2023-09-28 14:46:10 +00:00
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abstract: 'Background: Employment rates among people with spinal cord injury or
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spinal cord disease (SCI/D) show considerable variation across
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countries. One factor to explain this variation is differences in
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vocational rehabilitation (VR) systems. International comparative
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studies on VR however are nonexistent. Objectives: To describe and
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compare VR systems and practices and barriers for return to work in the
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rehabilitation of persons with SCI/D in multiple countries. Methods: A
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survey including clinical case examples was developed and completed by
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medical and VR experts from SCI/D rehabilitation centers in seven
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countries between April and August 2017. Results: Location
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(rehabilitation center vs community), timing (around admission, toward
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discharge, or after discharge from clinical rehabilitation), and funding
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(eg, insurance, rehabilitation center, employer, or community) of VR
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practices differ. Social security services vary greatly. The age and
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preinjury occupation of the patient influences the content of VR in some
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countries. Barriers encountered during VR were similar. No participant
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mentioned lack of interest in VR among team members as a barrier, but
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all mentioned lack of education of the team on VR as a barrier. Other
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frequently mentioned barriers were fatigue of the patient (86\%), lack
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of confidence of the patient in his/her ability to work (86\%), a gap in
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the team''s knowledge of business/legal aspects (86\%), and inadequate
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transportation/accessibility (86\%). Conclusion: VR systems and
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practices, but not barriers, differ among centers. The variability in VR
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systems and social security services should be considered when comparing
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VR study results.'
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affiliation: 'Roels, EH (Corresponding Author), Univ Med Ctr Groningen, Groningen,
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Netherlands.
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Roels, Ellen H.; Reneman, Michiel F.; Post, Marcel W. M., Univ Groningen, Univ Med
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Ctr Groningen, Ctr Rehabil, Dept Rehabil Med, Groningen, Netherlands.
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New, Peter W., Alfred Hlth, Spinal Rehabil Serv, Caulfield Hosp, Caulfield, Vic,
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Australia.
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New, Peter W., Monash Univ, Epworth Monash Rehabil Med Unit, Melbourne, Vic, Australia.
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Kiekens, Carlotte, Univ Hosp Leuven, Dept Phys \& Rehabil Med, Leuven, Belgium.
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Kiekens, Carlotte; Van Roey, Lot, KU Leuven Univ Leuven, Dept Dev \& Regenerat,
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Leuven, Belgium.
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Townson, Andrea, Univ British Columbia, GF Strong Rehabil Ctr, Vancouver, BC, Canada.
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Scivoletto, Giorgio, IRCCS Fdn S Lucia, Spinal Unit, Rome, Italy.
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Scivoletto, Giorgio, IRCCS Fdn S Lucia, Spinal Rehabil SpiRe Lab, Rome, Italy.
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Smith, Eimear, Natl Rehabil Hosp, Dun Laoghaire, Co Dublin, Ireland.
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Eriks-Hoogland, Inge; Staubli, Stefan, Swiss Parapleg Ctr, Nottwil, Switzerland.
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Post, Marcel W. M., Univ Med Ctr Utrecht, Ctr Excellence Rehabil Med, UMC Utrecht
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Brain Ctr, Utrecht, Netherlands.
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Post, Marcel W. M., De Hoogstr Rehabil, Utrecht, Netherlands.'
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author: Roels, Ellen H. and Reneman, Michiel F. and New, Peter W. and Kiekens, Carlotte
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and Van Roey, Lot and Townson, Andrea and Scivoletto, Giorgio and Smith, Eimear
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and Eriks-Hoogland, Inge and Staubli, Stefan and Post, Marcel W. M.
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author-email: e.h.roels@umcg.nl
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author_list:
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- family: Roels
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given: Ellen H.
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- family: Reneman
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given: Michiel F.
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- family: New
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given: Peter W.
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- family: Kiekens
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given: Carlotte
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- family: Van Roey
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given: Lot
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- family: Townson
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given: Andrea
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- family: Scivoletto
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given: Giorgio
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- family: Smith
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given: Eimear
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- family: Eriks-Hoogland
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given: Inge
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- family: Staubli
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given: Stefan
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- family: Post
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given: Marcel W. M.
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da: '2023-09-28'
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doi: 10.1310/sci2601-21
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eissn: 1945-5763
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files: []
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issn: 1082-0744
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journal: TOPICS IN SPINAL CORD INJURY REHABILITATION
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keywords: employment; spinal cord diseases; spinal injuries; work
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keywords-plus: 'QUALITY-OF-LIFE; EMPLOYMENT OUTCOMES; RETURN; WORK; INTERVENTIONS;
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PEOPLE'
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language: English
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month: WIN
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number: '1'
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number-of-cited-references: '29'
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orcid-numbers: 'Kiekens, Carlotte/0000-0001-8500-7751
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Post, Marcel/0000-0002-2205-9404'
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pages: 21-35
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papis_id: 4476a093c8970cea854e49b2cdb9d9de
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ref: Roels2020internationalcompari
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researcherid-numbers: 'Post, Marcel/AAS-2502-2021
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Kiekens, Carlotte/V-7545-2018
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'
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times-cited: '9'
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title: 'International Comparison of Vocational Rehabilitation for Persons With Spinal
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Cord Injury: Systems, Practices, and Barriers'
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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:000615080700003
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usage-count-last-180-days: '1'
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usage-count-since-2013: '5'
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volume: '26'
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web-of-science-categories: Rehabilitation
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year: '2020'
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