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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
Facilitators and barriers of employment among transition-age Hispanic youth with disabilities 过渡年龄西班牙裔残疾青年的就业促进因素和障碍
IF 0.9 Q3 REHABILITATION Pub Date : 2023-07-19 DOI: 10.3233/jvr-230037
Yazmin Castruita Rios, Beatrice Lee, Emre Umucu, Veronica Y Estala-Gutierrez, Jay Kim, T. Tansey
BACKGROUND: Prior research has examined the associations between demographic variables and employment outcomes in transition-age youth with disabilities, yet little is known about the supports and services that provide pathways to employment among transition-age Hispanic youth with disabilities. OBJECTIVE: The purpose of the study was to identify variables associated with employment for transition-age Hispanic youth VR participants. Among them, demographic factors, barriers to employment, services associated with exiting in competitive integrated employment and associated weekly earnings. METHODS: We used descriptive analysis to examine the demographic characteristics of the study’s sample. Variables were then dichotomized, except for age at application, to be analyzed via logistic regression and a stepwise forward regression analysis was performed to assess the association between different levels of independent variables and selected dependent variables. RESULTS: Findings were consistent with previous findings examining the relationships between sociodemographic variables, VR-related variables, and employment outcomes in transition-age youth with disabilities. Our findings revealed that there are several positive and negative sociodemographic and VR-related variables associated with employment and weekly earnings for transition-age Hispanic youth VR participants. CONCLUSION: Besides supporting transition-age Hispanic youth with disabilities, understanding familial perspectives and needs would also be critical in facilitating a successful employment experience.
背景:先前的研究已经调查了人口变量与残疾过渡年龄青年就业结果之间的关系,但对为残疾过渡年龄西班牙裔青年提供就业途径的支持和服务知之甚少。目的:本研究的目的是确定与过渡年龄西班牙裔青年VR参与者就业相关的变量。其中,人口因素、就业障碍、与竞争性综合就业相关的服务和相关的周收入。方法:我们使用描述性分析来检验研究样本的人口统计学特征。然后对除应用年龄外的变量进行二分类,通过逻辑回归进行分析,并进行逐步回归分析,以评估不同水平的自变量与选定因变量之间的相关性。结果:研究结果与之前关于社会人口变量、vr相关变量和残疾过渡年龄青年就业结果之间关系的研究结果一致。我们的研究结果表明,对于过渡年龄的西班牙裔青年VR参与者来说,有几个与就业和周收入相关的积极和消极的社会人口统计学和VR相关变量。结论:除了支持过渡年龄的西班牙裔残疾青年,了解家庭观点和需求对于促进成功的就业体验也至关重要。
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引用次数: 0
Enhancing employment outcomes for autistic youth: Using machine learning to identify strategies for success 提高自闭症青年的就业成果:利用机器学习确定成功策略
IF 0.9 Q3 REHABILITATION Pub Date : 2023-07-19 DOI: 10.3233/jvr-230034
A. Griffiths, Amy E. HURLEY-HANSON, Cristina Giannantonio, Kaleigh Hyde, Erik J. Linstead, Rachel Wiegand, J. Brady
BACKGROUND: The employment rates of autistic young adults continue to be significantly lower than that of their neurotypical peers. OBJECTIVE: Researchers in this study sought to identify the barriers and facilitators associated with these individuals’ transition into the workforce to better understand how educators and stakeholders can support students’ post-secondary career plans. METHODS: Investigators used a classification tree analysis with a sample of 236 caregivers of autistic individuals or the individuals themselves, who completed an online survey. RESULTS: The analysis identified critical factors in predicting successful employment for respondents 21 years and under and those over 21 years old. These factors included: difficulties in the job search process, challenges with relationships at work, resources used, job maintenance, motivation to work, and the application process. CONCLUSION: These findings represent the first use of machine learning to identify pivotal points on the path to employment for autistic individuals. This information will better prepare school-based professionals and other stakeholders to support their students in attaining and maintaining employment, a critical aspect of achieving fulfillment and independence. Future research should consider the perspectives of other stakeholders, including employers, and apply the findings to the development of interventions.
背景:自闭症青年的就业率持续显著低于他们的神经正常的同龄人。目的:本研究的研究人员试图确定与这些个人过渡到劳动力相关的障碍和促进因素,以更好地了解教育工作者和利益相关者如何支持学生的中学后职业规划。方法:研究人员对236名自闭症患者的护理人员或患者自己进行了分类树分析,他们完成了一项在线调查。结果:分析确定了预测21岁及以下受访者和21岁以上受访者成功就业的关键因素。这些因素包括:求职过程中的困难、工作关系的挑战、资源的使用、工作的维持、工作的动机和申请过程。结论:这些发现代表了首次使用机器学习来确定自闭症患者就业道路上的关键点。这些信息将更好地为学校专业人员和其他利益相关者做好准备,以支持他们的学生获得和维持就业,这是实现成就和独立的关键方面。未来的研究应考虑包括雇主在内的其他利益相关者的观点,并将研究结果应用于干预措施的制定。
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引用次数: 0
The usefulness of the Model of Occupational Self Efficacy (MOOSE) in returning stroke survivors to work in a rural community in Cape Town, South Africa 职业自我效能模型(MOOSE)在南非开普敦农村社区中风幸存者返回工作中的作用
IF 0.9 Q3 REHABILITATION Pub Date : 2023-07-19 DOI: 10.3233/jvr-230041
M. Soeker, Mellissa Smith, F. Karachi
BACKGROUND: Individuals diagnosed with stroke have a poor return to work rate, particularly in rural communities. OBJECTIVE: The aim of the study is to describe the experiences and perceptions of individuals diagnosed with stroke about the usefulness of the Model of Occupational Self Efficacy (MOOSE) in assisting them in returning to their worker role. METHODS: The study utilized an explorative, descriptive, qualitative research design, furthermore the data was analyzed using thematic analysis, resulting in three themes. Seven stroke survivors and one key informant participated in the study. RESULTS: Theme one: Obstacles that affect the return to work of stroke survivors in a rural community. Theme two: Re-establishing a strong belief in functional ability through participation in occupation. Finally, theme three: The MOOSE enables transition to the worker role in a rural context. CONCLUSION: The findings indicate that the MOOSE is a useful model in facilitating the return to work of individuals diagnosed with a stroke. The participants struggled to return to work not only due to their loss of abilities but also their lack of knowledge with regard to how to return to work and their diagnosis of a stroke.
背景:被诊断为中风的个体重返工作岗位的比率很低,特别是在农村社区。目的:本研究的目的是描述被诊断为中风的个体关于职业自我效能模型(MOOSE)在帮助他们回归工人角色方面的有用性的经验和看法。方法:本研究采用探索性、描述性、质性研究设计,并采用主题分析法对数据进行分析,形成三个主题。七名中风幸存者和一名关键线人参与了这项研究。结果:主题一:影响农村社区中风幸存者重返工作岗位的障碍。主题二:通过参与职业,重新树立对功能能力的坚定信念。最后,主题三:MOOSE使农村环境中的工人角色得以过渡。结论:研究结果表明,驼鹿是一个有用的模型,在促进个人返回工作诊断为中风。参与者很难重返工作岗位,不仅因为他们丧失了能力,还因为他们缺乏关于如何重返工作岗位和中风诊断的知识。
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引用次数: 0
The effectiveness of the model of occupational self-efficacy in improving the quality of life and self-efficacy beliefs in individuals living with schizophrenia: A pre- and post-intervention pilot study 职业自我效能模型在改善精神分裂症患者生活质量和自我效能信念方面的有效性:干预前和干预后的初步研究
IF 0.9 Q3 REHABILITATION Pub Date : 2023-07-19 DOI: 10.3233/jvr-230039
M. Soeker, Iesrafeel Abbas, F. Karachi
BACKGROUND: Individuals diagnosed with schizophrenia often experience major limitations in returning to work despite participating in rehabilitation programs. OBJECTIVE: The aim of the study was to determine whether individuals who were diagnosed with schizophrenia experienced improved return to work rates, quality of life and self-efficacy beliefs after participating in an intervention program that utilizes the Model of Occupational Self-Efficacy (MOOSE). METHOD: Nine (n = 9) individuals who were diagnosed with schizophrenia participated in the study. The research study specifically utilized a pre- and post-intervention research design. In order to gather data from the participants, the WHO Quality of Life Questionnaire and Self-Efficacy Questionnaires were used to determine whether the individual living with schizophrenia’s quality of life and self-efficacy beliefs improved after participating in a vocational rehabilitation program. RESULTS: All participants in this study presented with an improvement in Return-to-Work Rates, Self-Efficacy Beliefs and Quality of Life scores. The results of the study revealed a 100% return to work rate, a statistically significant effect of the intervention (i.e., MOOSE) on Self-Efficacy beliefs, measured using the Generalized Self-Efficacy Scale, F(1, 8) = 6.606, p = 0.03.*. CONCLUSION: The findings of this study indicated that MOOSE is a useful model to facilitate the return to work of individuals living with schizophrenia. It is also suggested that cognitive rehabilitative activities, life skills and work skills training in a real work environment be included as part of the vocational rehabilitation program.
背景:被诊断为精神分裂症的个体尽管参加了康复计划,但在重返工作岗位时往往遇到很大的限制。目的:本研究的目的是确定被诊断为精神分裂症的个体在参与利用职业自我效能模型(MOOSE)的干预计划后,是否能改善重返工作岗位的率、生活质量和自我效能感信念。方法:9名(n = 9)被诊断为精神分裂症的个体参与了这项研究。本研究特别采用了干预前和干预后的研究设计。为了收集参与者的数据,我们使用了WHO生活质量问卷和自我效能感问卷来确定精神分裂症患者在参加职业康复计划后是否改善了生活质量和自我效能感信念。结果:本研究的所有参与者在重返工作率、自我效能信念和生活质量得分方面均有改善。研究结果显示,干预(即MOOSE)对自我效能感信念的影响为100%,具有统计学意义,F(1,8) = 6.606, p = 0.03.*。结论:本研究结果表明,MOOSE是促进精神分裂症患者重返工作岗位的有用模型。还建议将认知康复活动、生活技能和实际工作环境中的工作技能培训作为职业康复方案的一部分。
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引用次数: 0
Teaching young adults with visual impairment and intellectual/developmental disability how to determine appropriate job fit 教导有视力障碍和智力/发育障碍的年轻人如何确定合适的工作
IF 0.9 Q3 REHABILITATION Pub Date : 2023-07-19 DOI: 10.3233/jvr-230038
Kelly B. Kearney, Ayse Torres, Saurym Quezada
BACKGROUND: Job seekers must know how to determine whether the jobs identified during a search are a good fit. Employment decision making requires problem-solving and choice-making skills. There is limited research on employment decision making skills. OBJECTIVE: The purpose of this study was to teach three young adults with dually diagnosed visual impairment and intellectual/developmental disability to determine appropriate job fit. The mnemonic “ELSE” was paired with remote audio coaching to teach the participants how to determine if the education level, likes, skills, and earnings of each presented job were an appropriate fit for them. METHODS: This study used a single subject design to determine the effectiveness of the multicomponent intervention. The design was a multiple baseline across participant design. RESULTS: The results demonstrated all three participants were able to reach a pre-determined mastery criterion of the skill. Maintenance and generalization were variable across participants. CONCLUSIONS: All participants who received the intervention increased their ability to determine appropriate job fit. The results from this study are promising and demonstrate the potential and flexibility of the mnemonic ELSE on determining appropriate job fit by young adults with VI and IDD.
背景:求职者必须知道如何判断在求职过程中发现的工作是否适合自己。就业决策需要解决问题和选择的能力。关于就业决策技能的研究有限。目的:本研究的目的是教三名双重诊断为视力障碍和智力/发育障碍的年轻人确定适当的工作适合度。助记符“ELSE”与远程音频指导相结合,教导参与者如何确定所呈现的工作的教育水平、喜好、技能和收入是否适合他们。方法:本研究采用单受试者设计来确定多组分干预的有效性。该设计是跨参与者的多基线设计。结果:结果表明所有三名参与者都能够达到预先确定的技能掌握标准。维持和泛化在不同的参与者中是不同的。结论:所有接受干预的参与者都提高了他们确定合适工作适合度的能力。本研究的结果是有希望的,并证明了记忆法ELSE在确定患有VI和IDD的年轻成年人适当的工作适合性方面的潜力和灵活性。
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引用次数: 0
Shortlists of workplace support for autistic employees: A freelisting study in the UK 工作场所对自闭症员工的支持:英国的一项自由列表研究
IF 0.9 Q3 REHABILITATION Pub Date : 2023-07-19 DOI: 10.3233/jvr-230040
Stephanie Petty, Niamh Eccles, Lid Tunstall, Hannah Richardson
BACKGROUND: Employment prospects are poor for autistic adults, despite their abilities and desire to work. OBJECTIVE: In this study, autistic and non-autistic employees gave shortlists of positive contributions of autistic employees, workplace difficulties and any adjustments being made to support autistic employees in the United Kingdom, UK. This aimed to provide routine and achievable good practice examples. METHOD: An online questionnaire was completed by 98 employees, mostly from the education sector. Freelisting methodology was implemented, which is a qualitative interviewing and data analysis technique whereby participants give their answers to survey questions as lists, to identify priority answers for a particular group. RESULTS: Consensus analysis showed that workplaces agreed on ways that autistic employees contribute positively to the workplace, including approaching workplace tasks from a different angle, attention to detail and contributing innovative and creative thinking. The main difficulties for autistic employees were noise and communication differences relative to non-autistic peers. Despite agreed difficulties and positive contributions, autistic and non-autistic employees reported usual practice in their workplaces as there being no reasonable adjustments made. CONCLUSION: Findings show the need for investment into inclusive and supportive workplaces, and call for further research into good employment practices as identified by autistic employees.
背景:自闭症成年人的就业前景很差,尽管他们有工作的能力和愿望。目的:在这项研究中,自闭症员工和非自闭症员工列出了自闭症员工的积极贡献、工作场所的困难以及为支持英国自闭症员工所做的任何调整。这旨在提供常规和可实现的良好实践示例。方法:对98名员工进行在线问卷调查,其中大部分来自教育部门。实施了自由清单方法,这是一种定性访谈和数据分析技术,参与者将调查问题的答案作为列表给出,以确定特定群体的优先答案。结果:共识分析表明,工作场所对自闭症员工对工作场所做出积极贡献的方式是一致的,包括从不同的角度处理工作任务,关注细节,贡献创新和创造性思维。自闭症员工的主要困难是相对于非自闭症同事的噪音和沟通差异。尽管有公认的困难和积极的贡献,自闭症和非自闭症雇员报告说,他们工作场所的惯常做法是没有作出合理的调整。结论:研究结果表明,需要投资于包容性和支持性的工作场所,并呼吁进一步研究自闭症员工确定的良好就业实践。
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引用次数: 0
Studies related to employment of persons with intellectual disability: A systematic review 有关智障人士就业的研究:系统回顾
IF 0.9 Q3 REHABILITATION Pub Date : 2023-07-19 DOI: 10.3233/jvr-230035
U. Jacob, Jace Pillay
BACKGROUND: There are still a lot of countries that do not provide employment opportunities to people with intellectual disability (ID). Ten years after the UN passed the Convention on the Rights of Persons with Disabilities, it is important to review existing studies on the employment of individuals with intellectual disabilities. OBJECTIVE: In this study, researchers reviewed studies that examined the employment of people with intellectual disability. METHOD: A thorough search of various bibliographic databases identified 1005 academic papers. Ten studies on the employment of persons with intellectual disabilities met the criteria for in-depth analysis. RESULTS: Employment is vital for individuals with intellectual disability, but predetermined employment options and parent-related factors may limit their access to the labour market. Efforts must be made to ensure a seamless progression from school to work. Lack of support makes bridging the gap between individual capacity and societal demands challenging. For people with intellectual disability to increase employment opportunities, stakeholders must work together. CONCLUSION: An intervention to support and follow up on older employees with intellectual disability will be greatly appreciated.
背景:目前仍有许多国家不为智障人士提供就业机会。在联合国通过《残疾人权利公约》十年后,回顾现有的关于智障人士就业的研究非常重要。目的:在这项研究中,研究人员回顾了有关智力残疾人士就业的研究。方法:对各种文献数据库进行全面检索,鉴定出1005篇学术论文。有10项关于智障人士就业的研究符合深入分析的标准。结果:就业对智障人士至关重要,但预先确定的就业选择和父母相关因素可能限制他们进入劳动力市场。必须努力确保从学校到工作的无缝衔接。缺乏支持使弥合个人能力与社会需求之间的差距变得困难。为了让智障人士增加就业机会,利益攸关方必须共同努力。结论:对老年智障员工进行干预支持和随访是非常必要的。
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引用次数: 0
Utility of the workplace participation domain of the Youth and Young-adult Participation and Environment Measure (Y-PEM): Stakeholder’s perspectives 青年和青年参与与环境测量(Y-PEM)的工作场所参与领域的效用:利益相关者的观点
IF 0.9 Q3 REHABILITATION Pub Date : 2023-07-06 DOI: 10.3233/jvr-230032
Saeideh Shahin, Mallory Ryan, Briano DiRezze, Sara Ahmed, D. Anaby
BACKGROUND: Assessing workplace participation of people with disability using measures that can inform practice is vital. OBJECTIVE: To investigate the utility of the Youth and Young-adult Participation and Environment Measure’s (Y-PEM) Workplace Participation domain. METHOD: Four focus groups were conducted with 11 stakeholders from different employment-related settings. Open-ended questions regarding Y-PEM’s interpretation, meaning and relevance, drawing on elements of clinical utility, were used. Data were analyzed by two investigators using inductive thematic analysis. RESULTS: Stakeholders’ experience in providing/receiving employment services varied (1– 16 years). Three themes emerged. The Y-PEM captures multiple factors in employment transition; it generates insights and sparks conversations to better appreciate and support individuals’ transitioning to employment. Y-PEM meets the need for tools to guide services of transitioning to employment as it is comprehensive in assessing participation and the environment, can provide a “snapshot” of where the young person is at in their transition, and serves different purposes. The tool provides a “piece of the pie” within this complex process and could be used in conjunction with other tools. CONCLUSION: Y-PEM was perceived as essential, comprehensive, and appropriate for use in clinical and employment-related service contexts to inform practice, and guide stakeholders’ decision-making in facilitating transitioning to employment.
背景:使用可以为实践提供信息的措施来评估残疾人的工作场所参与是至关重要的。目的:探讨青年和青年人参与与环境测量(Y-PEM)工作场所参与域的效用。方法:对来自不同就业相关环境的11名利益相关者进行了四个焦点小组调查。使用了关于Y-PEM的解释、意义和相关性的开放式问题,并借鉴了临床应用的要素。数据分析由两位调查员使用归纳主题分析。结果:利益相关者提供/接受就业服务的经验各不相同(1 - 16年)。出现了三个主题。Y-PEM涵盖了就业转型中的多种因素;它产生了洞察力,并引发了对话,以更好地欣赏和支持个人向就业的过渡。Y-PEM满足了对工具的需求,以指导向就业过渡的服务,因为它在评估参与和环境方面是全面的,可以提供年轻人在过渡过程中所处位置的“快照”,并具有不同的用途。该工具在这个复杂的过程中提供了“蛋糕的一部分”,并且可以与其他工具结合使用。结论:Y-PEM被认为是必要的,全面的,适合在临床和就业相关的服务环境中使用,为实践提供信息,并指导利益相关者的决策,以促进向就业的过渡。
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引用次数: 0
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Journal of Vocational Rehabilitation
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