The outcomes of a vocational rehabilitation and mentorship program in unemployed young adults with acquired brain injury.

IF 2.4 3区 工程技术 Q2 ENGINEERING, INDUSTRIAL
Frederike van Markus-Doornbosch, J. Meesters, G. Volker, Wil A Ijzereef, W. B. Hout, T. V. Vlieland, A. J. D. Kloet
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Abstract

BACKGROUND Persons with disabilities are at risk for unemployment with negative long-term consequences. OBJECTIVE This study aimed to explore the process and outcomes of a novel vocational rehabilitation (VR) program based on the concept of mentorship. METHODS Observational, retrospective study including unemployed young adults with acquired brain injury (ABI) taking part in a VR program including assessment, training, individual counselling and mentor support from volunteering professionals. Adherence to the program and work status were registered and at follow-up all patients were invited to complete a general questionnaire and EuroQol 5D. RESULTS 49 patients started the program, with 41 completing the follow-up. Median age was 31 years and 19 were male. Median duration of the program was 8 months. At follow-up, 9 patients had acquired paid employment, 7 with the support of a mentor; 6 of whom were bothered by health problems at work. Nine patients left the program prematurely, with insufficient financial support for continuation being the primary reason for withdrawal (n = 6). CONCLUSIONS A VR program including a mentor may be a promising program for patients who are unemployed at onset of ABI. Lack of financial support to complete the program and concurrent health problems were found to hamper the process and outcomes of the program, respectively.
职业康复和指导计划对后发性脑损伤的失业青年的效果。
背景:残疾人面临失业的风险,其长期后果是消极的。目的探讨基于师徒概念的新型职业康复(VR)项目的实施过程和效果。方法采用观察性、回顾性研究方法,研究对象为参加VR项目的失业青年获得性脑损伤(ABI)患者,该项目包括评估、培训、个人咨询和志愿者专业人员的导师支持。对项目的依从性和工作状态进行登记,并在随访时邀请所有患者完成一般问卷和EuroQol 5D。结果49例患者开始治疗,41例患者完成随访。中位年龄为31岁,男性19岁。该计划的中位持续时间为8个月。随访时,9例患者获得有偿就业,7例患者获得导师支持;其中6人因工作中的健康问题而烦恼。9名患者过早退出该项目,退出的主要原因是资金支持不足(n = 6)。结论对ABI发病时无业的患者,有导师参与的VR项目可能是一个有前景的项目。研究发现,缺乏资金支持来完成项目和同时存在的健康问题分别阻碍了项目的进程和结果。
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来源期刊
Cognition Technology & Work
Cognition Technology & Work ENGINEERING, INDUSTRIAL-
CiteScore
6.90
自引率
7.70%
发文量
26
审稿时长
>12 weeks
期刊介绍: Cognition, Technology & Work focuses on the practical issues of human interaction with technology within the context of work and, in particular, how human cognition affects, and is affected by, work and working conditions. The aim is to publish research that normally resides on the borderline between people, technology, and organisations. Including how people use information technology, how experience and expertise develop through work, and how incidents and accidents are due to the interaction between individual, technical and organisational factors. The target is thus the study of people at work from a cognitive systems engineering and socio-technical systems perspective. The most relevant working contexts of interest to CTW are those where the impact of modern technologies on people at work is particularly important for the users involved as well as for the effects on the environment and plants. Modern society has come to depend on the safe and efficient functioning of a multitude of technological systems as diverse as industrial production, transportation, communication, supply of energy, information and materials, health and finance.
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