Journal of Occupational Rehabilitation最新文献

{"title":"Predicting Work Disability Related to Spinal Pain: A Systematic Review of the Most Clinically Relevant Tools.","authors":"Thomas Gerard, Pierre-Luc Lachance, Martin Rabey, Yannick Tousignant-Laflamme","doi":"10.1007/s10926-025-10294-3","DOIUrl":"https://doi.org/10.1007/s10926-025-10294-3","url":null,"abstract":"<p><strong>Purpose: </strong>Musculoskeletal disorders, especially spinal conditions, are leading causes of disability, contributing significantly to work absenteeism and socio-economic burden. Rehabilitation is essential for promoting sustainable return to work (RTW). However, clinicians need reliable tools with appropriate psychometric properties to determine patients' risk of persistent work disability and tailor interventions. This systematic review objectives were to (1) identify clinically useful questionnaires that enable clinicians to identify individuals with spinal pain (back or neck pain) at risk of work disability, and (2) document the psychometric properties of the identified questionnaires.</p><p><strong>Methods: </strong>A systematic search was conducted in three databases from inception to 01/10/2025, to retrieve relevant studies. Studies were included if they reported self-administered questionnaires with ≤ 15 items predicting RTW outcomes in spinal disorders. Tools were evaluated based on psychometric properties (calibration, discrimination), and pragmatic characteristics (number of items, readability).</p><p><strong>Results: </strong>Seventeen studies were retrieved including 16 unique questionnaires of which four demonstrated sufficient discrimination capability. From these, the Örebro musculoskeletal pain questionnaire 10-items (ÖMPQ- 10), STarT Back screening tool (SBST), and a single item from the ÖMPQ- 25 demonstrated acceptable to excellent discrimination for low back pain populations, but showed lower discrimination for mixed or neck pain populations.</p><p><strong>Conclusion: </strong>The SBST, ÖMPQ- 10, and single items from the ÖMPQ- 25 performed best in predicting RTW outcomes for low back pain. No questionnaire had sufficient discriminatory capability for neck pain. These results should be interpreted with caution, as the overall risk of bias assessment remains unclear for the OMPQ- 10 and high for the SBST. Further research is necessary to develop or validate tools specific to neck pain and mixed populations.</p>","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143988248","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Disclosure Impact of Mental Health Conditions in the Workplace: A Scoping Review and a Thematic Analysis.","authors":"Cyrielle Richard, Marc Corbière, Hubert Fiset-Renaud, Meryl Caiada, Justin Lamontagne, Felix Diotte, Anne-Marie Kik, Raphaëlle Merlo, Tania Lecomte","doi":"10.1007/s10926-025-10288-1","DOIUrl":"https://doi.org/10.1007/s10926-025-10288-1","url":null,"abstract":"<p><strong>Objective: </strong>Disclosing one's mental health conditions in the workplace is essential for accessing accommodations, but it can also bring negative consequences. This scoping review aims at collecting positive and negative impacts of disclosing mental health conditions in the workplace, with the hope of better supporting employees and organizations facing mental health disclosure at work.</p><p><strong>Method: </strong>We conducted a synthesis of studies published between March 2000 and February 2025. Selected articles needed to address disclosure and mental health conditions in the workplace, from the perspective of employees, managers or organizations. Study biases were assessed using the Cochrane Risk of Bias Comparison. Articles were reviewed following principles of thematic analysis.</p><p><strong>Results: </strong>The 71 included studies reflect the range of impacts of mental health conditions disclosure. In total, 5 overarching themes and 12 themes were generated for the positive outcomes, whereas 6 overarching themes and 19 themes were identified for the negative outcomes. Those themes reflected both individual and organizational perspectives. Positive responses include receiving accommodations, advocacy engagement, improvement in self-image, and better relationships within the work environment. Negative repercussions include unmet needs, refusal of assistance, diminished self-perception, regret over disclosure, and negative/discriminatory behavior from colleagues or managers, particularly in highly stereotyped jobs (e.g., Law enforcement).</p><p><strong>Conclusion: </strong>The scoping review highlights the repercussions of disclosing mental health conditions in the workplace and their specific implications for organizations, managers and employees. Recommendations for improving the impact of mental health conditions disclosure in the workplace are proposed.</p>","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143796801","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Validation of JEM Soignances Job-Exposure Matrix Through Comparison with Self-Reported Exposures Among Healthcare Workers in CONSTANCES.","authors":"Allison Singier, Marc Fadel, Fabien Gilbert, Marie Zins, Laura Temime, Alexis Descatha","doi":"10.1007/s10926-025-10289-0","DOIUrl":"https://doi.org/10.1007/s10926-025-10289-0","url":null,"abstract":"<p><strong>Purpose: </strong>A healthcare-specific job-exposure matrix, JEM Soignances, was recently developed to assess the occupational exposome of healthcare workers. This study aimed to compare estimates of known associations between occupational exposures and health outcomes obtained using JEM Soignances and self-reported data.</p><p><strong>Methods: </strong>Healthcare professionals from the CONSTANCES cohort with linked data from the French National Healthcare Database (SNDS) were included (n = 12219). Exposures were estimated using JEM Soignances (occupations and sectors of activity) and its alternative version (+ establishment size and status), as binary exposure at inclusion or as lifetime cumulative exposure (< 10y/ ≥ 10y). Association with relevant health outcomes (i.e., pain, depressive symptoms, hypertension, cancer, use of psychoactive drugs) were evaluated using logistic regression and compared to estimates obtained from self-reported exposure data in terms of direction, magnitude, and significance.</p><p><strong>Results: </strong>For organizational exposures, 10/16 associations for JEM Soignances and 12/16 for the alternative version aligned with self-reported data in direction and magnitude. For biomechanical exposures, confidence intervals overlapped in 11/15 associations for JEM Soignances and in 9/15 for the alternative version. For the others, discrepancies generally lean toward underestimation. For psychosocial exposure, JEM Soignances revealed significant limitations: While self-reported effort-reward imbalance was strongly associated with depressive symptoms (aOR = 3.18[2.81;3.59]), JEM Soignances underestimated this association (aOR = 1.37[1.23;1.54]), and the alternative version failed to detect it (aOR = 0.99[0.87;1.13]).</p><p><strong>Conclusion: </strong>JEM Soignances demonstrated good agreement with self-reported data for organizational and biomechanical exposures but failed for psychosocial exposure, often underestimating or missing associations. Further research is needed to evaluate JEM Soignances validity for biological, chemical, and physical exposures.</p>","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143765442","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Capturing the Perspectives of \"Laypeople\" on Policy Effectiveness: Employers' and Precariously Employed Workers' Suggested Improvements for the Workers' Compensation System and Work Injury Processes.","authors":"Nicole Billias, Ellen MacEachen","doi":"10.1007/s10926-025-10287-2","DOIUrl":"https://doi.org/10.1007/s10926-025-10287-2","url":null,"abstract":"<p><strong>Purpose: </strong>Precarious employment rates are rising, which challenges the effectiveness of current workers' compensation systems. Precariously employed workers encounter problems related to short-term and/or temporary employment, and complicated employment relationships. Few voices are captured in the literature from precariously employed workers and employers of these workers regarding day-to-day experience of workers' compensation policies. This article describes employers' and precariously employed workers' suggested changes and improvements to a workers' compensation system and other processes related to work injury and return-to-work.</p><p><strong>Methods: </strong>Semi-structured interviews were conducted in Ontario, Canada with 36 precariously employed workers and 15 employers of precariously employed workers who were recruited via social media, email lists, cold calling, word-of-mouth, and the \"snowball\" method. Thematic code summaries were analyzed to identify suggested workers' compensation system improvements that relate to precarious employment.</p><p><strong>Results: </strong>Employers' and precariously employed workers' suggestions fell into the categories of (1) communication, (2) worker health and healthcare, and (3) worker and employer support.</p><p><strong>Conclusion: </strong>Identifying precariously employed workers and employers of precariously employed workers' suggestions enables a better understanding of areas of improvement for workers' compensation policy and how these policy changes could affect these interested parties with regards to managing workplace rehabilitation and disability.</p>","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143765441","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparing the Effectiveness of Digital and Conventional Rehabilitation Aftercare on Work Ability in Orthopedic Patients: A Longitudinal Study in Germany.","authors":"Detlef Schmidt, Jakob Hedin, Anna Pelegrina, Susanne Weyland, Lena-Marie Rittmann, Darko Jekauc","doi":"10.1007/s10926-025-10284-5","DOIUrl":"https://doi.org/10.1007/s10926-025-10284-5","url":null,"abstract":"<p><strong>Purpose: </strong>The primary aim of this study was to compare the effectiveness of digital rehabilitation aftercare (digIRENA) with conventional rehabilitation aftercare (IRENA) and a control group without organized aftercare in improving work ability among orthopedic patients.</p><p><strong>Methods: </strong>A total of 1056 orthopedic rehabilitation patients were recruited from multiple rehabilitation clinics in Germany and randomly assigned to three groups: digIRENA (n = 405), IRENA (n = 352), or a control group (n = 299). Work ability was assessed using the short version of the Work Ability Index at four time points: baseline, 13, 26, and 43 weeks post-baseline. Repeated-measures ANOVA was conducted to examine longitudinal trends in work ability, with additional analyses to assess the impact of age, gender, and employment status on outcomes.</p><p><strong>Results: </strong>Work ability improved significantly over time in all three groups (F = 37.6, p < 0.01, η² = 0.045). In the unadjusted analysis, the interaction between time and group was significant (F = 2.2, p < 0.01, η² = 0.006), indicating a steeper initial improvement in the digIRENA group compared to IRENA and control. However, when adjusting for age, gender, and employment status, this difference was no longer significant, suggesting that selection bias and baseline differences explain the unadjusted group effect. Across all groups, younger and unemployed participants showed greater improvements in work ability.</p><p><strong>Conclusion: </strong>In unadjusted comparisons, digital aftercare showed a steeper initial improvement in work ability. However, once key sociodemographic factors were controlled for, these group differences disappeared.</p>","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143721965","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Conceptualizing Stigma in the Injured Worker Literature: A Scoping Review.","authors":"Mila Popovic, Lauren Reynolds, Chelsea Noël, Lynn Cooper, K Amanda Maranzan","doi":"10.1007/s10926-025-10280-9","DOIUrl":"https://doi.org/10.1007/s10926-025-10280-9","url":null,"abstract":"<p><strong>Purpose: </strong>Injured workers experience stigmatization, but the current literature has not applied a stigma lens to this demographic. Stigmatizing experiences are described, but not by readily using the term \"stigma,\" making it difficult to locate these works. The purpose of this scoping review was to identify the terms and phrases that are being used to describe the stigmatizing experiences of injured workers.</p><p><strong>Methods: </strong>A scoping review was conducted, searching MEDLINE, PsycINFO, and CINAHL for papers that described the stigma experiences of injured workers. The main objectives were to determine (i) whether the term \"stigma\" was used (and if it was a major or minor term) and (ii) what terms were used to describe these stigmatizing experiences. Post hoc, the terms were grouped into components of popular stigma theories (Attribution Theory, Modified Labeling Theory, and the Regressive Self-Stigma Model).</p><p><strong>Results: </strong>100 articles were included in the review. 48% of the studies used the term \"stigma,\" but of these studies, only 11 (23%) used \"stigma\" consistently throughout their papers. There were 271 unique terms identified that described the stigmatizing experiences injured workers face, which most commonly described cognitive and behavioral forms of stigma.</p><p><strong>Conclusions: </strong>This review confirmed that a stigma lens has not been adopted to describe the experiences of injured workers, but that prominent theories of public and structural stigma explain these experiences well. This review also consolidated the various terms used to describe stigma experiences of injured workers, which will improve accessibility of the current literature for knowledge users and interested parties.</p>","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143659072","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assisting Employers of Small and Medium-Sized Enterprises (SMEs) to Support Employees on Long-Term Sick-Leave: Development of a Web-Based SME Tool Using Intervention Mapping.","authors":"Donna C E Beerda, Frederieke G Schaafsma, Sietske J Tamminga, Astrid de Wind, Angelique E de Rijk, Michiel A Greidanus","doi":"10.1007/s10926-025-10281-8","DOIUrl":"https://doi.org/10.1007/s10926-025-10281-8","url":null,"abstract":"<p><strong>Purpose: </strong>Employers of small and medium-sized enterprises (SMEs) face challenges in supporting employees on long-term sick-leave, due to limited resources and expertise available. This study aimed to develop an intervention assisting employers of SMEs in supporting long-term sick-listed employees during sick-leave and return to work (RTW).</p><p><strong>Methods: </strong>Intervention mapping (IM) steps 1-4 were employed to develop the intervention. For the needs assessment, 20 employers, 8 employees, 8 occupational physicians, and 9 other stakeholders were interviewed (step 1). A logic model of change was developed (step 2), followed by the identification of theoretical methods for achieving the changes required (step 3). The intervention was composed (step 4), incorporating the results of a pilot test with 4 employers, 4 employees, 4 occupational physicians, and 3 other stakeholders.</p><p><strong>Results: </strong>Identified needs (step 1) span knowledge on legislation, communication skills, stakeholder engagement, practical support, actions regarding RTW, relapse prevention, and organizational policy. Using the self-determination theory as the theoretical basis for improving employer intention and ability to support sick-listed employees (steps 2 and 3), a web-based intervention was developed (step 4) (hereafter: SME tool). The SME tool includes succinct tips, communication videos, and practical checklists. Minor adjustments were made following the pilot test, such as adding supplementary information on privacy regulations and preventive strategies.</p><p><strong>Conclusion: </strong>By focusing on enhancing SME employers' intention and ability to support their long-term sick-listed employee(s), the developed SME tool has the potential to improve the satisfaction of employees with the sick-leave and RTW support of their employer during long-term sick-leave.</p>","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143634426","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Organizational Practices and Their Outcomes for Employees with Disabilities: A Review and Synthesis of Quantitative Studies.","authors":"Rik van Berkel, Eric Breit","doi":"10.1007/s10926-025-10283-6","DOIUrl":"https://doi.org/10.1007/s10926-025-10283-6","url":null,"abstract":"<p><strong>Purpose: </strong>This review and synthesis aims to answer the following question: what do existing empirical studies tell us about the relationship between organizational practices and their outcomes in terms of the performance, well-being and sustainable employment of employees with disabilities?</p><p><strong>Methods: </strong>This review builds on a scoping review of empirical studies of organizational practices aimed at the hiring and retention of people with disabilities. It focuses on a specific group of studies identified in the scoping review: studies examining outcomes of organizational practices for employees with disabilities (EWD). Additional selection criteria were: (1) studies focused on the performance, well-being and sustainable employment of EWD; (2) studies used quantitative methods; and (3) studies were published in high-quality journals. This resulted in 27 articles.</p><p><strong>Results: </strong>Three clusters of organizational practices received most attention in the articles: workplace relations and organizational culture; accommodations; and leadership. The studies found significant positive and negative relationships between practices in these clusters and the three outcomes mentioned above. These empirical findings were supported by the theoretical perspectives used in the studies. Although diverse, most of these theoretical perspectives share their focus on interactions between individuals and their (work) environment.</p><p><strong>Discussion: </strong>We recommend that future research into the outcomes of organizational practices for EWD should be both broader (examining more clusters of practices and their outcomes for people with and without disabilities) and deeper (examining similar practices-outcome combinations in different contexts). This will increase our understanding of what practices work for whom under what circumstances.</p>","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143617638","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluating Effectiveness of Telerehabilitation Among Workers Admitted to a Posttraumatic Stress Injury Rehabilitation Program.","authors":"Brandon K Krebs, Katelyn Brehon, Maxi Miciak, Bruce D Dick, Suzette C Brémault-Phillips, Sebastian Straube, Douglas P Gross","doi":"10.1007/s10926-025-10285-4","DOIUrl":"https://doi.org/10.1007/s10926-025-10285-4","url":null,"abstract":"<p><strong>Purpose: </strong>Telerehabilitation or hybrid delivery (i.e., a mixture of telerehabilitation and in-person care) was increasingly used to deliver posttraumatic stress injury (PTSI) rehabilitation in response to the COVID-19 pandemic. Limited research, however, has evaluated the use of telerehabilitation to deliver PTSI interventions, including exposure-based therapies, and some service providers concerned about the potential adverse effects of delivery over telerehabilitation continue to advocate for in-person delivery. We evaluated the effectiveness of telerehabilitation versus hybrid delivery in promoting return-to-work (RTW) among workers with PTSI.</p><p><strong>Methods: </strong>We conducted a pragmatic, quasi-experimental study using archived data from workers undergoing PTSI rehabilitation programs offered by the Workers' Compensation Board of Alberta. The RTW outcomes of workers treated solely using telerehabilitation between November 6, 2020, and September 30, 2021, were compared to outcomes of workers treated using a hybrid model of delivery. A logistic regression analysis was used to examine if the method of treatment delivery was associated with RTW outcomes while controlling for a variety of potential confounders.</p><p><strong>Results: </strong>The study cohort included 222 workers with ongoing workers' compensation claims for PTSI. The majority were middle-aged (mean 42 years) men (61%) working as public safety personnel (35.9%) or in transport occupations (25.2%). The adjusted regression model showed no statistically significant differences in RTW outcomes between workers receiving telerehabilitation or hybrid treatment (Adjusted Odds Ratio 1.7; 95% CI 0.8-3.6).</p><p><strong>Conclusion: </strong>PTSI rehabilitation programs delivered exclusively via virtual means appear to produce RTW outcomes that are equally effective to delivery using a hybrid model.</p>","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143597909","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Precarious but Possible: A Qualitative Study of the Landscape of Gig Work for People Living with Disabilities and Future Recommendations for Best Practices.","authors":"Sydney Penner, J Griffith, E Hughes, K Karoli, C Stockdale","doi":"10.1007/s10926-025-10277-4","DOIUrl":"https://doi.org/10.1007/s10926-025-10277-4","url":null,"abstract":"<p><strong>Introduction: </strong>The gig economy has rapidly emerged as a popular employment option, offering flexible work arrangements and opportunities for individuals seeking alternative employment. While its potential benefits are often highlighted, limited research exists on how the gig economy specifically impacts people with disabilities.</p><p><strong>Aims: </strong>This qualitative study aims to explore and understand the experiences of individuals with disabilities who engage in gig work.</p><p><strong>Methods: </strong>In-depth qualitative interviews were conducted with a diverse sample of participants living with one or more disabilities who are engaged in gig work. Thematic analysis was employed to identify common patterns, experiences, and challenges faced by participants.</p><p><strong>Results: </strong>Preliminary findings indicate that the gig economy offers both opportunities and obstacles for people with disabilities. Opportunities include increased autonomy, flexible working hours, and the ability to leverage their unique skills and strengths. However, participants also reported encountering barriers such as income insecurity, discrimination, and a lack of benefits. Furthermore, the study sheds light on the nuanced experiences of participants based on factors such as disability type and the nature of work performed.</p><p><strong>Conclusion: </strong>The findings of this study contribute to a deeper understanding of the gig economy's impact on people with disabilities and inform policy and practice recommendations to enhance inclusivity, accessibility, and support mechanisms within this emerging work paradigm. Future research can build upon these findings to develop interventions and strategies that promote equitable opportunities and address the specific needs of individuals with disabilities in the gig economy.</p>","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143558423","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}