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Introducing the Journal of Vocational Rehabilitation’s New Technical Editor 《职业康复》杂志新技术编辑介绍
IF 0.9 Q3 REHABILITATION Pub Date : 2022-12-12 DOI: 10.3233/jvr-221219
P. Wehman
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引用次数: 0
An updated review of the customized employment literature 定制就业文献的最新回顾
IF 0.9 Q3 REHABILITATION Pub Date : 2022-12-09 DOI: 10.3233/jvr-221222
Tim Riesen, Aubrey Snyder, Rachel N. Byers, Beth Keeton, Katherine J. Inge
BACKGROUND: There is clear federal priority to develop effective strategies to mitigate the continued disparity in employment opportunities and outcomes for people with significant disabilities. At the same time, ongoing, there are calls for rehabilitation practitioners to understand, utilize, and implement evidence-based practices (EBP) with fidelity to improve rehabilitation outcomes, such as competitive integrated employment. Customized employment (CE) emerged as a promising practice that promotes improved employment outcomes. OBJECTIVE: The purpose of this manuscript is to examine published literature on CE and to make recommendations on the best methods for establishing CE as an evidence-based practice. METHOD: We included 10 articles classified as “data-based” articles from a review of the literature on CE conducted by Riesen et al. We also conducted an electronic search of articles on CE published between 2015 and 2021. RESULTS: Existing CE research literature consists predominately of descriptive studies and consists primarily of three types including model description and project evaluation, perceptions of CE, and essential structure and competency. These studies suggest that CE produces quality employment outcomes for people with disabilities. CONCLUSION: While research on CE has expanded, future research on CE should use more robust indicators including (a) quality descriptions of the participants, (b) quality descriptions of settings and conditions, (c) descriptions of the independent variables, (d) descriptions of fidelity to procedures, and (e) quality descriptions of social validity measures. Researchers should also focus on using correlational research to establish Customized employment as an evidence-based practice.
背景:制定有效的战略,以减轻严重残疾人士在就业机会和就业结果方面的持续差距,是联邦政府明确的优先事项。与此同时,不断有呼吁康复从业者理解、利用和实施循证实践(EBP)忠实地改善康复结果,如竞争性综合就业。定制就业(CE)作为一种促进改善就业结果的有前途的实践而出现。目的:这篇文章的目的是研究已发表的关于CE的文献,并就建立CE作为循证实践的最佳方法提出建议。方法:我们从Riesen等人进行的CE文献综述中纳入了10篇被归类为“基于数据”的文章。我们还对2015年至2021年间发表的关于CE的文章进行了电子检索。结果:现有的CE研究文献主要由描述性研究组成,主要包括三种类型,包括模型描述和项目评估,对CE的看法,以及基本结构和能力。这些研究表明,行政教育为残疾人士创造了高质量的就业结果。结论:虽然对社会责任的研究已经扩展,但未来的研究应该使用更稳健的指标,包括(a)参与者的质量描述,(b)环境和条件的质量描述,(c)自变量的描述,(d)程序忠实度的描述,以及(e)社会效度测量的质量描述。研究人员还应注重利用相关研究将定制就业建立为一种基于证据的实践。
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引用次数: 4
Pathways to paid work for youth with severe disabilities: Perspectives on strategies for success 为严重残疾青年提供有偿工作的途径:对成功战略的看法
IF 0.9 Q3 REHABILITATION Pub Date : 2022-12-09 DOI: 10.3233/jvr-221221
Michele A. Schutz, B. Schwartzman, Jessica Awsumb, L. Burgess, E. Carter, J. Taylor
BACKGROUND: Paid work during high school serves as a steppingstone to postsecondary employment for young adults with severe disabilities. Yet youth with significant cognitive impairments rarely have the opportunity to experience paid work during high school. OBJECTIVE: The purpose of this study was to identify the range of facilitators that promote paid employment for youth with severe disabilities during high school. METHODS: We conducted individual and focus group interviews with 74 special educators, adult agency providers, school district leaders, family members of youth with severe disabilities, and local employers. RESULTS: Participants discussed 36 facilitators spanning nine major categories: collaboration, training and information, attitudes and mindsets, supports for youth, youth work experiences, knowledge and skill instruction, staffing, individualization, and transportation. We identified similarities and differences in the factors emphasized by each of the five stakeholder groups. CONCLUSION: Renewed attention should be focused on key practices and partnerships needed to facilitate community-based work experiences for youth with severe disabilities prior to graduation.
背景:高中期间的有偿工作是严重残疾的年轻人中学后就业的垫脚石。然而,有严重认知障碍的年轻人很少有机会在高中期间体验有偿工作。目的:本研究的目的是确定促进高中严重残疾青年有薪就业的促进因素范围。方法:我们对74名特殊教育工作者、成人机构提供者、学区领导、严重残疾青年的家庭成员和当地雇主进行了个人和焦点小组访谈。结果:与会者讨论了36个促进因素,涵盖9个主要类别:协作、培训和信息、态度和心态、对青年的支持、青年工作经验、知识和技能指导、人员配备、个性化和交通。我们确定了五个利益相关者群体所强调的因素的异同。结论:应重新关注促进严重残疾青年毕业前社区工作经验所需的关键实践和伙伴关系。
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引用次数: 0
Meaning in life and flow experiences among people with psychiatric disabilities who are engaged in peer-helping vs. non-helping work-roles 从事同伴帮扶与非帮扶工作角色的精神障碍患者的生活意义与心流体验
IF 0.9 Q3 REHABILITATION Pub Date : 2022-10-17 DOI: 10.3233/jvr-221217
May Bujanover, M. Mashiach-Eizenberg, G. Moran
BACKGROUND: Finding meaning in life and wellbeing through vocational work-roles are central to recovery of persons with psychiatric disabilities. However, there is a disconnect between positive concepts and vocational rehabilitation, rendering meaning and wellbeing rarely explored in vocational rehabilitation. OBJECTIVE: We assume higher meaning and wellbeing exists among individuals engaged in peer helping work-roles (meaningful role) as compared to non-helping work-roles. We examine this and additional questions to learn about relationships between positive concepts and vocational work-roles illuminating mental health recovery. METHODS: 114 individuals with psychiatric disabilities (ages 20-70) from various vocational-services participated. Sixty-nine worked in peer-helping roles (i.e. consumer-providers/peer-supporters) and 45 engaged in non-helping work-roles (vendors/clerical work, etc.). Participants filled in the Meaning in Life and Work-related Flow (assessing wellbeing at work) scales. Additionally, participants in peer-helping work-roles filled a peer-developed scale estimating their salience of peer-role characteristics. RESULTS: Individuals in peer-helping work-roles had significantly higher meaning in life levels than those in non-helping roles. Having meaning in life also predicted higher work-related flow across the sample. Finally, meaning in life positively mediated relations between salience of peer-role characteristics and work-related flow experiences. CONCLUSION: Researching meaning and wellbeing can broaden theoretical understanding and bear practical implications for enhancing vocational work-role fit and recovery.
背景:通过职业工作角色寻找生活的意义和幸福是精神残疾患者康复的核心。然而,积极概念与职业康复之间存在脱节,使得职业康复中很少探索意义和幸福。目的:我们假设从事同伴帮助工作角色(有意义的角色)的个体比不从事同伴帮助工作角色的个体存在更高的意义和幸福感。我们研究了这一点和其他问题,以了解积极概念和职业工作角色之间的关系,从而照亮心理健康恢复。方法:114名来自不同职业服务机构的精神障碍患者(年龄20-70岁)参与了这项研究。69人从事同伴帮扶工作(即消费者提供者/同伴支持者),45人从事非帮扶工作(供应商/文书工作等)。参与者填写了“生活意义”和“工作流程”(评估工作幸福感)量表。此外,同伴帮助工作角色的参与者填写了一份同伴开发的评估他们的同伴角色特征的显著性的量表。结果:同伴帮扶工作角色个体的生活意义水平显著高于非同伴帮扶角色个体。在整个样本中,生活有意义也预示着更高的工作心流。最后,生活意义正向中介同伴角色特征显著性与工作流体验之间的关系。结论:研究意义与幸福感对提高职业角色与工作的契合度和职业康复具有重要的理论意义和实践意义。
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引用次数: 0
Examining the special interest areas of autistic adults with a focus on their employment and mental health outcomes 检查自闭症成年人的特殊兴趣领域,重点关注他们的就业和心理健康结果
IF 0.9 Q3 REHABILITATION Pub Date : 2022-10-15 DOI: 10.3233/jvr-221218
L. A. Bross, Jonathan M. Huffman, Mayumi Hagiwara
BACKGROUND: Many individuals with autism spectrum disorder (ASD) have special interest areas (SIAs) which are characterized by significant depth and breadth of knowledge in a particular topic. These interests can continue through adulthood. OBJECTIVE: We conducted this study to develop a better understanding of the relation between SIAs and employment and mental health outcomes of adults with ASD. METHODS: Qualitative and quantitative analyses were used to examine the data with an emphasis on bringing autistic voices to the forefront of the discussion. Seventy-two adults with ASD, ages 18–53, completed an online survey describing their SIA engagement, employment status, and current mental health measured by two standardized assessments. Respondents provided open-ended responses describing their SIA and beliefs regarding SIAs broadly. RESULTS: Open-ended responses indicated adults with ASD have highly diverse SIAs that are rarely utilized in their employment experiences. Hierarchical regressions revealed SIA-related bullying was associated with higher levels of depression, anxiety, and stress. SIA employment was associated with depression such that those who were not currently employed in their SIA reported higher levels of depression. Respondents without support from people in their life related to their SIA reported higher levels of stress. CONCLUSION: SIAs are extremely important in the lives of autistic adults and should be utilized to enhance their employment experiences and overall well-being. Family members, adult service providers, and educational professionals should support and encourage SIAs.
背景:许多自闭症谱系障碍(ASD)患者都有特殊兴趣领域(SIAs),其特征是对特定主题的知识具有显著的深度和广度。这些兴趣可以持续到成年。目的:我们开展了这项研究,以更好地了解SIAs与成年ASD患者就业和心理健康结局之间的关系。方法:采用定性和定量分析来检查数据,重点是将自闭症的声音带到讨论的前沿。72名年龄在18-53岁的自闭症成年人完成了一项在线调查,该调查描述了他们在SIA的参与度、就业状况和目前的心理健康状况,这些都是通过两项标准化评估来衡量的。受访者提供了开放式的回答,广泛地描述了他们的SIA和对SIA的看法。结果:开放式回答表明,患有ASD的成年人具有高度多样化的SIAs,这些SIAs很少在他们的就业经历中使用。层次回归显示,与sia相关的欺凌与更高水平的抑郁、焦虑和压力有关。SIA就业与抑郁症相关,因此那些目前没有在SIA就业的人报告的抑郁程度更高。在生活中没有得到与SIA相关的人支持的受访者报告了更高的压力水平。结论:SIAs在自闭症成年人的生活中非常重要,应该用来提高他们的就业经验和整体幸福感。家庭成员、成人服务提供者和教育专业人员应该支持和鼓励补充免疫活动。
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引用次数: 0
Results from phase one of an early intervention vocational rehabilitation trial for people with spinal cord injury conducted in Queensland, Australia 在澳大利亚昆士兰进行的脊髓损伤患者早期干预职业康复试验的第一阶段结果
IF 0.9 Q3 REHABILITATION Pub Date : 2022-10-14 DOI: 10.3233/jvr-221214
Julia Bloom, V. McLennan, P. Dorsett
BACKGROUND: The Back2Work Early Intervention Vocational Rehabilitation (EIVR) program was developed in response to the low employment rate of people with spinal cord injuries (SCI) and their lack of access to early, specialised vocational rehabilitation (VR). The program has been delivered by qualified rehabilitation counsellors to hospital patients with newly acquired SCI since 2016. OBJECTIVE: The objective of the study was to evaluate the effectiveness and consumer perspective of the Back2Work EIVR Program. METHODS: The program was evaluated using a mixed-methods, longitudinal, prospective design. RESULTS: Data analysis revealed a return to work rate (RTW) of 43% by 12 months post-discharge. Qualitative data indicated positive participant experiences with the program, emphasising the hopefulness brought about by early vocational support. CONCLUSIONS: The Back2Work program has a positive impact on participants’ RTW outcomes, through the provision of early specialist vocational rehabilitation interventions. This includes building a positive culture around RTW after SCI and engagement with employers to maximise the likelihood of timely and sustainable re-employment. The RTW outcomes and emergent themes will help inform service development in the field of early vocational rehabilitation after SCI.
背景:Back2Work早期干预职业康复(EIVR)计划是针对脊髓损伤(SCI)患者就业率低以及他们缺乏早期专业职业康复(VR)的情况而开发的。自2016年起,该项目由合格的康复咨询师为医院新获得性脊髓损伤患者提供服务。目的:本研究的目的是评估Back2Work EIVR计划的有效性和消费者观点。方法:采用混合方法、纵向、前瞻性设计对该方案进行评估。结果:数据分析显示出院后12个月复工率(RTW)为43%。定性数据表明参与者对该计划有积极的体验,强调早期职业支持带来的希望。结论:通过提供早期专业职业康复干预,Back2Work计划对参与者的RTW结果有积极影响。这包括在SCI后建立积极的RTW文化,并与雇主接触,以最大限度地提高及时和可持续再就业的可能性。RTW结果和新兴主题将有助于脊髓损伤后早期职业康复领域的服务发展。
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引用次数: 0
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
期刊
Journal of Vocational Rehabilitation
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