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Updated: Jul 16, 2026

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Optimising access to employment support for people with multiple sclerosis through charities: a qualitative study

Blanca De Dios Perez1,2,3, Caolan Senior4, Roshan Das Nair5,6,7

  • 1Centre for Rehabilitation and Ageing Research, University of Nottingham, Nottingham, UK. blanca.dediosperez@nottingham.ac.uk.

BMC Health Services Research
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PubMed
Summary

Adapting vocational rehabilitation (VR) for multiple sclerosis (MS) is feasible within charities. Key adaptations include structured sessions, staff training, and collaborations to support job retention for people with MS.

Keywords:
InterviewsJob retentionMultiple sclerosisThird sectorVocational rehabilitation

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Area of Science:

  • Health Services Research
  • Rehabilitation Medicine
  • Occupational Health

Background:

  • Vocational rehabilitation (VR) interventions can improve job retention for individuals with multiple sclerosis (MS).
  • Specialist VR services are scarce in the UK, and existing healthcare systems face capacity challenges.
  • This study focuses on adapting an MS-specific VR intervention for delivery by charities.

Purpose of the Study:

  • To adapt an existing MS-specific VR intervention for implementation within UK charities.
  • To identify necessary modifications for effective service delivery in a non-specialist setting.
  • To ensure the sustainability and accessibility of VR support for people with MS.

Main Methods:

  • Utilized the ADAPT guidance and Normalization Process Theory (NPT) for intervention adaptation.
  • Conducted semi-structured interviews with people with MS, employers, and charity employees.
  • Engaged in informal communication with stakeholders from national disability employment charities.
  • Employed framework analysis for data analysis.

Main Results:

  • Identified four key themes for implementation: service structure, training non-specialists, intervention components, and service promotion.
  • Recommended adaptations include structured intervention guidance, external collaborations, and performance monitoring.
  • Interviewed 26 participants (11 people with MS, 12 charity employees, 3 employers) and 6 stakeholders.

Conclusions:

  • The identified adaptations facilitate VR intervention delivery within charitable organizations.
  • Mentoring, staff upskilling, and strategic partnerships are crucial for long-term intervention sustainability.
  • This adapted model can enhance employment outcomes for individuals with MS through non-specialist support.