Labor market participation of individuals with spinal cord injury living in Switzerland: determinants of between-person differences and counterfactual evaluation of their instrumental value for policy

Schwegler, Urban; Fekete, Christine; Finger, Matthias; Karcz, Katarzyna; Staubli, Stefan; Brinkhof, Martin W. G.

doi:10.1038/s41393-020-00598-x

Cited by 16 publications

(17 citation statements)

References 25 publications

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“…At this time point, restrictions in the ability to perform paid work may be a determinant of disability pension level. Later, in the community setting, it is more likely that the disability pension levels determine the frequency of paid work [30]. Thus, adjusting disability pension levels may appear a promising policy strategy to enhance participation in paid work for persons with SCI.…”

Section: Discussionmentioning

confidence: 99%

Detecting subgroups in social participation among individuals living with spinal cord injury: a longitudinal analysis of community survey data

et al. 2021

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Section: Discussionmentioning

confidence: 99%

Detecting subgroups in social participation among individuals living with spinal cord injury: a longitudinal analysis of community survey data

et al. 2021

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“…The most common locations for chronic pain are in the back, knee and head, and the most common causes are arthritis, herniated discs and traumatic injury [4]. Chronic pain often severely affects life as it is frequently associated with distress, reduced well-being, co-morbidities (e.g., depression, anxiety disorders), and reduced participation [4][5][6]. Moreover, chronic pain causes high societal costs related to health care expenditures, reduced work productivity, or labor market dropouts [7,8].…”

Section: Introductionmentioning

confidence: 99%

Are Positive Psychology Interventions Efficacious in Chronic Pain Treatment? A Systematic Review and Meta-Analysis of Randomized Controlled Trials

et al. 2021

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Objective Although positive psychology interventions are increasingly popular in chronic pain treatment their efficacy is still unclear. The objective is to summarize evidence on the effect of positive psychology interventions (PPIs) on pain, physical functioning, and emotional functioning in adults with chronic pain. Methods Four electronic databases and additional references were searched for randomized controlled trials published between 1990 and 2020. Findings from included studies were qualitatively and quantitatively synthesized, and study quality was assessed for risk of bias. A random effects meta-analysis model was applied for outcomes with more than four findings. Results Of 16 included randomized controlled trials, almost half delivered positive psychology interventions as self-help online interventions, and half conducted guided face-to-face interventions which lasted mostly eight weeks. Results from meta-analysis showed beneficial effects of positive psychology interventions compared to the control group on pain intensity and emotional functioning (i.e., less depressive symptoms, pain catastrophizing, negative affect; more positive affect) post-intervention. At 3-month follow-up, beneficial effects were maintained for depressive symptoms and positive and negative affect, but not for pain catastrophizing. However, the evidence on the long-term efficacy of PPIs and the efficacy of PPIs on physical functioning remains limited. Conclusion This review supports the notion that positive psychology interventions are beneficial to chronic pain treatment, although further, high quality research is needed to support this conclusion.

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“…There are currently around 6,000 people with a traumatic or non-traumatic SCI and 130,000 people with a traumatic brain injury or stroke living in Switzerland, the majority of them being of working age ( 18 , 19 ). The employment rate of people with SCI is with 61% about 20% points lower compared to the general population ( 20 , 21 ). Statistical data on the employment situation of persons with ABI living in Switzerland is currently lacking but, as previously shown, sustaining work after the onset of an SCI or ABI represents a major challenge for those affected ( 6 , 7 , 11 ).…”

Section: Introductionmentioning

confidence: 99%

Facilitators and Barriers to Sustainable Employment After Spinal Cord Injury or Acquired Brain Injury: The Person's Perspective

Karcz¹,

Schiffmann²,

Schwegler³

et al. 2022

Front. Rehabilit. Sci.

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BackgroundSustaining employment after initial return to work represents a major challenge for people with a disability. While individuals with spinal cord injury (SCI) and acquired brain injury (ABI) make a prime example for this challenge, their view on factors supporting and hindering sustainable employment have rarely been investigated in depth so far.PurposeTo examine facilitators and barriers to sustainable employment, as perceived by persons with SCI or ABI.MethodsFourteen focus groups and four individual interviews were conducted and thematically analyzed.ResultsPerceived facilitators and barriers to sustainable employment reflected the three biopsychosocial areas of personal, impairment-related and environmental factors. For both condition groups, key facilitators included environmental factors (i.e., aspects of the work organization, the workplace, supportive private and work environment) and personal factors (i.e., the ability to self-advocate, to communicate and to learn how to live with one's own disability). Major barriers comprised injury-related impairments, including decreased mobility and pain for people with SCI and fatigue and limited cognitive resources for persons with ABI, as well as environmental factors related to insurance procedures and the social security system for both conditions.ConclusionsThe biopsychosocial factors identified in our study as well as their interplay should receive particular attention to optimally support sustainable employment in vocational integration and work retention practice. Interventions should particularly focus on the empowerment of those affected as well as on the creation of supportive work environments that match their abilities and needs.

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Labor market participation of individuals with spinal cord injury living in Switzerland: determinants of between-person differences and counterfactual evaluation of their instrumental value for policy

Cited by 16 publications

References 25 publications

Detecting subgroups in social participation among individuals living with spinal cord injury: a longitudinal analysis of community survey data

Detecting subgroups in social participation among individuals living with spinal cord injury: a longitudinal analysis of community survey data

Are Positive Psychology Interventions Efficacious in Chronic Pain Treatment? A Systematic Review and Meta-Analysis of Randomized Controlled Trials

Facilitators and Barriers to Sustainable Employment After Spinal Cord Injury or Acquired Brain Injury: The Person's Perspective

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