2023-09-28 14:46:10 +00:00
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abstract: 'Objective: To compare self-reported barriers and facilitators to
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employment among employed and unemployed participants with multiple
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sclerosis (MS) and spinal cord injury (SCI). Design: Cross-sectional
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study using self-report assessment obtained by mail or online. Setting:
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Medical university in the southeastern United States. Participants:
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Participants (N=2624) identified from either a specialty hospital or a
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state-based surveillance system in the southeastern United States,
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including 1234 with MS and 1390 with SCI. All participants were aged <65
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years at the time of assessment. Interventions: Not applicable. Main
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Outcome Measures: Self-reported barriers and facilitators to employment.
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Results: Overall, the MS participants reported more barriers,
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particularly stress, cognition, and fatigue, whereas those with SCI were
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more likely to report not having the proper education and training,
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resources, transportation, and attendant care. Follow-up analyses broken
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down by employment status indicated that several barriers and
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facilitators were significantly related to diagnosis for either employed
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or unemployed participants, but not both. Among those employed,
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participants with SCI were more likely to report they could not do the
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same types of jobs as they could pre SCI and those with MS were more
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likely to state that they did not know much about jobs for people with
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disabilities (no differences were noted for these variables among
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unemployed participants). Unemployed individuals with SCI were more
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likely to report that the jobs for which they were trained were not
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accessible. Conclusions: The primary barriers for individuals with MS
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revolve around the condition itself, whereas the barriers for SCI appear
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to be more related to modifiable factors. Vocational rehabilitation
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specialists need to identify diagnostic-specific barriers to promote
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employment outcomes. Archives of Physical Medicine and Rehabilitation
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2021;102:1556-61 (c) 2021 by the American Congress of Rehabilitation
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Medicine'
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affiliation: 'Krause, SJ (Corresponding Author), Med Univ South Carolina, Coll Hlth
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Profess, Charleston, SC 29425 USA.
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Krause, S. James; Li, Chao; Jarnecke, Melinda; Reed, Karla; Rembert, Jameka; Dismuke-Greer,
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E. Clara, Med Univ South Carolina, Coll Hlth Profess, Charleston, SC 29425 USA.
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Backus, Deborah, Shepherd Ctr, Atlanta, GA USA.
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Rumrill, Phillip, Univ Kentucky, Inst Human Dev, Lexington, KY USA.'
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author: Krause, S. James and Li, Chao and Backus, Deborah and Jarnecke, Melinda and
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Reed, Karla and Rembert, Jameka and Rumrill, Phillip and Dismuke-Greer, E. Clara
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author-email: krause@musc.edu
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author_list:
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- family: Krause
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given: S. James
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- family: Li
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given: Chao
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- family: Backus
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given: Deborah
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- family: Jarnecke
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given: Melinda
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- family: Reed
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given: Karla
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- family: Rembert
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given: Jameka
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- family: Rumrill
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given: Phillip
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- family: Dismuke-Greer
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given: E. Clara
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da: '2023-09-28'
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doi: 10.1016/j.apmr.2021.02.015
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earlyaccessdate: AUG 2021
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eissn: 1532-821X
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files: []
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issn: 0003-9993
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journal: ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION
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keywords: 'Multiple Sclerosis; Spinal cord injuries; Employment; Rehabilitation;
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Vocational'
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keywords-plus: PEOPLE; WORK
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language: English
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month: AUG
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number: '8'
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number-of-cited-references: '17'
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pages: 1556-1561
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papis_id: bc67e142c3d7315d077061209aa97b5d
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ref: Krause2021barriersfacilitators
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times-cited: '4'
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title: 'Barriers and Facilitators to Employment: A Comparison of Participants With
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Multiple Sclerosis and Spinal Cord Injury'
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000692556700014
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usage-count-last-180-days: '0'
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usage-count-since-2013: '1'
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volume: '102'
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web-of-science-categories: Rehabilitation; Sport Sciences
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year: '2021'
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