Determinants of on-the-job-barriers in employed persons with multiple sclerosis: The role of disability severity and cognitive indices.
BACKGROUND: Literature has shown that work maintenance is central in order to guarantee participation to persons with disability. Knowledge about potential sources of difficulties and obstacles is then crucial in order to prevent barriers and facilitate work maintenance and career development for pe...
| Published in: | Work Vol. 47; no. 4; pp. 509 - 521 |
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| Main Authors: | , , , , , , , |
| Format: | research tables/charts Journal Article |
| Published: |
Sage Publications Inc.
2014
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=103945044&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 103945044 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10519815 3RC jtl: Work issn: 10519815 maglogo: N pubinfo: dt: 2014 vid: 47 iid: 4 pid: 344 pub: Sage Publications Inc. place: Thousand Oaks, California artinfo: ui: 103945044 96037862 10.3233/WOR-131623 NLM23531588 103945044 ppf: 509 ppct: 12 formats: fmt: @attributes: type: P tig: atl: Determinants of on-the-job-barriers in employed persons with multiple sclerosis: The role of disability severity and cognitive indices. aug: au: Carrieri, L. Sgaramella, T.M. Bortolon, F. Stenta, G. Fornaro, L. Cracco, A. Perini, F. Soresi, S. affil: Dipartimento di Scienze Filosofiche, Università di Cassino, Cassino, Italy sug: subj: Employment of Persons with Disabilities Italy Multiple Sclerosis Italy Human Self Report Semi-Structured Interview Cognition Disorders Female Male Adult Middle Age Clinical Assessment Tools Italy Descriptive Statistics Pearson's Correlation Coefficient Architectural Accessibility Organizational Policies Adult: 19-44 years Middle Aged: 45-64 years Female Male ab: BACKGROUND: Literature has shown that work maintenance is central in order to guarantee participation to persons with disability. Knowledge about potential sources of difficulties and obstacles is then crucial in order to prevent barriers and facilitate work maintenance and career development for persons with disabilities. OBJECTIVE: Studies analyzing on-the-job barriers among employed people with multiple sclerosis (MS) have found evidence for a role of clinical determinants. The aim of this study was to describe in more detail the role of disability severity and of cognitive indices on work barriers. PARTICIPANTS: Thirty-two employed adults with a diagnosis of MS with mild to moderate disability severity were included in the study. They were involved in the descriptive study while attending their planned care in the MS unit. METHODS: Subjects completed neurocognitive tasks, a self-report measure of executive functioning and a face-to-face semi-structured interview exploring their perception of barriers at work. RESULTS: Regression analyses showed a specific role of disability severity on perception of barriers due to physical, cognitive and interpersonal relationships; cognitive indices, on the other hand, predicted barriers ascribed to company policy (cognitive score), to accessibility (planning score) or difficulties in cognitive and task related abilities (self-rated executive functioning). CONCLUSION: These findings underline the relevance of objective tasks and self-report questionnaire, direct and indirect multi-dimensional assessment of functioning for an early intervention planning. An ecological model of career development in adults with disabilities is also supported. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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