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

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

The Journal of Spinal Cord Medicine, 2021 · DOI: 10.1080/10790268.2021.1955205 · Published: January 1, 2021

Spinal Cord InjuryOccupational HealthRehabilitation

Simple Explanation

This study focuses on creating ways to measure how well rehabilitation programs help people with spinal cord injuries or diseases (SCI/D) get back to work. The goal is to ensure rehabilitation professionals provide opportunities to explore returning to work within the first 18 months after rehab admission. By improving employment rates, the hope is to enhance the wellbeing, health, and longevity of individuals with SCI/D.

Study Duration
18 months
Participants
Adults with SCI/D
Evidence Level
Not specified

Key Findings

  • 1
    The structure indicator is the proportion of SCI/D rehabilitation programs with an employment resource center.
  • 2
    The process indicator is the proportion of SCI/D rehabilitation inpatients who receive an employment assessment during inpatient rehabilitation.
  • 3
    The intermediary and final outcome measures are the Readiness for Return-to-Work Scale (RRTW) and Work Productivity and Activity Impairment (WPAI).

Research Summary

The SCI-High Project developed employment indicators for adults with SCI/D in the first 18 months after rehabilitation admission. A pan-Canadian Working Group defined the Employment construct, conducted a systematic search, and constructed a Driver diagram. The Employment indicators intend to support the RTW needs of persons with SCI/D.

Practical Implications

Improved RTW Services

The indicators can help rehabilitation programs improve their services for helping individuals with SCI/D return to work.

Standardized Assessment

Using the RRTW and WPAI scales can provide a standardized way to assess readiness and productivity related to employment.

Policy Development

The findings can inform policy development and resource allocation to support employment for individuals with SCI/D.

Study Limitations

  • 1
    The outcome measures have not been validated in the SCI/D population.
  • 2
    We used a limited group of experts
  • 3
    Complex questionnaire calculations may reduce the validity of the results, especially for the WPAI

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