As an epilogue to this special issue, this article provides a brief overview of the research undertaken by the Rehabilitation Research and Training Center on Evidence-Based Practice in Vocational Rehabilitation (RRTC-EBP VR) in Phase II of their studies, and what was learned from the comprehensive review of the literature (e.g., Fleming, Del Valle, Kim & Leahy, 2013) and multi-state case studies in terms of promising practices in state VR agencies . Gaps identified in EBP research that hinders the implementation of efficacious, effective, and efficient services based on the best scientific evidence are discussed, and finally, recommendations for future research directions and knowledge translation initiatives that will improve the effectiveness of VR service delivery practices are provided.
Evidence-based practice (EBP) is receiving increased attention from vocational rehabilitation (VR) professionals as the demand for accountability in rehabilitation and healthcare systems expands. The purpose of the current study was to determine the level of understanding VR professionals have of EBP with specific attention to perceived self-efficacy, outcome expectancy, barriers, and readiness to use evidence in current practice. Data were collected from 396 rehabilitation counselors, who were recruited from four state VR agencies. Results indicate self-efficacy and outcome expectancy were positively associated with readiness to use EBP, and agency barriers and personal barriers were negatively related to readiness to use EBP. These socialcognitive predictors accounted for 44% of the variance in the stages of change scores, and outcome expectancy was the most significant predictor after controlling for the effect of perceived self-efficacy and barriers. To increase EBP among rehabilitation counselors, efforts should focus on increasing self-efficacy and outcome expectancy of EBP.
The purpose of this study is to examine the roles and functions of benefits counseling specialists. One-hundred and forty-eight benefits counseling specialists rated the Benefits Specialists Practice Inventory -Revised using a 5-point importance rating scale. Data were analyzed using multi-trait analysis. The multi-trait analysis tentatively supported the three-factor structure of the Benefits Specialists Practice Inventory -Revised, indicating that benefits screening (M = 4.43, SD = 0.47), benefits advisement (M = 4.49, SD = 0.56), and benefits management (M = 4.07, SD = 0.88) are most central to the job performance of benefits counseling specialists. In addition, benefits counseling specialists in the current study rated themselves as relatively well prepared to perform these benefits counseling job functions, with benefits advisement rated the highest (M = 4.23, SD = 0.76), followed by benefits screening (M = 4.15, SD = 0.70), and then by benefits management (M = 3.75, SD = 0.96). However, multi-trait analysis also suggested that there might be more than three essential job functions for benefits counseling specialists and more comprehensive research in the future is warranted.
This article summarizes the results of a recent role and function study completed in 2004 to determine the prevailing domains of disability management practice. The study also sought to establish an empirical basis for a certification exam for disability management specialists consistent with evolving standards of practice. Based on the expert panel's input, we developed a survey instrument and distributed it to a stratified, random sample of 1,500 disability management specialists. The results supported the subject matter experts' process of analysis and identification of three knowledge domains: (a) disability case management, (b) disability prevention and workplace intervention, and (c) program development, management, and evaluation. Survey results are provided, as well as implications for disability management practice.
The purpose of this article is to acknowledge the gap between research and practice in vocational rehabilitation (VR) and provide strategies for VR counselors to help bridge that gap. Evidence-based practice (EBP) and knowledge translation (KT) are two concepts that help the implementation of research into practice and have been adopted in health care and other related fields for many years. Although most research supports the implementation of these theories in health care settings, it is a fairly new concept in vocational rehabilitation. Many barriers, such as inadequate time, limited access to technology and research, and caseload size can inhibit the implementation of EBP and KT for VR counselors. The Knowledge-to-Action (KTA) framework helps to overcome some of these barriers and facilitate counselors' abilities to acquire, apply, and share knowledge and evidence-based approaches. More strategies for facilitating KT and EBP implementation for VR counselors are reviewed.
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