Weili Lu, Janice Oursler, N. Gao, Samantha J. Herrick, Jake Mariani, Jason Diviney, Crystal Socha, John Beninato
BACKGROUND: Work-related soft skills can be an important factor for successful employment outcomes, particularly for individuals with disabilities. OBJECTIVE: This study conducted two focus groups with stakeholders for two state Rehabilitation Councils to identify the needs of specific work-related soft skills for employment success of transition age youth with disabilities. METHODS: 30 participants including 10 individuals with disabilities, 5 family members of individuals with disabilities, 5 disability service providers, 9 disability advocates and 1 unidentified, completed two focus groups to identify a list of soft skills by importance for transition age youth with disabilities to succeed at work. RESULTS: Focus group participants reported that communication skills (face to face communication and emails to coworkers, customers, and employers), conflict resolution skills, advocacy skills, and professionalism are the most important soft skills for transition age youth with disabilities to be successful at work. CONCLUSION: Findings indicated soft skills are critical to work success for transition age youth with disabilities. Vocational rehabilitation providers should teach these critical soft skills when serving transition age youth with disabilities.
背景:与工作相关的软技能可能是成功就业的一个重要因素,特别是对残疾人而言。目的:本研究与两个州康复委员会的利益相关者进行了两个焦点小组,以确定过渡年龄残疾青年就业成功的特定工作相关软技能需求。方法:30名参与者,包括10名残疾人、5名残疾人家庭成员、5名残疾人服务提供者、9名残疾人倡导者和1名身份不明者,完成两个焦点小组,确定过渡年龄残疾青年在工作中取得成功的软技能列表。结果:焦点小组参与者报告说,沟通技巧(面对面沟通和与同事、客户和雇主的电子邮件)、解决冲突技巧、倡导技巧和专业精神是过渡年龄残疾青年在工作中取得成功最重要的软技能。结论:研究结果表明,软技能对过渡年龄残疾青年的工作成功至关重要。职业康复提供者在为过渡年龄的残疾青年提供服务时,应该教授这些关键的软技能。
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引用次数: 0
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Journal of Vocational Rehabilitation
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