Implementing vocational rehabilitation for people with multiple sclerosis in the UK National Health Service: a mixed-methods feasibility study.
Purpose: To implement a job retention vocational rehabilitation (VR) intervention (MSVR) for people with multiple sclerosis (MS) and their employers in the UK National Health Service (NHS). Methods: Multicentre, single-arm feasibility study with post-intervention interviews. MSVR was delivered by an...
| Publicado en: | Disability & Rehabilitation Vol. 47; no. 12; pp. 3124 - 3137 |
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| Autores principales: | , , , , , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Taylor & Francis Ltd
Jun2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=185819088&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 185819088 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09638288 B73 jtl: Disability & Rehabilitation issn: 09638288 maglogo: Y pubinfo: dt: Jun2025 vid: 47 iid: 12 pid: 377 pub: Taylor & Francis Ltd place: Philadelphia, Pennsylvania artinfo: ui: 185819088 180399807 185819088 185819088 10.1080/09638288.2024.2417031 185819088 ppf: 3124 ppct: 13 formats: tig: atl: Implementing vocational rehabilitation for people with multiple sclerosis in the UK National Health Service: a mixed-methods feasibility study. aug: au: De Dios Perez, Blanca Holmes, Jain Elder, Tracey Lindley, Rebecca Evangelou, Nikos das Nair, Roshan Senior, Caolan Booth, Vicky Hassard, Juliet Ford, Helen L. Newsome, Ian Radford, Kate affil: Centre for Rehabilitation and Ageing Research, School of Medicine, University of Nottingham, Nottingham, UK sug: subj: Multiple Sclerosis Rehabilitation National Health Programs United Kingdom Personnel Retention Rehabilitation, Vocational Implementation Science Health Services Accessibility Human Funding Source United Kingdom Multimethod Studies Pilot Studies Multicenter Studies Semi-Structured Interview Occupational Therapists After Care Salaries and Fringe Benefits Family Relations Accountability Goal Attainment Thematic Analysis Professional Role Occupational Therapy Descriptive Statistics Paired T-Tests Data Analysis Software Confidence Intervals Male Female Adult Middle Age Adult: 19-44 years Middle Aged: 45-64 years Male Female ab: Purpose: To implement a job retention vocational rehabilitation (VR) intervention (MSVR) for people with multiple sclerosis (MS) and their employers in the UK National Health Service (NHS). Methods: Multicentre, single-arm feasibility study with post-intervention interviews. MSVR was delivered by an occupational therapist (OT). Feasibility was assessed by recruitment rates, compliance, and practicality of delivery. Acceptability was assessed with post-intervention interviews. A survey assessed change in eight vocational outcomes (e.g., vocational goals, work instability) immediately post-intervention and at 3-month follow-up. Results: Recruitment and training an OT was challenging. Twenty participants with MS, three employers, and three healthcare professionals were recruited. All participants but one completed the intervention. Factors affecting intervention adherence included annual leave and family responsibilities. MSVR was associated with improved vocational goal attainment post-intervention (t(18) = 7.41, p = <0.001) and at follow-up (t(17) = 6.01, p = <0.001). There was no change to the remaining outcomes. Interviews identified six themes: intervention impact, accessibility of support, the OT's role, readiness for support, workplace supportiveness, and barriers to NHS delivery. Conclusion: Challenges with recruitment, identifying newly diagnosed MS participants, and understanding the OT's training needs to deliver the intervention were identified. The intervention demonstrated acceptability, but participants wanted it to continue for longer to address further needs. IMPLICATIONS FOR REHABILITATION: Successful implementation of vocational rehabilitation services for people with multiple sclerosis within healthcare services requires multiple environmental and pragmatic changes. Healthcare professionals should record employment status from diagnosis to monitor changes in employment over the disease course, highlighting changes in working hours, occupation type, and employment rates. Vocational rehabilitation has the potential to improve the confidence of people with MS around symptom management and feeling supported and empowered at work. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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