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Titre : | Effectiveness of Supported Employment for Veterans With Spinal Cord Injury: 2-Year Results (2014) |
Auteurs : | Lisa Ottomanelli ; Scott D. Barnett ; Lance L. Goetz |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (2014/4, 2014) |
Article en page(s) : | p. 784-790 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Anciens combattants ; Rééducation et réadaptation ; Traumatismes de la moelle épinière |
Mots-clés: | Employment ; supported ; Emploi accompagné pour les personnes handicapées ; vocational ; Réadaptation professionnelle ; Spinal cord injuries ; Veterans |
Résumé : |
Objective To examine if supported employment (SE) remains more effective than treatment as usual (TAU) in returning veterans to competitive employment after spinal cord injury (SCI) at 2-year follow-up. Design Prospective, randomized, controlled, multisite trial of SE versus TAU with 24 months of follow-up. Setting SCI centers. Participants Subjects (N=201) were enrolled and completed baseline interviews. At interventional sites, subjects were randomized to SE (n=81) or TAU (n=76). At observational sites, 44 subjects were enrolled in a nonrandomized TAU condition. Intervention The intervention was a SE program called the SCI Vocational Integration Program, which followed the principles of the individual placement and support model of SE for persons with mental illness. Main Outcome Measures Competitive employment in the community within 2 years. Results For the entire 2-year follow-up period, SE subjects were significantly more likely to achieve employment (30.8%; 95% confidence interval [CI], 21.841.6) than either the TAU subjects at the intervention sites (10.5%; 95% CI, 5.219.7; P<.001 or the tau subjects at observational sites ci p most who obtained competitive employment did so in year and average time to first was about weeks.> Conclusions SE was better than usual practices in improving employment outcomes for veterans with SCI across a 2-year follow-up period. Although SE continued to be superior to traditional practices over the entire study, the first year of participation in SE may represent a critical window for achieving employment after SCI. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999313012185 |