Empowering individuals with psychiatric disabilities to work: Results of a randomized trial.

Russinova, Zlatka; Gidugu, Vasudha; Bloch, Philippe; Restrepo-Toro, Maria; Rogers, E. Sally

doi:10.1037/prj0000303

Cited by 26 publications

(30 citation statements)

References 69 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…One aspect of the quantitative analyses is the evaluation of patient outcomes with the degree of self-efficacy as the primary outcome. As a guideline, a required sample size of 90 participants was calculated based on an effect size of 0.3 ( 24 , 25 ), an α of 0.05, and a statistical power (1-β) of 0.80. Furthermore, the qualitative data collection in two focus groups will be held among eight participants for both groups.…”

Section: Methodsmentioning

confidence: 99%

Peer Support to Enhance Social and Emotional Self-Management Following Acquired Brain Injury Rehabilitation: Design of a Pre–post Study With Process Evaluation

et al. 2021

View full text Add to dashboard Cite

Background: Specialized rehabilitation following acquired brain injury provides intensive multidisciplinary treatment to individuals with complex disabilities for optimizing recovery and supporting a safe transition to the community. Post-specialist rehabilitation, patients and caregivers have reported a need for support. We present the design of an implementation study to evaluate a new self-management support service for individuals with acquired brain injury and their caregivers.Methods: This is a pre–post intervention study with a mixed-method design. The study population comprises individuals aged ≥18 years with acquired brain injury living independently following specialized rehabilitation in the Southern part of the Netherlands. All participants receive a post-rehabilitation support service. The support service consists of several house visits by a peer support volunteer in the first weeks after specialized rehabilitation treatment. The peer support volunteers are trained according to an adapted version of the previously developed Self-Management Support (SMS) program. The SMS program is directed at improving social and emotional self-management. Patient outcomes are assessed by questionnaire pre-, directly post-, and 6 months post-intervention. The primary patient outcome measure is self-efficacy. Secondary outcomes are perceived autonomy, quality of life, and psychological well-being. A process evaluation will be performed to gain insight into barriers and facilitators for the implementation of peer-led SMS by combining both quantitative, questionnaire data and qualitative data derived from focus groups with peer supporters and patients. In a workshop with relevant stakeholders, possibilities for dissemination and sustainability will be explored.Discussion: This paper describes the design of a practice-based study on feasibility, barriers, and facilitators to the implementation of a home-based, peer-led self-management support intervention for patients with acquired brain injury. We will quantitatively and qualitatively evaluate the change in relevant patient outcomes pre- and post-intervention and the barriers and facilitators related to the implementation of the intervention. Following a positive evaluation, the final stage of the study aims to facilitate deployment and utilization of the intervention.

show abstract

Section: Methodsmentioning

confidence: 99%

Peer Support to Enhance Social and Emotional Self-Management Following Acquired Brain Injury Rehabilitation: Design of a Pre–post Study With Process Evaluation

et al. 2021

View full text Add to dashboard Cite

show abstract

“…The characteristics of the RCT studies included can be seen in Table 1. Most studies with people with psychosocial disabilities included individuals with a variety of mood, anxiety, and/or psychotic disorders [27,29,[46][47][48][49][50][51][52][53][54][55][56][57][58]. Three studies included participants with schizophrenia only [59][60][61], three studies exclusively included individuals with psychosis [62][63][64], and in one study all participants had post-traumatic stress disorder (PTSD) [28].…”

Section: Study Characteristicsmentioning

confidence: 99%

“…In the three studies including participants with autism, youth were assessed as having autism with a medical diagnosis of ASD or an educational identification of autism [45,65,66]. Nearly half of the studies included were performed in the USA (n = 12) [27][28][29]45,49,53,55,[59][60][61]65,66]. Three studies were carried out in the UK [54,63,67], three in Canada [48,52,64], two in Japan [51,58], two in Australia [57,62], and one in each of Sweden [46], Switzerland [47], the Netherlands [50], and Hong Kong [56].…”

Section: Study Characteristicsmentioning

confidence: 99%

Vocational Interventions to Improve Employment Participation of People with Psychosocial Disability, Autism and/or Intellectual Disability: A Systematic Review

Weld-Blundell

Shields

Devine

et al. 2021

IJERPH

View full text Add to dashboard Cite

Objective: To systematically review interventions aimed at improving employment participation of people with psychosocial disability, autism, and intellectual disability. Methods: We searched MEDLINE, Embase, PsycINFO, Web of Science, Scopus, CINAHL, ERIC, and ERC for studies published from 2010 to July 2020. Randomized controlled trials (RCTs) of interventions aimed at increasing participation in open/competitive or non-competitive employment were eligible for inclusion. We included studies with adults with psychosocial disability autism and/or intellectual disability. Risk of bias was assessed using the Cochrane Collaboration Risk of Bias II Tool. Data were qualitatively synthesized. Our review was registered with PROSPERO (CRD42020219192). Results: We included 26 RCTs: 23 targeted people with psychosocial disabilities (n = 2465), 3 included people with autism (n = 214), and none included people with intellectual disability. Risk of bias was high in 8 studies, moderate for 18, and low for none. There was evidence for a beneficial effect of Individual Placement and Support compared to control conditions in 10/11 studies. Among young adults with autism, there was some evidence for the benefit of Project SEARCH and ASD supports on open employment. Discussion: Gaps in the availability of high-quality evidence remain, undermining comparability and investment decisions in vocational interventions. Future studies should focus on improving quality and consistent measurement, especially for interventions targeting people with autism and/or intellectual disability.

show abstract

“…A small group of studies that examined the impact of employment-oriented interventions found empowerment increased for the SMI adults involved in the interventions (Areberg & Bejerholm, 2013;Hutchinson et al, 2006Hutchinson et al, , 2007Russinova et al, 2018). In contrast, significant improvements in empowerment were not found for 43 participants with psychosis who received a positive psychotherapy group intervention compared to 41 participants receiving services as usual (Schrank et al, 2016).…”

Section: Empowerment In Adults With Smimentioning

confidence: 99%

“…Interventions have been developed to improve empowerment (Rogers et al, 1997) for adults with SMI. Some of these interventions have focused on peer services (Hutchinson et al, 2006;Pickett et al, 2012;Russinova et al, 2018;Salzer et al, 2016) program (Hutchinson et al, 2006), a peer-led education intervention (Pickett et al, 2012), and a peer-run photography-based group intervention (Russinova et al, 2018) reported gains in empowerment. However, a study of 99 participants with a schizophrenia spectrum or affective disorder that examined peer specialist services delivered through an independent living center did not find significant improvements in empowerment for those randomly assigned to receive peer services when compared to participants who received services as usual (Salzer et al, 2016).…”

Section: Empowerment In Adults With Smimentioning

confidence: 99%

Mixed Methods Evaluation of a Movement and Mindfulness Empowerment Workshop for Adults with Serious Mental Illness

Clarkson-Hendrix

Peters

2021

ASW

View full text Add to dashboard Cite

For seriously mentally ill adults, empowerment is critical to maximizing participation in major life activities. Although studies have identified interventions that have positively impacted empowerment, these interventions may not be applicable or amenable to all adults with serious mental illness. More interventions with other approaches are needed. Therefore, this study evaluated the initial implementation of a movement- and mindfulness-based workshop intervention. Quantitative data were used to examine differences in empowerment before and after the workshop, and qualitative data were used to explore participants’ perceptions of the reasons for empowerment differences. Ten participants completed the intervention, and nine of the ten participants also completed follow-up interviews. Quantitative data were collected via pre- and post-intervention surveys. Qualitative data were collected through follow-up interviews with the participants. Surveys revealed perceptions of optimism and control over the future increased between pre- and post-intervention. Interviews uncovered that increases in optimism and control over the future may have been related to workshop accomplishments and reduced helplessness outside of workshop sessions. Future research would benefit from the creation of a training manual along with a validated system to monitor intervention fidelity.

show abstract

Empowering individuals with psychiatric disabilities to work: Results of a randomized trial.

Abstract: The study highlights the malleable nature of defeatist beliefs which prevent many individuals with mental illnesses from pursuing employment services despite their inherent interest in working. (PsycINFO Database Record

Cited by 26 publications

References 69 publications

Peer Support to Enhance Social and Emotional Self-Management Following Acquired Brain Injury Rehabilitation: Design of a Pre–post Study With Process Evaluation

Peer Support to Enhance Social and Emotional Self-Management Following Acquired Brain Injury Rehabilitation: Design of a Pre–post Study With Process Evaluation

Vocational Interventions to Improve Employment Participation of People with Psychosocial Disability, Autism and/or Intellectual Disability: A Systematic Review

Mixed Methods Evaluation of a Movement and Mindfulness Empowerment Workshop for Adults with Serious Mental Illness

Contact Info

Product

Resources

About