职业康复计划对有失业风险的慢性身体疾病青年的效果评估:一项对照临床试验。

IF 1.9 4区 医学 Q2 REHABILITATION
Marjolijn I Bal, Sander R Hilberink, Pepijn P D M Roelofs, Wilma M A van der Slot, Lizanne Bentvelsen, Harald S Miedema, Marij E Roebroeck
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引用次数: 0

摘要

背景:与健康的同龄人相比,患有慢性身体疾病的年轻成年人的工作参与滞后。“在职”是由职业治疗师提供的职业康复干预,帮助他们在中学后毕业后进入竞争激烈的劳动力市场。目的:评价“在工作”护理对自我效能感、工作能力和就业状况的影响。材料和方法:一项多中心对照试验共纳入88名年轻人;49人输入“在工作”,39人接受常规护理。采用gee分析。结果:随着时间的推移,干预组所有结局指标的得分都有显著提高,但与对照组相比,没有发现显著的影响。干预组对一般自我效能感的影响呈积极趋势。结论和意义:与以往的研究结果不同,与常规护理相比,目前的研究并不支持该计划在工作相关的自我效能、工作能力和有偿就业方面的有效性。然而,我们确实发现了干预对一般自我效能的积极影响,而一般自我效能是实现社会参与的重要能力。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Effect evaluation of a vocational rehabilitation program for young adults with chronic physical conditions at risk for unemployment: A controlled clinical trial.

Background: The work participation of young adults with chronic physical conditions lag behind compared to healthy age-mates. 'At Work' is a vocational rehabilitation intervention provided by occupational therapists, that supports them for entering the competitive labour market after graduating post-secondary education.

Aim: To evaluate the effects of 'At Work' on self-efficacy, work-ability and employment status as compared to usual care.

Materials and methods: In total, 88 young adults were included in a multicentre controlled trial; 49 entered 'At Work', 39 received usual care. GEE-analyses were applied.

Results: Scores on all outcome measures substantially improved over time in the intervention group, but no significant effects were found as compared to the control group. The effect on general self-efficacy showed a positive trend in favour of the intervention group.

Conclusions and significance: Unlike previous study results pointing to positive outcomes of At Work', the current study did not support the effectiveness of this program on work-related self-efficacy, work-ability and paid employment, as compared to usual care. Yet, we did find an indication for positive intervention effect on general self-efficacy, which is known to be an important capacity to achieve social participation.

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来源期刊
CiteScore
3.40
自引率
15.80%
发文量
45
审稿时长
6-12 weeks
期刊介绍: The Scandinavian Journal of Occupational Therapy is an internationally well-recognized journal that aims to provide a forum for occupational therapy research worldwide and especially the Nordic countries. Scandinavian Journal of Occupational Therapy welcomes: theoretical frameworks, original research reports emanating from quantitative, qualitative and mixed methods studies, literature reviews, case studies, presentation and evaluation of instruments, evaluation of interventions, learning and teaching in OT, letters to the editor.
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