abstract: 'Neuromyelitis optica spectrum disorder (NMOSD) is a rare and disabling neurological disorder, marked by recurrent attacks of the central nervous system. NMO has a high female predominance and disproportionately affects racial and ethnic groups who are under- and unemployed in the USA. Three focus groups, involving 20 working age adults with NMOSD in the USA, were convened via Zoom online, to discuss the topic of employment in NMOSD. Consolidated Criteria for Reporting Qualitative research (COREQ) were followed. Discussions were coded for major themes using an inductive approach. The following themes emerged: (1) Barriers due to NMOSD on employment including (i) visible and invisible symptoms, (ii) the burden of treatment, and (iii) time to diagnosis; (2) Mitigating factors when NMOSD affects employment; (3) Impact of COVID-19; (4) Impact on income; (5) Impact on new and future employment and higher education opportunities; and (6) Unmet needs that are pragmatically addressable, outside of major policy or scientific changes.' affiliation: 'Mateen, FJ (Corresponding Author), Harvard Med Sch, Massachusetts Gen Hosp, Boston, MA 02115 USA. Mateen, Farrah J.; Hacker, Cristina Trapaga M., Harvard Med Sch, Massachusetts Gen Hosp, Boston, MA 02115 USA.' article-number: '1142640' author: Mateen, Farrah J. and Hacker, Cristina Trapaga M. author-email: fmateen@mgh.harvard.edu author_list: - family: Mateen given: Farrah J. - family: Hacker given: Cristina Trapaga M. da: '2023-09-28' doi: 10.3389/fneur.2023.1142640 files: [] issn: 1664-2295 journal: FRONTIERS IN NEUROLOGY keywords: 'neuromyelitis optica (NMO); employment; unemployment; disability; outcomes; qualitative research' keywords-plus: JOB LOSS; WORK language: English month: MAR 9 number-of-cited-references: '13' papis_id: 074b28fbc08220c1d84eb86157efc8e5 ref: Mateen2023understandingemploym times-cited: '0' title: 'Understanding the employment impact of neuromyelitis optica spectrum disorder in the USA: Mixed methods' type: Article unique-id: WOS:000954587800001 usage-count-last-180-days: '0' usage-count-since-2013: '0' volume: '14' web-of-science-categories: Clinical Neurology; Neurosciences year: '2023'