Employment After Spinal Cord Injury

O’Neill, John; Dyson-Hudson, Trevor

doi:10.1007/s40141-020-00266-4

Cited by 23 publications

(9 citation statements)

References 58 publications

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“…recreation/leisure activities), but rather, underscores its complexity and importance of in terms of the potential for vocational re-training, need for special adaptive equipment, workplace accessibility and accommodations, employment schedule recommendations, and other financial considerations, such as loss of public or private third party funding. 51 …”

Section: Resultsmentioning

confidence: 99%

Development of community participation indicators to advance the quality of spinal cord injury rehabilitation: SCI-High Project

Hitzig

Jeyathevan

Farahani

et al. 2021

The Journal of Spinal Cord Medicine

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Context Community participation following spinal cord injury/disease (SCI/D) can be challenging due to associated primary impairments and secondary health conditions as well as difficulties navigating both the built and social-emotional environment. To improve the quality of SCI/D rehabilitation care to optimize community participation, the SCI-High Project developed a set of structure, process and outcome indicators for adults with SCI/D in the first 18 months after rehabilitation admission. Methods A pan-Canadian Working Group of diverse stakeholders: (1) defined the community participation construct; (2) conducted a systematic review of available outcomes and their psychometric properties; (3) constructed a Driver diagram summarizing available evidence associated with community participation; and (4) prepared a process map. Facilitated meetings allowed selection and review of a set of structure, process and outcome indicators. Results The structure indicator is the proportion of SCI/D rehabilitation programs with availability of transition living setting/independent living unit. The process indicators are the proportion of SCI/D rehabilitation inpatients who experienced: (a) a therapeutic community outing prior to rehabilitation discharge; and, (b) those who received a pass to go home for the weekend. The intermediary and final outcome measures are the Moorong Self-Efficacy Scale and the Reintegration to Normal Living Index. Conclusion The proposed indicators have the potential to inform whether inpatient rehabilitation for persons with SCI/D can improve self-efficacy and lead to high levels of community participation post-rehabilitation discharge.

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Section: Resultsmentioning

confidence: 99%

Development of community participation indicators to advance the quality of spinal cord injury rehabilitation: SCI-High Project

Hitzig

Jeyathevan

Farahani

et al. 2021

The Journal of Spinal Cord Medicine

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“…Individualized placement and support and vocational resource facilitation are examples of interventions that integrate VR services with clinical care to help persons with SCI/D find employment. 51 In Canada, Ontario's Government is moving ahead with the reform of the employment services system by introducing new Service System Managers in three prototype regions across Ontario. This approach will create an efficient employment service to meet the needs of all clients, including those on social assistance or with a disability, be more responsive to local labor market needs and drive results for job seekers, employers and communities.…”

Section: Discussionmentioning

confidence: 99%

Development of employment indicators to advance the quality of spinal cord injury rehabilitation care: SCI-High Project

Alavinia

Jetha

Hitzig

et al. 2021

The Journal of Spinal Cord Medicine

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Context Employment and Return to Work (RTW) rates following spinal cord injury/disease (SCI/D) are low due to individual and impairments characteristics, secondary health conditions, social and environmental barriers, prior work experience, workplace supports and resources, and physical or psychosocial work demands. To improve RTW, the SCI-High Project team developed a set of Employment structure, process, and outcome indicators for adults with SCI/D in the first 18 months after rehabilitation admission. Methods A pan-Canadian Working Group of diverse stakeholders: (1) defined the Employment construct; (2) conducted a systematic search of available outcomes measures; (3) constructed a Driver diagram summarizing factors associated with employment. Subsequent facilitated meetings allowed for the creation of structure and process indicators, and the selection of outcome indicators. Results The structure indicator is the proportion of SCI/D rehabilitation programs with an employment resource center. The process indicator is the proportion of SCI/D rehabilitation inpatients who receive an employment assessment during inpatient rehabilitation. The intermediary and final outcome measures are the Readiness for Return-to-Work Scale (RRTW) and Work Productivity and Activity Impairment (WPAI). Scale A of the RRTW for those who are unemployed and Scale B of RRTW and WPAI will be used for those who are employed. Conclusion This framework of Employment indicators intends to support the RTW needs of persons with SCI/D by ensuring that rehabilitation professionals provide opportunities to explore RTW within the first 18 months after rehab admission. Increased employment rates have the potential to enhance the wellbeing, health, and longevity of individuals with SCI/D.

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“…Conceivably, our finding may be a reflection of the high unemployment rate amongst the participants, which is a testament to the low labour market absorption of PWD in South Africa (Census 2011). O’Neil and Dyson-Hudson ( 2020 ) reported high variability in the employment rates of PWD. For example, in the United States of America, postinjury employment rates ranged from 21% to 67% (Lidal, Huynh & Biering-Sørensen 2007 ).…”

Section: Barriers To Physical Activitymentioning

confidence: 99%

“…For example, in the United States of America, postinjury employment rates ranged from 21% to 67% (Lidal, Huynh & Biering-Sørensen 2007 ). Although none of the participants indicated employment as a barrier to PA, various barriers prevent PWSCI from working (O’Neil & Dyson-Hudson 2020 ).…”

Section: Barriers To Physical Activitymentioning

confidence: 99%

Physical activity promotion in persons with spinal cord injuries: Barriers and facilitators in low-resource communities

et al. 2022

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Background: A spinal cord injury is a devastating and life-changing event that presents the affected individual with multiple challenges throughout life. Physical activity can help mitigate some of these challenges; however, in low-resource communities where opportunities for physical activity are scarce, these challenges are often exacerbated and multiple.Objective: This study aimed to identify the barriers and facilitators to physical activity, specifically in individuals with spinal cord injuries, in low-resourced communities.Methods: A total of 57 adults ( 20 years) with a spinal cord injury living in the Western Cape, South Africa completed the self-developed research questionnaire.Results: A total of 289 barriers and 290 facilitators were reported. The most frequently reported barriers were lack of transport (n = 35), impairment type (n = 32), lack of trained volunteers and appropriate programmes (n = 19 each) and lack of information received from therapists following discharge (n = 10). The most frequently reported facilitators were support from family (n = 38), the ‘enjoyment’ of physical activity and the fact that ‘it made me feel good’ (n = 37); safe and accessible facilities were reported by 25 participants and 12 participants reported that higher-quality programmes and better-trained staff would help them to be more physically active.Conclusion: Individuals with a spinal cord injury face many barriers in being physically active. Yet it is evident that people with spinal cord injuries in low-resourced communities are eager to participate and improve their health and physical function. However, this will only realise if practitioners reduce the barriers to access, provide relevant training to staff and volunteers, educate their patients about the importance of physical activity post discharge, and create tailored programmes in safe and accessible community facilities.

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Employment After Spinal Cord Injury

Cited by 23 publications

References 58 publications

Development of community participation indicators to advance the quality of spinal cord injury rehabilitation: SCI-High Project

Development of community participation indicators to advance the quality of spinal cord injury rehabilitation: SCI-High Project

Development of employment indicators to advance the quality of spinal cord injury rehabilitation care: SCI-High Project

Physical activity promotion in persons with spinal cord injuries: Barriers and facilitators in low-resource communities

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