Related Experiment Video
Updated: Mar 30, 2026
Author Spotlight: Rehabilitation of Stroke Patients With a Digital Occupational Training System
Published on: December 29, 2023
Expanding vocational retraining options for injured workers: An experiment in worker choice
Jeanne M Sears1, Thomas M Wickizer2, Beryl A Schulman1
1Department of Health Services, School of Public Health, University of Washington, Seattle, WA, USA.
Background:
An innovative self-directed vocational retraining alternative (Option 2) has been offered to eligible Washington State injured workers since 2008.
Objective:
We aimed to describe: (1) how frequently Option 2 was selected and by whom, (2) the extent to which Option 2 workers used their reserved retraining funds, and (3) how worker satisfaction and employment outcomes for Option 2 workers compared with those of workers undergoing traditional vocational retraining.
Methods:
Five-year cohort study involving workers' compensation data, state wage files, and two worker surveys.
Results:
Fewer than 25% of Option 2 workers used their retraining funds. Retraining fund use was associated with better employment outcomes. Workers who were older, whose preferred language was not English, or who had lower pre-injury wages or less education, were least likely to use Option 2 retraining funds. Many workers chose Option 2 because they thought the approved traditional retraining plan was not a good fit for them.
Conclusions:
Self-directed retraining may benefit workers who have the ability, resources, and motivation to independently identify and complete retraining. Additional efforts may be needed to ensure that traditional retraining plans are well-suited to workers' circumstances, and to identify and remove barriers to use of reserved retraining funds.
