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The sink or SWIM hypothesis; a roadmap from pathology to work instability
Bilal Akter Mateen1, Catherine Doogan2, Kate Hayward2
1a Medical School, University College London , London , UK.
Disability and Rehabilitation
|June 23, 2017
Summary
The States-Traits Work Instability Model (SWIM) helps clinicians evaluate interventions by showing how health issues impact work performance. This model clarifies measurable domains for vocational rehabilitation, aiding those struggling to stay employed.
Area of Science:
- Vocational Rehabilitation
- Occupational Health
- Psychosocial Factors in Work
Background:
- Selecting appropriate health-related work outcomes for intervention evaluation is challenging.
- Existing measures lack a cohesive framework for understanding work instability.
- There is a need for a model linking pathology to measurable work outcomes.
Purpose of the Study:
- To develop a model illustrating how pathology affects measurable work outcomes, specifically work instability.
- To provide clinicians with a tool for selecting appropriate health-related work outcome measures.
- To create a holistic framework for understanding and intervening in work instability.
Main Methods:
- A modified-Delphi procedure involving a panel of experts.
- Analysis of 95 health-related work outcome measures.
- Incorporation of stakeholder feedback and literature review to develop the States-Traits Work Instability Model (SWIM).
Main Results:
- The developed States-Traits Work Instability Model (SWIM) demonstrates the impact of an individual's physical and psychological states/traits on work performance, well-being, and self-efficacy.
- Each component of the SWIM represents a measurable quantity with available assessment tools.
- The model integrates clinical realities, sociological research, and practical measurement analysis.
Conclusions:
- The SWIM is a novel, holistic model for work, grounded in vocational rehabilitation and sociological research.
- It clarifies measurable domains for vocational rehabilitation interventions, particularly for individuals with disabilities facing employment challenges.
- The model conceptualizes relationships between potential intervention areas based on existing evidence.
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