Screening Young Adult Cancer Patients for Vocational Rehabilitation Services: A Vocational Rehabilitation Readiness Screening Tool.

IF 2.5 3区医学 Q1 REHABILITATION

Journal of Occupational Rehabilitation Pub Date : 2025-01-28 DOI:10.1007/s10926-025-10270-x

Rhonda Robert, Clark R Andersen, Kathleen M Murphy, Sandra Medina-George, Melissa Scardaville, Sha-Ron Conley, David Farris, Michael Roth, Vinh Nguyen, Lex Frieden

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引用次数: 0

Abstract

Purpose: We aimed to develop an online vocational rehabilitation (VR) readiness screening (VRRS) tool for young adults diagnosed with cancer. VR readiness was defined as being physically and cognitively ready to enter or return to work or school.

Methods: We developed an initial VRRS tool informed by previous studies, a scoping review to determine such a tool had not already been developed, and consultation with subject matter experts. We iteratively refined the tool on the basis of four rounds of interviews with young adults with cancer. The refined VRRS was then administered online to patients before they attended scheduled clinic appointments. We evaluated the VRRS completion rate; the ability of the online VRRS tool to assess patients' readiness for VR; and the concordance between clinical interview and that of the online VRRS tool, which was determined by using Cohen's κ or a fitting alternative; κ ≥ .61 suggested clinical utility.

Results: The proportion of study participants completing the VRRS was 72.3% (136/188, 95% CI [65.4%, 78.6%]) and 69.2% (81/117, 95% CI [60.0%, 77.4%]) of participants who completed a clinical interview also completed the online VRRS tool. All clinical interview determinations and 93.8% (76/81) of online VRRS tool indicated participants' VR readiness. The VRRS-clinical interview agreement rate was 93.8% (95% CI [86.2%, 98.0%]). The prevalence index, bias index, and prevalence- and bias-adjusted κ statistic with 95% CIs were 0.938 [- 0.991, - 0.886], 0.062 [0.009, 0.114], and 0.877 [0.724, 0.959], respectively.

Conclusion: The VRRS tool is thus both feasible and effective in this sample of young adults with cancer.

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筛选青年癌症患者接受职业康复服务：一种职业康复准备程度筛选工具。

目的：我们旨在为诊断为癌症的年轻成年人开发一种在线职业康复（VR）准备筛查（VRRS）工具。VR准备被定义为身体和认知上准备好进入或返回工作或学校。方法：我们根据以前的研究开发了一个初始的VRRS工具，进行了范围审查以确定该工具尚未开发，并咨询了主题专家。我们在对患有癌症的年轻成年人进行了四轮访谈的基础上，反复改进了这个工具。然后，在患者参加预定的诊所预约之前，将改进的VRRS在线管理给他们。我们评估VRRS完成率；在线VRRS工具评估患者VR准备情况的能力；临床访谈与在线VRRS工具的一致性，通过使用Cohen's κ或拟合替代来确定；κ≥。61例建议临床应用。结果：完成VRRS的研究参与者比例为72.3% (136/188,95% CI[65.4%, 78.6%])，完成临床访谈的参与者完成在线VRRS工具的比例为69.2% （81/117,95% CI[60.0%, 77.4%]）。所有的临床访谈决定和93.8%（76/81）的在线VRRS工具表明参与者的VR准备。vrrs -临床访谈一致性率为93.8% （95% CI[86.2%, 98.0%]）。流行指数、偏倚指数及经流行和偏倚校正后的κ统计量（95% ci）分别为0.938[- 0.991,- 0.886]、0.062[0.009,0.114]、0.877[0.724,0.959]。结论：VRRS工具在年轻成年癌症患者中是可行和有效的。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Occupational Rehabilitation Multiple-

CiteScore

5.80

自引率

12.10%

发文量

期刊介绍： The Journal of Occupational Rehabilitation is an international forum for the publication of peer-reviewed original papers on the rehabilitation, reintegration, and prevention of disability in workers. The journal offers investigations involving original data collection and research synthesis (i.e., scoping reviews, systematic reviews, and meta-analyses). Papers derive from a broad array of fields including rehabilitation medicine, physical and occupational therapy, health psychology and psychiatry, orthopedics, oncology, occupational and insurance medicine, neurology, social work, ergonomics, biomedical engineering, health economics, rehabilitation engineering, business administration and management, and law. A single interdisciplinary source for information on work disability rehabilitation, the Journal of Occupational Rehabilitation helps to advance the scientific understanding, management, and prevention of work disability.