An ASCO Based Occupational Status Hierarchy for Australia: a Research Note

Najman, Jake M.; Bampton, Matthew

doi:10.1177/144078339102700204

Cited by 30 publications

(14 citation statements)

References 7 publications

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“…For the purpose of this study, an additional category`9' was added for students and others not in paid employment. These categories were recorded into a three-point hierarchical scale, developed by Najman and Bampton, 39 whereby: Upper status ± ASCO categories 1 ± 3; Middle status ± ASCO category 4; Lower status ± ASCO categories 5 ± 8. An additional scale,`other', was recorded for category 9 above.…”

Section: Variables and Their Measurementmentioning

confidence: 99%

Vocational outcome following spinal cord injury

Conroy

McKenna

1999

Spinal Cord

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Study Design: Non-experimental (ex post facto) survey research design involving the use of a ®xed alternative format questionnaire. Objectives: To investigate variables in¯uencing vocational outcome, to identify barriers to gaining and sustaining employment and to identify the eects of variables on the type of work engaged in following spinal cord injury. The two sets of independent variables considered were, individual and injury-related factors (age at onset of injury, time since injury, extent/ level of injury, highest educational quali®cation achieved pre-injury, and pre-injury occupation) and circumstantial factors (means of transport, access diculties, perceived workplace discrimination, ®nancial disincentives to work and perceived level of skill). Setting: The Princess Alexandra Hospital Spinal Injuries Unit, Queensland, Australia. Methods: Data on the variables and the vocational outcomes of having ever worked or studied post-injury, current employment status and post-injury occupation were obtained from survey responses. Demographical and medical data were gathered from medical records. Results: Forward stepwise logistic regression revealed that having ever worked or studied post-injury was associated with all individual and injury-related factors except pre-injury occupation, and two circumstantial factors, namely means of transport and access diculties. Current employment was associated with all circumstantial factors as well as age at injury and pre-injury occupation. Standard multiple regression analyses revealed that post-injury occupation was correlated with all individual and injury-related factors as well as means of transport and perceived workplace discrimination. Conclusions: Tailored rehabilitation programs for individuals with characteristics associated with less successful vocational outcomes may facilitate their employment status after injury.

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Section: Variables and Their Measurementmentioning

confidence: 99%

Vocational outcome following spinal cord injury

Conroy

McKenna

1999

Spinal Cord

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“…Using the hierarchical groupings of Najman and Bampton (1991), ASCO categories were then classified into upper, middle and lower status jobs. Upper status jobs encompassed ASCO categories 1-3, …”

Section: Methodsmentioning

confidence: 99%

“…(15) Middle 3.3% (1) 6.7% (2) 6.7% (2) Lower 33.3% (10) 23.3% (7) 0.0% (0) Note. * Occupational status was determined using the hierarchical classification system of Najman and Bampton (1991).…”

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confidence: 99%

Withdrawal from Employment Gained Post-SCI: Precipitating Factors

O'Hare

Murphy

2015

The Australian Journal of Rehabilitation Counselling

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D espite the high prevalence of withdrawal from employment gained posttraumatic spinal cord injury (tSCI), relatively few studies have examined the factors that precipitate job withdrawal. Within the context of general systems theory, the aim of the present study was to identify and classify the factors that led to job withdrawal post-tSCI. Using purposive sampling and a structured proforma, 30 participants completed an in-depth telephone interview. Job withdrawal was precipitated more frequently by micro-system (person-centred) factors or meso-system (job-related) factors than macro-system (socio-economic) factors. Micro-system factors fell into five groups (SCI-related, psychological/psychosocial, mobility, general health and knowledge/skills/abilities) as did meso-system factors (job design, psychosocial climate, ergonomics, human resources and work cycles). Two groups of macro-system factors were identified (proximal and distal). Classifying job withdrawal factors within the context of general systems theory provides an integrated framework for intervention development and furnishes decision-makers with guidance as to whether a top-down or bottom-up approach would be more feasible/beneficial to address preventable job withdrawal post-tSCI.

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“…The finding that those who had sought further treatment were more likely to be those who had relapsed or not benefited from treatment in the first place is not surprising, since they would likely have sought further treatment for the problem. As alluded to above, it may be that the reason there was no such relationship found between CSR pre and seeking treatment following this study's intervention is that the majority of participants were in the severe category pre-treatment [61][62][63][64][65][66][67][68][69][70][71][72][73][74][75][76][77][78][79].…”

Section: Limitationsmentioning

confidence: 99%

Long Term Follow up in Children with Anxiety Disorders Treated with Acceptance and Commitment Therapy or Cognitive Behavioral Therapy: Outcomes and Predictors

Hancock¹,

Swain²,

Cass³

et al. 2016

J Child Adolesc Behav

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Objective: Anxiety disorders in children are the most prevalent of mental health conditions, but also the most treatable. However, a significant number do not benefit from treatment and these places them at risk for future psychiatric disturbance. Whilst Acceptance and Commitment Therapy (ACT) is gaining rapid evidence for its utility in treating a variety of disorders, research in children and adolescence is at an early stage. This paper reports on 2 year follow-up (2YFU) outcomes of the first randomized controlled trial of ACT and traditional cognitive behavioral therapy (CBT) in children with a DSM-IV diagnosis of anxiety disorders. Method:Of the 111 children from urban Sydney, Australia who completed treatment (10-week group-based program of ACT or CBT). A total of 79 (40 ACT and 39 CBT) were assessed at 2YFU. Pre-treatment, posttreatment, 3 months (3MFU) and 2YFU assessments included clinician/self/parent-reported measures of anxiety, anxiety-related quality of life (QOL) and acceptance/defusion outcomes. Several baseline predictors of anxiety outcome were also examined.Results: Positive findings were obtained for both ACT and CBT in terms of long-term maintenance of gains. Across measures, highly significant improvements observed at post and 3MFU were maintained at 2YFU. At post approximately one-third of participants in both treatment groups no longer met criteria for any anxiety disorder, with further improvement evident at 3MFU. Continued improvement was observed at 2YFU, with 45% of ACT and 60% of CBT participants diagnosis free (non-significant difference). Both completer and intention to treat analyses found ACT and CBT to produce similar outcomes. The only significant predictors in the short-term were pre-treatment severity and age. At 2YFU, no significant predictors were identified. However, most participants were in the severe anxiety category pre-treatment, limiting the exploration of severity as a predictor. Conclusion:Both ACT and CBT have shown similar long terms benefits for children with anxiety disorders. There was no clear or strong pattern of baseline predictors of outcomes. Further research is needed to explore this area.

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An ASCO Based Occupational Status Hierarchy for Australia: a Research Note

Cited by 30 publications

References 7 publications

Vocational outcome following spinal cord injury

Vocational outcome following spinal cord injury

Withdrawal from Employment Gained Post-SCI: Precipitating Factors

Long Term Follow up in Children with Anxiety Disorders Treated with Acceptance and Commitment Therapy or Cognitive Behavioral Therapy: Outcomes and Predictors

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