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Work and SCI: a pilot randomized controlled study of an online resource for job-seekers with spinal cord dysfunction
Diana Dorstyn1, Rachel Roberts2, Gregory Murphy3
1Faculty of Health and Medical Sciences, School of Psychology, University of Adelaide, Adelaide, SA, Australia. diana.dorstyn@adelaide.edu.au.
Study Design:
A prospective, parallel randomized controlled trial (RCT).
Objectives:
To test the preliminary effects of an online resource targeted to job-seekers with spinal cord injury or disorder (SCI/D), and to determine the feasibility of proceeding to a full-scale RCT.
Setting:
A community cohort in Australia.
Methods:
Forty-eight adults (M = 42 years, SD = 10.95, 27 males) were randomized to receive 4-weeks access to the Work and SCI resource (n = 25) or to a wait-list control group (n = 23). The Work and SCI intervention involved six stand-alone learning modules which provided job-searching and career-planning information through text, videos, and interactive activities. Self-report measures were administered at baseline and after 4 weeks: Job Procurement Self-Efficacy Scale (JSES), Life Orientation Test-Revised (LOT-R), and Patient Health Questionnaire-9 (PHQ-9).
Results:
Online usage data identified high uptake of the Work and SCI resource, although study attrition was problematic. Intention-to-treat analyses failed to reach statistical significance, whereas complete data revealed a significant interaction effect for optimism (LOT-R).
Conclusion:
Further research to develop and enhance Work and SCI is indicated. Remediable strategies to optimize recruitment and statistical power in a future definitive RCT are discussed.
Sponsorship:
This project was funded by the auDA Foundation (project 16019).
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