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Workplace rehabilitation

Anna F Rumbach, Emma Finch, Grace Stevenson
This aim of this study was to identify assessment practices for non-progressive dysarthria used by Australian speech-language pathologists (SLPs) and to describe these practices within the framework of the World Health Organization's International Classification of Functioning Disability, and Health (ICF). A 23-item online survey was distributed to Australian SLPs, with 56 responses suitable for data analysis. The majority of SLPs prescribed 'high importance' to the assessment of impairment to speech function (96%, n = 54), activity limitations (91%, n = 51) and participation in society (91%, n = 51) in non-progressive dysarthria...
March 8, 2019: Journal of Communication Disorders
Janice Hegewald, Uta E Wegewitz, Ulrike Euler, Jaap L van Dijk, Jenny Adams, Alba Fishta, Philipp Heinrich, Andreas Seidler
BACKGROUND: People with coronary heart disease (CHD) often require prolonged absences from work to convalesce after acute disease events like myocardial infarctions (MI) or revascularisation procedures such as coronary artery bypass grafting (CABG) or percutaneous coronary intervention (PCI). Reduced functional capacity and anxiety due to CHD may further delay or prevent return to work. OBJECTIVES: To assess the effects of person- and work-directed interventions aimed at enhancing return to work in patients with coronary heart disease compared to usual care or no intervention...
March 14, 2019: Cochrane Database of Systematic Reviews
Akram Khayatzadeh-Mahani, Krystle Wittevrongel, David B Nicholas, Jennifer D Zwicker
PURPOSE: Persons with a developmental disability have the lowest rate of labour force participation relative to other disabilities. The widening gap between the labour force participation of persons with versus without disability has been an enduring concern for many governments across the globe, which has led to policy initiatives such as labour market activation programs, welfare reforms, and equality laws. Despite these policies, persistently poor labour force participation rates for persons with developmental disabilities suggest that this population experiences pervasive barriers to participating in the labour force...
March 11, 2019: Disability and Rehabilitation
Michela Ponzio, Andrea Tacchino, Concetta Vaccaro, Giampaolo Brichetto, Mario Alberto Battaglia, Michele Messmer Uccelli
BACKGROUND: Assessing the coverage by public or private resources in meeting health-related and social-related needs may be useful for service planning and guide optimization of care, important especially in view of an increase in the prevalence of multiple sclerosis (MS). METHODS: An ad hoc questionnaire assessed satisfaction of health-related and social care-related needs in a cross-sectional study of 1014 people with MS identified through MS outpatient clinics and local branches and social media channels of the Italian MS Society...
February 27, 2019: Neurological Sciences
Anneli Peolsson, Gunnel Peterson, Anna Hermansen, Maria Landén Ludvigsson, Åsa Dedering, Håkan Löfgren
INTRODUCTION: Patients suffering from remaining disability after anterior cervical decompression and fusion (ACDF) surgery for cervical disc disease may be prescribed physical activity (PPA) or neck-specific exercises (NSEs). Currently, we lack data for the success of either approach. There is also a knowledge gap concerning the use of internet-based care for cervical disc disease. The scarcity of these data, and the high proportion of patients with various degrees of incapacity following ACDF, warrant increased efforts to investigate and improve cost-effective rehabilitation...
February 19, 2019: BMJ Open
Charlotte Denniston, Elizabeth K Molloy, Chee Yan Ting, Qi Fei Lin, Charlotte E Rees
OBJECTIVES: The literature focuses on teaching communication skills in the 'classroom', with less focus on how such skills are informally learnt in the healthcare workplace. We grouped healthcare work based on the cure:care continuum to explore communication approaches based on work activities. This study asks: 1) How do healthcare professionals believe they learn communication in the workplace? 2) What are the differences (if any) across the 'type of work' as represented by the cure:care continuum? DESIGN: This qualitative study used semi-structured individual interviews...
February 19, 2019: BMJ Open
Cara L Brown
Occupational therapists have an established and important role in helping people work while living with an illness or a disability. Although workplace accommodations and rehabilitation efforts can extend paid work for workers with progressive health conditions, the reality is that these populations often cease work earlier in the life trajectory than expected. Evidence suggests that transitioning out of paid work is difficult for people with disabilities. For example, factors such as poor health, low income, and involuntary retirement put people with multiple sclerosis at risk for poor adjustment...
November 2018: American Journal of Occupational Therapy: Official Publication of the American Occupational Therapy Association
Timothy D Becker, Ari R Ho-Foster, Ohemaa B Poku, Shathani Marobela, Haitisha Mehta, Dai Thi Xuan Cao, Lyla S Yang, Lilo I Blank, Vincent Ikageng Dipatane, Letumile Rogers Moeng, Keneilwe Molebatsi, Marlene M Eisenberg, Frances K Barg, Michael B Blank, Philip Renison Opondo, Lawrence H Yang
Mental illness is a common comorbidity of HIV and complicates treatment. In Botswana, stigma impedes treatment of mental illness. We examined explanatory beliefs about mental illness, stigma, and interactions between HIV and mental illness among 42 adults, from HIV clinic and community settings, via thematic analysis of interviews. Respondents endorse witchcraft as a predominant causal belief, in addition to drug abuse and effects of HIV. Respondents describe mental illness as occurring "when the trees blossom," underscoring a conceptualization of it as seasonal, chronic, and often incurable and as worse than HIV...
February 9, 2019: Qualitative Health Research
Lauren Simpson, Monish M Maharaj, Ralph J Mobbs
BACKGROUND: Wearables consist of numerous technologies that are worn on the body and measure parameters such as step count, distance travelled, heart rate and sleep quantity. Recently, various wearable systems have been designed capable of detecting spinal posture and providing live biofeedback when poor posture is sustained. It is hypothesised that long-term use of these wearables may improve spinal posture. RESEARCH QUESTIONS: To (1) examine the capabilities of current devices assessing spine posture, (2) to identify studies implementing such devices in the clinical setting and (3) comment on the clinical practicality of integration of such devices into routine care where appropriate...
February 8, 2019: BMC Musculoskeletal Disorders
Ghaidaa Khalifa, Zonera Sharif, Madiha Sultan, Briano Di Rezze
PURPOSE: To identify workplace accommodations that can contribute to obtaining or maintaining employment for adults with autism spectrum disorder in the peer- reviewed literature. METHOD: A scoping review of peer-reviewed articles published between January 1987 and March 2018 was performed. Three independent reviewers searched seven databases. Inclusion criteria for selected studies included adult with autism participants (≥18 years), intervention studies that described support for securing or maintaining employment/skills training, and education for employee/employers to support adults with autism...
February 3, 2019: Disability and Rehabilitation
Paula Holland, Stephen Clayton
PURPOSE: Musculoskeletal disorders (MSDs) are associated with high rates of work disability in the UK. This review synthesized qualitative evidence concerning the employment experiences of people with MSDs to explore the factors shaping their employment trajectories post-onset and the resources they draw on to remain in work. MATERIAL AND METHODS: Systematic database searches identified 16 qualitative studies of the employment consequences of having a chronic MSD in the UK...
January 30, 2019: Disability and Rehabilitation
Daniel Côté, Jessica Dubé, Sylvie Gravel, Danielle Gratton, Bob W White
PURPOSE: This paper presents the phenomenon of stigmatisation among injured immigrant and ethnocultural minority workers experiencing a long-standing disability. Stigmatisation was one of the main findings of our study, the aim of which was to gain insight into the work rehabilitation process in the context of intercultural relations in Quebec. Various categories of stakeholders took part in the study, which sought to describe their experiences and perspectives and to identify the constraints, barriers, facilitators, and specific needs they encounter in terms of intercultural competencies...
January 26, 2019: Disability and Rehabilitation
Jason E Peer, Joanna E Strong Kinnaman, Wendy N Tenhula
The Work Behavior Inventory (WBI) is a widely used and validated assessment of work functioning in people with schizophrenia. WBI ratings are based on workplace observation and interview with work supervisors. Workplace observation may not be acceptable in all employment settings. A WBI assessment based only on supervisor interview may offer more utility. The current study evaluated the psychometric properties of a modified WBI among individuals with schizophrenia participating in VA vocational rehabilitation programs - similar to the original WBI validation study...
June 2019: Schizophrenia Research. Cognition
Alix Vincent, David Da Fonseca, Karine Baumstarck, Isabelle Charvin, Rafael Alcaraz-Mor, Marie-Pascale Lehucher-Michel
PURPOSE: This pilot study describes the socio-professional development and quality of life of young adults with Asperger syndrome in France. METHODS: Those young adults, between 18 and 30 years old, receiving care in a child psychiatry department for autistic spectrum disorder, were requested to respond to the Ad Hoc, World Health Organization Quality Of Life - Bref and Copenhagen psychosocial questionnaires regarding their socio-professional background and feelings about their future...
January 22, 2019: Disability and Rehabilitation
Elisabeth Vigrestad Svinndal, Chris Jensen, Marit By Rise
PURPOSE: Explore managers' experiences regarding employees with hearing impairments. MATERIALS AND METHODS: Individual interviews with ten managers having employees with hearing impairment. The interviews were analyzed using Systematic text condensation. RESULTS: The managers felt great responsibility for their employees' functioning, but hearing loss issues were easily forgotten. They found access to information as imperative to secure workplace adjustments, and temporary needs, rather than permanent ones, were easily met...
January 23, 2019: Disability and Rehabilitation
Ingmarie Skoglund, Cecilia Björkelund, Irene Svenningsson, Eva-Lisa Petersson, Pia Augustsson, Shabnam Nejati, Nashmil Ariai, Dominique Hange
Background: Compared to other European countries, Sweden's yearly sick leave expenditures are moderate. Common mental disorders (CMD) are important causes of sick leave, affecting 10-15% of the adult population. A Swedish register based study indicates that antidepressant therapy for patients on long-term sick leave for CMD leads to longer sick leave and higher frequency of non-time-limited sickness compensation as compared to psychotherapy, work oriented rehabilitation, and other therapies...
January 2019: Heliyon
Eloísa Guerrero-Barona, Marta Rodríguez-Jiménez, María José Chambel
PURPOSE: Different research papers into various occupational groups demonstrate the importance of engagement for the wellbeing of both employees and organizational results. However, the study of this phenomenon and that of other positive factors in professional staff caring for persons with intellectual disabilities is scarce. For this reason, the objective of this work was to test a theoretical model concerning the relationship between engagement, a positive factor, and self-efficacy in carers of persons with an intellectual disability, using emotional intelligence as a mediating variable...
January 9, 2019: Disability and Rehabilitation
Ikenna D Ebuenyi, Alida J van der Ham, Joske F G Bunders-Aelen, Barbara J Regeer
PURPOSE: In Kenya, the employment rate for persons with disabilities is about 1% compared to 73.8% for the general population, and the situation is even worse for persons with mental disabilities. Persons with mental disabilities are often regarded as "mad", and stand little or no chance of employment. We undertook an exploratory study with employers and potential employers to understand factors that hinder or facilitate their employment and to gain insight into employers' perceptions of mental disability...
January 7, 2019: Disability and Rehabilitation
Keith H Nuechterlein, Kenneth L Subotnik, Joseph Ventura, Luana R Turner, Michael J Gitlin, Denise Gretchen-Doorly, Deborah R Becker, Robert E Drake, Charles J Wallace, Robert P Liberman
BACKGROUND: This study evaluated in a rigorous 18-month randomized controlled trial the efficacy of an enhanced vocational intervention for helping individuals with a recent first schizophrenia episode to return to and remain in competitive work or regular schooling. METHODS: Individual Placement and Support (IPS) was adapted to meet the goals of individuals whose goals might involve either employment or schooling. IPS was combined with a Workplace Fundamentals Module (WFM) for an enhanced, outpatient, vocational intervention...
January 4, 2019: Psychological Medicine
Birgitta Ojala, Clas-Håkan Nygård, Heini Huhtala, Philip Bohle, Seppo T Nikkari
Psychosocial risk factors have increased in today's work environment, and they threaten work ability. Good workplace atmosphere, psychosocial support, the ability to cope with stress, and skills and knowledge are all connected to more successful coping. Faster changes in the work environment and an increased workload can lead to a chain of fatigue and illness. The aim of this study was to evaluate a cognitive behavioural intervention as an early rehabilitation strategy to improve employees' well-being, in intervention group N446 and in control group N116...
December 29, 2018: International Journal of Environmental Research and Public Health
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