Work and SCI: a pilot randomized controlled study of an online resource for job-seekers with spinal cord dysfunction
| Autor: | Dorstyn D, Roberts R, Murphy G, Craig A, Kneebone I, Stewart P, Chur-Hansen A, Marshall R, Clark J, Migliorini C |
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| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
Adult
Employment Male Internet Optimism Rehabilitation Pilot Projects 1103 Clinical Sciences 1106 Human Movement and Sports Sciences 1109 Neurosciences Middle Aged Patient Acceptance of Health Care Spinal Cord Diseases Self Efficacy Young Adult Treatment Outcome Occupational Therapy Humans Feasibility Studies Female Spinal Cord Injuries Telerehabilitation |
| Popis: | STUDY DESIGN:A prospective, parallel randomized controlled trial (RCT). OBJECTIVES:To test the preliminary effects of an online resource targeted to job-seekers with spinal cord injury or disorder (SCI/D), and to determine the feasibility of proceeding to a full-scale RCT. SETTING:A community cohort in Australia. METHODS:Forty-eight adults (M = 42 years, SD = 10.95, 27 males) were randomized to receive 4-weeks access to the Work and SCI resource (n = 25) or to a wait-list control group (n = 23). The Work and SCI intervention involved six stand-alone learning modules which provided job-searching and career-planning information through text, videos, and interactive activities. Self-report measures were administered at baseline and after 4 weeks: Job Procurement Self-Efficacy Scale (JSES), Life Orientation Test-Revised (LOT-R), and Patient Health Questionnaire-9 (PHQ-9). RESULTS:Online usage data identified high uptake of the Work and SCI resource, although study attrition was problematic. Intention-to-treat analyses failed to reach statistical significance, whereas complete data revealed a significant interaction effect for optimism (LOT-R). CONCLUSION:Further research to develop and enhance Work and SCI is indicated. Remediable strategies to optimize recruitment and statistical power in a future definitive RCT are discussed. SPONSORSHIP:This project was funded by the auDA Foundation (project 16019). |
| Databáze: | OpenAIRE |
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