2023-09-28 14:46:10 +00:00
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abstract: 'Context/Objective Prolonged unemployment is common for people living
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with a spinal cord injury or disorder (SCI/D) and can impact negatively
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on quality of life. The present study examines stakeholder perspectives
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and experiences with the job search process in order to identify service
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gaps and return-to-work solutions. Design In-depth semi-structured
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interviews were thematically analysed, with questions focused on factors
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that can help or hinder efforts to gain employment. Generated themes
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were then applied to the Person-Environment-Occupation (PEO) systems
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model of participation. Setting Community-based disability service
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provider in South Australia. Participants Purposive sample of persons
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with SCI/D (n = 8) and rehabilitation professionals (n = 4). Results
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Person-centred themes were strongly endorsed by both groups and focused
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on incentives of, and motivation for, employment. Equally important to
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the job search process were individual expectations and attitudes,
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particularly job readiness. Environmental facilitators included
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employers'' positive attitude, although workplace discrimination remained
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a concern. Occupation-based barriers, rather than opportunities, were
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identified - namely, difficulties in SCI/D self-management, the need for
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timely functional assessments, and more opportunities for education,
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upskilling and retraining. Conclusions The PEO model provides a broad
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framework to better understand the complex return-to-work process for
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people with a SCI/D and, potentially, uncover tangible solutions. The
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suggestion is that vocational rehabilitation should go beyond skills
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training and include motivational support to enhance job readiness. This
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must be done on a case-by-case basis. There is also a need for active
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and covert discrimination to be addressed through employment policies.
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The findings will be used to develop intervention targets for a newly
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established vocational rehabilitation service.'
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affiliation: 'Dorstyn, DS (Corresponding Author), Univ Adelaide, Sch Psychol, Level
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5,Hughes Bldg,North Terrace Campus, Adelaide, SA 5005, Australia.
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Dorstyn, Diana S.; Chur-Hansen, Anna; Mansell, Ella; Roberts, Rachel M.; Potter,
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Elizabeth, Univ Adelaide, Sch Psychol, Fac Hlth \& Med Sci, Adelaide, SA, Australia.
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Murphy, Gregory, La Trobe Univ, Sch Psychol \& Publ Hlth, Bundoora, Vic, Australia.
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Stewart, Peter, Parapleg \& Quadripleg Assoc South Australia, Adelaide, SA, Australia.
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Kneebone, Ian, Univ Technol Sydney, Grad Sch Hlth, Discipline Clin Psychol, Ultimo,
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Australia.
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Craig, Ashley, Univ Sydney, Kolling Inst Med Res, Fac Med \& Hlth, Northern Clin
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Sch, St Leonards, NSW, Australia.'
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author: Dorstyn, Diana S. and Chur-Hansen, Anna and Mansell, Ella and Murphy, Gregory
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and Roberts, Rachel M. and Stewart, Peter and Potter, Elizabeth and Kneebone, Ian
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and Craig, Ashley
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author-email: diana.dorstyn@adelaide.edu.au
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author_list:
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- family: Dorstyn
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given: Diana S.
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- family: Chur-Hansen
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given: Anna
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- family: Mansell
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given: Ella
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- family: Murphy
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given: Gregory
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- family: Roberts
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given: Rachel M.
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- family: Stewart
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given: Peter
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- family: Potter
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given: Elizabeth
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- family: Kneebone
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given: Ian
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- family: Craig
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given: Ashley
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da: '2023-09-28'
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doi: 10.1080/10790268.2021.1922231
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earlyaccessdate: MAY 2021
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eissn: 2045-7723
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files: []
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issn: 1079-0268
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journal: JOURNAL OF SPINAL CORD MEDICINE
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keywords: 'Spinal cord injury; Employment; Unemployment; Return to work;
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Rehabilitation'
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keywords-plus: VOCATIONAL-REHABILITATION; EARLY ACCESS; WORK; PATHWAYS; RETURN
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language: English
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month: MAR 4
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number: '2'
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number-of-cited-references: '37'
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orcid-numbers: 'Dorstyn, Diana/0000-0002-7799-8177
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Chur-Hansen, Anna/0000-0002-2935-2689
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Roberts, Rachel/0000-0002-9547-9995
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Craig, Ashley/0000-0001-7647-7604
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Potter, Elizabeth/0000-0002-1019-6233'
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pages: 246-255
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papis_id: 0d09645abad33002dd8477bb3efbf2e8
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ref: Dorstyn2023facilitatorsbarriers
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researcherid-numbers: 'Dorstyn, Diana/M-5707-2019
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'
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times-cited: '1'
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title: 'Facilitators and barriers to employment for persons with chronic spinal cord
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injury or disorder: A qualitative study framed by the person-environment-occupation
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model'
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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:000654812600001
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usage-count-last-180-days: '5'
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usage-count-since-2013: '9'
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volume: '46'
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web-of-science-categories: Clinical Neurology
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year: '2023'
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