个人安置和支持的过程评估和参与性工作场所干预,以增加工作残疾人的可持续工作参与
E Oude Geerdink1, M A Huysmans2, H van Kempen3
1Department of Public and Occupational Health, Amsterdam Public Health Research Institute, Amsterdam UMC - Location VU Medical Center, Vrije Universiteit Amsterdam, Van Der Boechorstraat 7, Postbus 7057, 1081 BT, Amsterdam, The Netherlands. e.oudegeerdink@amsterdamumc.nl.
Journal of occupational rehabilitation
|June 25, 2024
概括
个人安置和支持 (IPS) 显示出合理的执行和公平的忠诚度,以增加工作参与. 参与性工作场所干预 (PWI) 几乎没有实施,这限制了其在随机对照试验中的潜在影响.
科学领域:
- 职业康复 职业康复 职业康复
- 支持就业的就业支持
- 医疗保健服务研究 医疗服务研究
背景情况:
- 劳动残疾给个人和社会带来了重大挑战.
- 需要有效的干预措施来改善残疾人的工作参与.
- 个人安置和支持 (IPS) 和参与性工作场所干预 (PWI) 是两种旨在提高就业成果的方法.
研究的目的:
- 进行个人安置和支持 (IPS) 和参与性工作场所干预 (PWI) 的过程评估.
- 评估IPS和PWI根据协议与随机对照试验 (RCT) 一起实施的程度.
- 为了确定两种干预措施的忠实度和输送剂量.
主要方法:
- 这项研究涉及荷兰的劳动残疾客户及其职业教练.
- 数据收集时间为2019年9月至2022年11月.
- 方法包括注册表,研究员笔记和日志.
主要成果:
- 个人安置和支持 (IPS) 证明了合理的剂量交付和公平的忠实性.
- 在IPS内部的求职集中在与客户愿望一致的有偿工作上,但与医疗保健的整合往往是不够的.
- 参与式工作场所干预 (PWI) 是少数客户所接受的,通常是因为在干预申请之前需要开始工作.
结论:
- 个人安置和支持 (IPS) 的实施足以潜在地影响参与RCT的工作.
- 参与式工作场所干预 (PWI) 在实践中基本上没有实现,排除了忠诚度评估.
- 结论是,PWI不太可能对RCT中的工作参与产生影响.
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