Expert Consensus on Components of an Evidence-Based Framework to Facilitate Self-Employment for Persons With Disabilities: A Delphi Study.

IF 2.2 4区 医学 Q3 REHABILITATION
Luther Lebogang Monareng, Shaheed Mogammad Soeker, Deshini Naidoo
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Abstract

Background: In light of the global unemployment crisis, there is a need for research on nonconventional work, including self-employment, an alternative placement option for persons with disabilities.

Objective: The objective of the study is to establish consensus on the components of an evidence-based framework to facilitate self-employment for persons with disabilities.

Methods: End users, service providers and policy actors participated in this Delphi study. Relevant data was collected online and analysed thematically, descriptively and using frequencies.

Results: The response rates were n = 19/21 (91%) in Round 1, n = 16/19 (84%) in Round 2 and n = 15/16 (94%) in Round 3. The main findings of Round 1, through an open-ended question, were (i) an ideal tool, considerations and interventions related to entrepreneurial skills for persons with disabilities and (ii) expected roles and capacities of persons with disabilities. Through the 5-point Likert scale evaluations in Round 2, the participants identified critical components of the framework, including (i) key features, (ii) legislation that informs disability rights, (iii) involved key role players, (iv) characteristics, roles and duties of persons with disabilities and (v) the ideal tool's facilitation steps. In the final round, the participants agreed on the content of the framework's user's guide document to include the following: (i) purpose of the tool, (ii) background of the tool, (iii) how to use the tool and (iv) tool supporting resources.

Conclusion: Consensus on the components of a framework was achieved; experts regarded the framework as being nonprescriptive, prioritising practicality, accessibility and sustainability within and beyond the South African context. Participants proposed measures like a user's guide to support framework operationalisation.

专家共识的组成部分,以证据为基础的框架,以促进自营职业的残疾人:德尔菲研究。
背景:鉴于全球失业危机,有必要对包括自营职业在内的非传统工作进行研究,这是残疾人的另一种就业选择。目的:这项研究的目的是就一个以证据为基础的框架的组成部分达成共识,以促进残疾人的自营职业。方法:最终用户、服务提供者和政策参与者参与德尔菲研究。在线收集相关数据,并按主题、描述性和频率进行分析。结果:第1轮有效率为n = 19/21(91%),第2轮有效率为n = 16/19(84%),第3轮有效率为n = 15/16(94%)。通过一个开放式问题,第一轮的主要发现是(i)与残疾人创业技能相关的理想工具、考虑因素和干预措施,以及(ii)残疾人的预期角色和能力。通过第二轮的李克特5分量表评估,参与者确定了框架的关键组成部分,包括(i)关键特征,(ii)告知残疾人权利的立法,(iii)涉及关键角色的参与者,(iv)残疾人的特征、角色和职责,以及(v)理想工具的促进步骤。在最后一轮中,参与者就框架的用户指南文件的内容达成一致,包括以下内容:(i)工具的目的,(ii)工具的背景,(iii)如何使用工具和(iv)工具支持资源。结论:就框架的组成部分达成了共识;专家们认为该框架是非规范性的,优先考虑南非范围内外的实用性、可及性和可持续性。与会者提出了用户指南等措施,以支持框架的运作。
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来源期刊
CiteScore
2.50
自引率
6.70%
发文量
121
审稿时长
>12 weeks
期刊介绍: Occupational Therapy International is a peer-reviewed journal, publishing manuscripts that reflect the practice of occupational therapy throughout the world. Research studies or original concept papers are considered for publication. Priority for publication will be given to research studies that provide recommendations for evidence-based practice and demonstrate the effectiveness of a specific treatment method. Single subject case studies evaluating treatment effectiveness are also encouraged. Other topics that are appropriate for the journal include reliability and validity of clinical instruments, assistive technology, community rehabilitation, cultural comparisons, health promotion and wellness.
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