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Exploring the experiences of individuals living with autism spectrum disorder about their worker role: The South African and Central United States contextual experience 探索自闭症谱系障碍患者的工作角色经验:南非和美国中部的情境经验
IF 0.9 Q3 REHABILITATION Pub Date : 2022-10-14 DOI: 10.3233/jvr-221216
M. Soeker, D. Beversdorf, Cortney Fish
BACKGROUND: Individuals living with autism spectrum disorder (ASD) experience challenges when they enter the open labor market or competitive employment. OBJECTIVE: The aim of the study is to explore the experiences of individuals living with ASD and the perceptions of health therapists with regard to establishing and maintaining the worker role. METHODS: The data was collected through interviews with two groups of participants diagnosed with ASD working in the open market, and key informants from South Africa and central United States of America participated in the study. RESULTS: The data were collected by means of descriptive qualitative research methods and analysed using thematic content analysis. Three themes emerged from the study. Theme one: Facilitation of integration into the workplace after work training; Theme two: A need for client-centred practice in matching the client’s job to their interest; Theme three: Work enables a sense of normality. CONCLUSION: In conclusion the study presented findings that were common among participants in both cities, especially the importance of exercising supported employment and client-centred practice in placing the individual with ASD in the workplace.
背景:自闭症谱系障碍(ASD)患者在进入开放的劳动力市场或竞争激烈的就业时面临挑战。目的:本研究的目的是探讨自闭症患者在建立和维持工作者角色方面的经验和健康治疗师的看法。方法:通过访谈两组在公开市场工作的被诊断为ASD的参与者,以及来自南非和美国中部的关键线人来收集数据。结果:采用描述性定性研究方法收集资料,采用专题内容分析方法进行分析。这项研究产生了三个主题。主题一:促进工作培训后融入工作场所;主题二:需要以客户为中心的实践,将客户的工作与他们的兴趣相匹配;主题三:工作带来常态感。结论:总之,这项研究在两个城市的参与者中都有共同的发现,特别是在工作场所安置自闭症患者时,锻炼支持性就业和以客户为中心的实践的重要性。
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引用次数: 0
Disability acceptance as a moderator of the impacts of disability stigma on job satisfaction of people with disabilities in the workplace 残疾接受在残疾污名对工作场所残疾人工作满意度的影响中起调节作用
IF 0.9 Q3 REHABILITATION Pub Date : 2022-10-13 DOI: 10.3233/jvr-221213
Jaeyoung Kim
BACKGROUND: Disability stigma is a significant risk factor that reduces job satisfaction. Based on the previous studies, the role of disability acceptance as a buffer to prevent the negative impact of stigma in the workplace is hypothesized. OBJECTIVE: This study examined the moderating effect of disability acceptance on the negative effects of disability stigma on job satisfaction of people with disabilities. METHODS: 164 participants working at the time of the survey completed questionnaires measuring disability stigma, disability acceptance, and job satisfaction. The associations among the three variables were examined using simple linear regression analyses. Hierarchical linear regression analysis was conducted to identify the moderating effect of disability acceptance after controlling disability type. RESULTS: Disability stigma (β=–0.17, p <  0.05) and disability acceptance (β=0.18, p <  0.05) were significantly associated with job satisfaction respectively. In the final model, disability acceptance moderated the relationship between disability stigma and job satisfaction (β=–0.16, p <  0.05). Specifically, the impacts of disability stigma on job satisfaction for participants with higher disability acceptance differed from those with lower acceptance. CONCLUSION: The current research suggests that disability acceptance plays a critical role for people with disabilities to cope with the negative impact of disability stigma. This result implies that disability acceptance should be an important focus of intervention to increase job satisfaction.
背景:残障耻辱感是降低工作满意度的重要风险因素。在以往研究的基础上,假设残疾接受作为缓冲的作用,以防止工作场所耻辱的负面影响。目的:研究残障接受度对残障耻辱感对残障人工作满意度负向影响的调节作用。方法:164名在调查时工作的参与者完成了残疾污名、残疾接受度和工作满意度的问卷调查。使用简单的线性回归分析来检验三个变量之间的关联。通过层次线性回归分析,在控制残疾类型后,确定残疾接受度的调节作用。结果:残障耻辱感(β= -0.17, p < 0.05)和残障接受度(β=0.18, p < 0.05)分别与工作满意度显著相关。在最后的模型中,残疾接受度调节了残疾耻辱感与工作满意度之间的关系(β= -0.16, p < 0.05)。具体而言,残障污名对工作满意度的影响在残障接受度高的被试与接受度低的被试之间存在差异。结论:目前的研究表明,残疾接受在残疾人应对残疾污名的负面影响中起着关键作用。本研究结果提示残障接受应成为提高工作满意度的重要干预重点。
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引用次数: 2
Development and validation of the Illinois brief functioning inventory 伊利诺伊州简要功能清单的开发和验证
IF 0.9 Q3 REHABILITATION Pub Date : 2022-10-13 DOI: 10.3233/jvr-221215
D. Strauser, Chelsea E. Brehmer, P. Rumrill, D. Strauser, B. Phillips, J. Kosciulek, Sa Shen
BACKGROUND: Individuals with disabilities experience disruptions in life participation at the onset or exacerbation of a disability. The multiple dimensions of functioning impacted go beyond the symptoms of a disabling condition and assessing an individual’s level of functioning is a critical first step of a strengths-based rehabilitation approach. With functioning playing an important role in the vocational rehabilitation process, it would be important to have an assessment tool that can be used to measure an individual’s level of functioning. OBJECTIVE: The purpose of this study was to examine the psychometric properties of the Illinois Brief Functioning Inventory (IBFI), a scale developed to measure the multi-dimensional nature of functioning as it relates to vocational rehabilitation, career development, and employment of people with disabilities. METHODS: Factor analysis, including exploratory factor analysis (EFA) and confirmatory factor analysis (CFA), was used to determine and validate the underlying dimension of IBFI. RESULTS: Overall, the study findings indicate strong psychometrics for a 26-item instrument comprised of five meaningful subscales identifying functioning across physical, cognitive, and emotional dimensions. CONCLUSION: The results of this study provide initial psychometric support regarding the IBFI as an instrument that can be used to identify an individual’s current level of functioning.
背景:残疾个体在残疾发作或加重时经历生活参与的中断。受影响的功能的多个方面超出了残疾状况的症状,评估个人的功能水平是基于优势的康复方法的关键的第一步。由于功能在职业康复过程中扮演着重要的角色,因此有一个可以用来衡量个人功能水平的评估工具是很重要的。目的:本研究的目的是检验伊利诺斯州简短功能量表(IBFI)的心理测量特性,IBFI是一种量表,用于测量与残疾人职业康复、职业发展和就业有关的功能的多维性质。方法:采用探索性因子分析(EFA)和验证性因子分析(CFA)进行因子分析,确定并验证IBFI的潜在维度。结果:总体而言,研究结果表明,一个由五个有意义的子量表组成的26个项目的工具具有很强的心理测量学特征,这些子量表确定了身体、认知和情感方面的功能。结论:本研究的结果为IBFI作为一种可用于识别个体当前功能水平的工具提供了初步的心理测量支持。
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引用次数: 0
Diversity field officer service: An evaluation of an employer engagement strategy trialled in Geelong, Australia 多元化现场官员服务:对澳大利亚吉朗试行的雇主参与战略的评估
IF 0.9 Q3 REHABILITATION Pub Date : 2022-10-12 DOI: 10.3233/jvr-221212
K. Murfitt, C. Gaskin
BACKGROUND: The Australian Government has applied considerable focus to improving the unemployment rate of people with disability through initiatives to build their capacity and job readiness. Far less attention has been paid to addressing the needs of business, especially small- to medium-sized enterprises (SME). OBJECTIVE: We evaluated the Diversity Field Officer Service (DFOS) pilot, which aimed to address that gap through providing direct support to SME to build disability confidence and more inclusive organizations. METHODS: We used a mixed method approach (pre- and post-service surveys along with post-service semi-structured interviews) with representatives from 36 businesses. We used descriptive statistics and thematic analysis to summarise the survey data and interview material, respectively. RESULTS: Confidence in employing people with disability increased, as did the employment of, and intention to employ, people with disability. Many businesses were implementing, or planning to implement, measures to increase the employment of people with disability. DFOS capacity building exercises and activities (e.g., one-to-one conversations to understand the specific needs and challenges of their businesses) were all rated highly. Participants were generally supportive of an ongoing role for DFOS. CONCLUSION: The DFOS holds promise as a strategy to increase the employment of people with disability in SME.
背景:澳大利亚政府相当重视通过建立残疾人的能力和就业准备的倡议来改善残疾人的失业率。对解决企业,特别是中小型企业的需要的注意要少得多。目的:我们评估了多元化现场官员服务(DFOS)试点项目,该项目旨在通过向中小企业提供直接支持来解决这一差距,从而建立残疾人信心和更具包容性的组织。方法:我们采用混合方法(离职前和离职后调查以及离职后半结构化访谈)与来自36家企业的代表。我们分别使用描述性统计和专题分析来总结调查数据和访谈材料。结果:雇佣残疾人的信心增加了,雇佣残疾人的意愿也增加了。许多企业正在实施或计划实施增加残疾人就业的措施。DFOS能力建设练习和活动(例如,一对一对话以了解其业务的具体需求和挑战)都获得了很高的评价。与会者普遍支持外勤事务厅继续发挥作用。结论:中小企业残障人士就业计划有望成为促进中小企业残障人士就业的一项战略。
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引用次数: 0
COVID-19 stress, resilience, and job loss concerns in people with chronic conditions and disabilities 慢性疾病和残疾人面临的压力、复原力和失业问题
IF 0.9 Q3 REHABILITATION Pub Date : 2022-09-30 DOI: 10.3233/jvr-221211
Roberta Thimbriel, B. Urkmez, Beatrice Lee, Emre Umucu
BACKGROUND: People experience higher levels of psychological distress during times of crisis, such as the current COVID-19 pandemic. Resilience is a psychological resource that helps people to recover from adverse events. OBJECTIVE: The purpose of this study was to determine the effects of resilience on COVID-19-related stress and worry about job loss in people with chronic conditions and disabilities (PwCID). METHODS: The Perceived Stress Questionnaire -8 (PSQ-8) and the Brief Resilience Scale were used to measure COVID-19-related stress and resilience, respectively. Demographics were also assessed. A two-step hierarchical regression and binary regression analyses were conducted. RESULTS: A moderate amount of perceived stress and resilience with mean scores of 2.45 (SD = 0.69; range 1-4) and 3.17 (SD = 0.98; range 1-5), respectively, were found among the 269 participants. Resilience (β=-0.44, p <  0.001) was significantly associated withCOVID-19-related stress after controlling for demographic variables. Results also revealed that those with higher resilience scores had lower probability to worry about job loss. CONCLUSION: PwCID who have higher scores on resilience reported lower levels of COVID-19-related stress. Resilience can be cultivated among PwCID for better psychological outcomes during times of crisis. Vocational rehabilitation counselors can implement strategies to improve resilience in PwCID.
背景:在危机时期,例如当前的COVID-19大流行,人们会经历更高程度的心理困扰。弹性是一种心理资源,可以帮助人们从不良事件中恢复过来。目的:本研究的目的是确定韧性对慢性疾病和残疾人士(PwCID)与covid -19相关的压力和失业担忧的影响。方法:采用感知压力问卷-8 (PSQ-8)和简易恢复力量表分别测量新冠肺炎相关压力和恢复力。人口统计数据也进行了评估。采用两步层次回归和二元回归分析。结果:中等程度的感知应激和恢复力得分平均为2.45分(SD = 0.69;范围1-4)和3.17 (SD = 0.98;范围1-5),分别在269名参与者中被发现。在控制人口统计学变量后,恢复力(β=-0.44, p < 0.001)与covid -19相关压力显著相关。结果还显示,弹性得分较高的人担心失业的可能性较低。结论:韧性得分较高的PwCID报告的covid -19相关压力水平较低。可以在PwCID中培养弹性,以便在危机时期获得更好的心理结果。职业康复咨询师可以实施策略来提高残疾患者的心理弹性。
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引用次数: 4
Soft skills for success for job seekers with autism spectrum disorder 自闭症谱系障碍求职者成功的软技能
IF 0.9 Q3 REHABILITATION Pub Date : 2022-08-09 DOI: 10.3233/jvr-221203
Samantha J. Herrick, Weili Lu, Janice Oursler, John Beninato, Sharon Gbadamosi, Alison Durante, Elizabeth Meyers
BACKGROUND: Direct Skills Teaching (DST) is a method for distilling a skill into digestible components for ease of teaching and learning of a new skill. Job retention is a complex phenomenon requiring numerous social competencies that include verbal and non-verbal fluency among others. Individuals with Autism Spectrum Disorder (ASD) often struggle with social communication and therefore are at a disadvantage in employment settings; even when otherwise qualified for the position. OBJECTIVE: This preliminary pilot study tested the feasibility of a DST group intervention to assist individuals with ASD with work-related soft skills, with a particular focus on informal conversational skills. METHODS: Eight master’s level Rehabilitation Counseling students facilitated groups of adults with autism spectrum disorder seeking employment. Student facilitators followed the Conversing with Others manualized curriculum, designed to teach workplace based informal conversational soft skills. Participant feedback was sought both pre and post intervention, and student facilitators recorded their observations of each group session. RESULTS: The initial findings support the feasibility of soft-skills training for work-related conversational skills teaching for job seekers with ASD. The results also supported the need for significant adjustments to the intervention as well as any future studies of the small group intervention Conversing with Others. CONCLUSIONS: Workplace conversational skills can be facilitated in a small group setting. Master’s level counselors-in-training, were able to follow a manualized DST soft-skills small group.
背景:直接技能教学(DST)是一种将技能提炼成易于理解的组成部分的方法,以方便新技能的教学和学习。工作保留是一个复杂的现象,需要多种社会能力,包括语言和非语言流利等。患有自闭症谱系障碍(ASD)的个体通常在社交沟通方面存在困难,因此在就业环境中处于不利地位;即使在其他方面符合该职位的要求。目的:这项初步的试点研究测试了DST小组干预的可行性,以帮助ASD患者掌握与工作相关的软技能,特别是非正式会话技能。方法:8名硕士康复咨询专业的学生帮助自闭症谱系障碍成人群体求职。学生辅导员遵循与他人交谈的手动课程,旨在教授基于工作场所的非正式对话软技能。在干预前后都寻求参与者的反馈,学生辅导员记录了他们对每个小组会议的观察。结果:初步研究结果支持对求职者进行工作相关会话技能教学的软技能培训的可行性。研究结果还支持了对干预措施进行重大调整的必要性,以及未来对小团体干预措施“与他人交谈”的研究。结论:工作场所会话技能可以在小团体环境中得到促进。硕士水平的培训顾问,能够跟随一个手动DST软技能小组。
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引用次数: 2
Assessment of work ability decline in workers with intellectual and developmental disabilities 智力和发育障碍工人工作能力下降的评估
IF 0.9 Q3 REHABILITATION Pub Date : 2022-08-09 DOI: 10.3233/jvr-221209
Francisco de Borja Jordán de Urríes Vega, Beatriz Sánchez Herráez, Miguel Ángel Verdugo Alonso
BACKGROUND: People with intellectual and developmental disabilities (IDD) experience work ability decline through aging and disability (WADAD), conceptualized as the process of deterioration in work ability resulting from the interaction between disability and aging, which has a direct impact on their job. OBJECTIVE: There is a need to focus on how this decline can be detected and to identify the main areas and indicators of WADAD in people with IDD, in order to build a targeted prototype assessment tool to determine a prevention protocol that extends people’s positive working lives for as long as possible. METHODS: We employed a literature review, Delphi panel, and working group through Modular Object-Oriented Dynamic Learning Environment (MOODLE). RESULTS: We created a tool, composed of 76 items, 6 dimensions, and 17 indicators, to assess WADAD in people with IDD. CONCLUSIONS: The indicators identified can be used to develop prevention and/or intervention protocols for WADAD and to produce guidance for the transition toward retirement, specifically for people with IDD. This tool helps extend the satisfying working lives— with support— of people with IDD, promoting social inclusion and participation as workers and not as pensioners.
背景:智力与发育障碍(IDD)患者通过衰老和残疾(WADAD)经历工作能力下降(work ability decline through aging and disability,简称WADAD),是残疾与衰老相互作用导致工作能力下降的过程,并直接影响其工作。目的:有必要关注如何检测这种下降,并确定IDD患者WADAD的主要领域和指标,以便建立有针对性的原型评估工具,以确定预防方案,尽可能长时间地延长人们的积极工作寿命。方法:采用文献回顾法、德尔菲小组法和工作组法,通过模块化面向对象动态学习环境(MOODLE)进行研究。结果:我们创建了一个由76个项目、6个维度和17个指标组成的工具来评估IDD患者的WADAD。结论:确定的指标可用于制定WADAD的预防和/或干预方案,并为退休过渡提供指导,特别是针对IDD患者。这一工具有助于在支持下延长IDD患者令人满意的工作生活,促进作为工人而不是作为退休人员的社会包容和参与。
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引用次数: 0
Interview skills training for people with neurodevelopmental disorders receiving vocational services: A pilot study 接受职业服务的神经发育障碍患者的访谈技巧训练:一项试点研究
IF 0.9 Q3 REHABILITATION Pub Date : 2022-08-09 DOI: 10.3233/jvr-221210
Weili Lu, Janice Oursler, Samantha J. Herrick, N. Gao, John Beninato, Tameika D. Minor, S. Franco, Gabriela Santiago, Tatiana Mihana, Emmaleigh Hauck
BACKGROUND: People with neurodevelopmental disorders often face significant challenges to finding and keeping employment including engaging in a job interview. Successfully navigating a job interview is a complex and essential stage to finding employment and requires skillful behaviors. OBJECTIVE: The study aimed to determine the feasibility of the Presenting Qualifications intervention for people with neurodevelopmental disorders. METHODS: Direct skills teaching (DST) is a researched method that can be utilized to help people learn a new skill. The current study implemented a multi-session, group based work-related soft skills intervention (“Presenting Qualifications”) for 76 people with various neurodevelopmental disorders via a DST approach. RESULTS: Participants reported increased perceived interview preparedness from pre to post intervention. Participants also reported satisfaction with the intervention. CONCLUSIONS: This suggests soft skills interventions delivered in group settings can be successfully implemented among people with neurodevelopmental disabilities. Implications of the findings and future research directions are discussed.
背景:患有神经发育障碍的人经常面临着寻找和保持工作的重大挑战,包括参加工作面试。成功地通过面试是找到工作的一个复杂而重要的阶段,需要有技巧的行为。目的:本研究旨在确定呈现资格干预对神经发育障碍患者的可行性。方法:直接技能教学(DST)是一种用于帮助人们学习新技能的研究方法。目前的研究通过DST方法对76名患有各种神经发育障碍的人实施了多时段、基于小组的工作相关软技能干预(“呈现资格”)。结果:参与者报告说,从干预前到干预后,他们对面试的准备程度有所提高。参与者也报告了对干预的满意度。结论:这表明在群体设置中提供的软技能干预可以成功地在神经发育障碍患者中实施。讨论了研究结果的意义和未来的研究方向。
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引用次数: 0
Job retention: Perspectives of individuals with blindness and low vision 工作保留:盲人和低视力个体的视角
IF 0.9 Q3 REHABILITATION Pub Date : 2022-08-09 DOI: 10.3233/jvr-221204
A. Crudden, Anne Steverson
BACKGROUND: People with blindness and low vision (BLV) encounter many obstacles in retaining employment. Recent legislation has refocused vocational rehabilitation (VR) efforts toward job retention and career advancement among persons with disabilities. OBJECTIVE: We investigated the skills, including technology, and other issues that influenced job retention among persons with BLV to gain in-depth knowledge that is not typically available using survey methods or secondary data sources. METHODS: Intensive interviews using a semi-structured protocol were conducted with 11 persons with BLV and an employment history. Interviews were transcribed, summarized by major themes, and approved by participants. A qualitative software program assisted in further coding, identifying additional themes, and organizing participants’ information. RESULTS: Participants recommended that others with BLV be proficient in assistive technology use, develop networks, and be persistent in achieving goals. Participants had positive and challenging experiences with technology, employers, and the VR service delivery system. Participants reported stress associated with their jobs and concern about their workplace efficiency. CONCLUSIONS: Results suggest that job retention continues to be problematic for persons with BLV. Service delivery systems should explore policies and services that support job retention. Further research concerning job stress, assistive technology, and workplace efficiency is needed.
背景:失明和低视力(BLV)的人在就业中遇到许多障碍。最近的立法将职业康复(VR)工作的重点重新放在残疾人的工作保留和职业发展上。目的:我们调查了影响BLV人员工作保留的技能,包括技术和其他问题,以获得通过调查方法或二手数据源通常无法获得的深入知识。方法:采用半结构化方案对11名有BLV和工作经历的人进行了密集访谈。采访被记录下来,按主要主题总结,并由参与者批准。一个定性的软件程序协助进一步编码,确定额外的主题,并组织参与者的信息。结果:参与者建议其他BLV患者熟练使用辅助技术,发展网络,并坚持实现目标。参与者在技术、雇主和虚拟现实服务提供系统方面都有积极而富有挑战性的经历。参与者报告了与工作有关的压力,以及对工作效率的担忧。结论:结果表明,BLV患者的工作保留仍然是一个问题。服务提供系统应探索支持保留工作的政策和服务。需要进一步研究工作压力、辅助技术和工作场所效率。
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引用次数: 0
Maintaining functional working memory through job activities: A study among patients with schizophrenia enrolled in a supported employment program 通过工作活动维持功能性工作记忆:一项对参加就业支持计划的精神分裂症患者的研究
IF 0.9 Q3 REHABILITATION Pub Date : 2022-08-06 DOI: 10.3233/jvr-221205
Nurul Nadia Hasbollah, Abdul Kadir Abu Bakar, Norley Shuib, Ahmad Taufik Jamil, S. Razali, Suhaila Md Som
BACKGROUND: Employment is crucial in rehabilitation of patients with schizophrenia. It may have positive effects on cognitive function, including working memory. OBJECTIVE: The objective of this study was to look for evidence to confirm continuous job activities could maintain functional working memory in patients with schizophrenia. METHODS: This was a cross-sectional study involving patients with schizophrenia enrolled in supported employment (SE) program. Informed consent was obtained. Socio-demographic, employment, and clinical data were acquired from interview and clinical notes. Mini International Neuropsychiatric Inventory (M.I.N.I) was used to confirm the diagnosis of schizophrenia. Working memory was evaluated using Weschler Memory Scale Third Edition -Letter-Number Span and Spatial Span. RESULTS: 118 patients were recruited with a mean age of 43.76 years old (SD = 8.96). Most were male, Malays, Muslims, single, and received at least secondary education. There was a significant association between working memory and employment outcome (χ 2 = 20.835, p <  .001), and past work history (χ 2 = 10.077, p = 0.002). Multiple logistic regression indicated that the employment outcome (adjusted OR: 12.50; 95% CI: 2.55–61.21; p = 0.002) and past work history (adjusted OR: 3.36; 95% CI: 1.05–10.70; p = 0.041) were significant predictors of working memory among patients with schizophrenia in SE program. CONCLUSION: This study indicated that continuous job activities could maintain functional working memory in patients with schizophrenia.
背景:就业是精神分裂症患者康复的关键。它可能对认知功能有积极影响,包括工作记忆。目的:本研究的目的是寻找证据来证实持续的工作活动可以维持精神分裂症患者的功能性工作记忆。方法:这是一项横断面研究,涉及参加支持就业(SE)计划的精神分裂症患者。获得知情同意。从访谈和临床记录中获得社会人口统计、就业和临床数据。迷你国际神经精神量表(m.i.i.)用于确认精神分裂症的诊断。工作记忆采用Weschler记忆量表第三版-字母-数字广度和空间广度进行评估。结果:118例患者入组,平均年龄43.76岁(SD = 8.96)。大多数是男性,马来人,穆斯林,单身,至少受过中等教育。工作记忆与就业结果(χ 2 = 20.835, p < 0.001)和过去工作经历(χ 2 = 10.077, p = 0.002)存在显著相关。多元logistic回归表明,就业结果(调整OR: 12.50;95% ci: 2.55-61.21;p = 0.002)和过去工作经历(调整OR: 3.36;95% ci: 1.05-10.70;p = 0.041)是SE项目中精神分裂症患者工作记忆的显著预测因子。结论:连续工作活动可维持精神分裂症患者的功能性工作记忆。
{"title":"Maintaining functional working memory through job activities: A study among patients with schizophrenia enrolled in a supported employment program","authors":"Nurul Nadia Hasbollah, Abdul Kadir Abu Bakar, Norley Shuib, Ahmad Taufik Jamil, S. Razali, Suhaila Md Som","doi":"10.3233/jvr-221205","DOIUrl":"https://doi.org/10.3233/jvr-221205","url":null,"abstract":"BACKGROUND: Employment is crucial in rehabilitation of patients with schizophrenia. It may have positive effects on cognitive function, including working memory. OBJECTIVE: The objective of this study was to look for evidence to confirm continuous job activities could maintain functional working memory in patients with schizophrenia. METHODS: This was a cross-sectional study involving patients with schizophrenia enrolled in supported employment (SE) program. Informed consent was obtained. Socio-demographic, employment, and clinical data were acquired from interview and clinical notes. Mini International Neuropsychiatric Inventory (M.I.N.I) was used to confirm the diagnosis of schizophrenia. Working memory was evaluated using Weschler Memory Scale Third Edition -Letter-Number Span and Spatial Span. RESULTS: 118 patients were recruited with a mean age of 43.76 years old (SD = 8.96). Most were male, Malays, Muslims, single, and received at least secondary education. There was a significant association between working memory and employment outcome (χ 2 = 20.835, p <  .001), and past work history (χ 2 = 10.077, p = 0.002). Multiple logistic regression indicated that the employment outcome (adjusted OR: 12.50; 95% CI: 2.55–61.21; p = 0.002) and past work history (adjusted OR: 3.36; 95% CI: 1.05–10.70; p = 0.041) were significant predictors of working memory among patients with schizophrenia in SE program. CONCLUSION: This study indicated that continuous job activities could maintain functional working memory in patients with schizophrenia.","PeriodicalId":47208,"journal":{"name":"Journal of Vocational Rehabilitation","volume":"6 1","pages":""},"PeriodicalIF":0.9,"publicationDate":"2022-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88830870","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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Journal of Vocational Rehabilitation
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