The Influence of State-Level Contextual Factors on State/Federal System Vocational Rehabilitation Employment Outcomes for Persons With Traumatic Brain Injury

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2022-01-08 DOI:10.1177/00343552211067576

C. E. Degeneffe, M. Tucker, Meredith Ross, Emre Umucu

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引用次数: 1

Abstract

The purpose of this exploratory study was to develop a preliminary understanding of the influence of state-level contextual factors predictive of employment outcomes for the U.S. State/Federal Vocational Rehabilitation System (State VR) participants with traumatic brain injury (TBI). Participants were 5,213 individuals with TBI with Individualized Plans for Employment closed during federal Fiscal Year 2016. A four-step hierarchical logistic regression model (5.6% explained variance) containing five demographic, three state-level economic, six state TBI service climate, and nine State VR service variable expenditures correctly classified 57.0% of cases as attaining or not attaining an employment outcome at closure. Significant predictors associated with an employment closure were (a) education, veteran status, and presence of a secondary area of disability impairment; (b) state-level per-capita income; (c) State VR specialized acquired brain injury (ABI)/TBI service and state TBI Implementation Partnership grant funding; and (d) State VR service expenditures on diagnosis and treatment, occupational or vocational training, on-the-job training, job readiness training, transportation, maintenance support, and benefits counseling. The practice, policy, and research implications of these findings are presented.

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州一级背景因素对州/联邦系统脑外伤患者职业康复就业结果的影响

本探索性研究的目的是初步了解美国州/联邦职业康复系统（state VR）创伤性脑损伤（TBI）参与者的州级情境因素对就业结果的预测影响。参与者是5213名患有TBI的个人，他们的个性化就业计划在2016年联邦财政年度关闭。包含五个人口统计、三个州经济、六个州TBI服务环境和九个州VR服务可变支出的四步层次逻辑回归模型（5.6%解释了方差）正确地将57.0%的病例归类为在关闭时实现或未实现就业结果。与就业终止相关的重要预测因素是：（a）教育程度、退伍军人状况和残疾损害的次要领域；（b）国家级人均收入；（c）国家VR专业获得性脑损伤（ABI）/TBI服务和国家TBI实施伙伴关系赠款资助；（d）国家虚拟现实服务支出，用于诊断和治疗、职业或职业培训、在职培训、就业准备培训、交通、维护支持和福利咨询。介绍了这些发现的实践、政策和研究意义。

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

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.