abstract: 'Purpose A systematic review was conducted to review the effectiveness of

  workplace accommodation (WA) regarding employment, work ability, and

  cost-benefit among disabled people. It also describes the evidence

  gained on the barriers and facilitators of WA process to sustain

  employment. Methods We reviewed systematically current scientific

  evidence about effectiveness of WA among disabled persons. The outcomes

  were employment, work ability, and cost-benefit. Qualitative studies of

  employment facilitators and barriers were also included. The population

  comprised people with physical disability, visual impairment, hearing

  impairment, cognitive disability, or mental disability, aged 18-68

  years. CINAHL, the Cochrane Library, Embase, Medic, OTseeker, PEDro,

  PsycInfo, PubMed, Scopus, and Web of Science were searched for

  peer-reviewed articles published in English from January 1990 to

  November 2012. Results Three quantitative (one randomized controlled,

  one concurrently controlled, and one cohort) and eight qualitative

  studies met the inclusion criteria. There was moderate evidence that

  specific types of WA (vocational counselling and guidance, education and

  self-advocacy, help of others, changes in work schedules, work

  organization, and special transportation) promote employment among

  physically disabled persons and reduce costs. There was low evidence

  that WA (liaison, education, work aids, and work techniques) coordinated

  by case managers increases return to work and is cost-effective when

  compared with the usual care of persons with physical and cognitive

  disabilities. The key facilitators and barriers of employment were

  self-advocacy, support of the employer and community, amount of training

  and counselling, and flexibility of work schedules and work

  organization. Conclusions More high-quality studies using validated

  measures of the work ability and functioning of disabled persons are

  needed. The identified barriers and facilitators found in the

  qualitative studies should be used to develop quantitative study

  designs.'
affiliation: 'Nevala, N (Corresponding Author), Finnish Inst Occupat Hlth, Topeliuksenkatu
  41 A, Helsinki 00250, Finland.

  Nevala, Nina; Pehkonen, Irmeli; Koskela, Inka, Finnish Inst Occupat Hlth, Helsinki
  00250, Finland.

  Nevala, Nina, Univ Jyvaskyla, Dept Hlth Sci, Gerontol Res Ctr, Jyvaskyla 40014,
  Finland.

  Ruusuvuori, Johanna, Univ Tampere, Sch Social Sci \& Humanities, Tampere 33014,
  Finland.

  Anttila, Heidi, Natl Inst Hlth \& Welf, Helsinki 00271, Finland.'
author: Nevala, Nina and Pehkonen, Irmeli and Koskela, Inka and Ruusuvuori, Johanna
  and Anttila, Heidi
author-email: nina.nevala@ttl.fi
author_list:
- family: Nevala
  given: Nina
- family: Pehkonen
  given: Irmeli
- family: Koskela
  given: Inka
- family: Ruusuvuori
  given: Johanna
- family: Anttila
  given: Heidi
da: '2023-09-28'
doi: 10.1007/s10926-014-9548-z
eissn: 1573-3688
files: []
issn: 1053-0487
journal: JOURNAL OF OCCUPATIONAL REHABILITATION
keywords: 'Workplace accommodation; Disability; Employment; Work ability;

  Systematic review'
keywords-plus: 'RANDOMIZED CONTROLLED-TRIAL; WORK DISABILITY; ERGONOMIC INTERVENTIONS;

  ASSISTANCE SERVICES; BRAIN-INJURY; RETURN; INDIVIDUALS; EXPERIENCES;

  EMPLOYMENT; EMPLOYEES'
language: English
month: JUN
number: '2'
number-of-cited-references: '62'
pages: 432-448
papis_id: adfef59b509a3657af5efd240c759151
ref: Nevala2015workplaceaccommodati
researcherid-numbers: Anttila, Heidi/AAC-7827-2022
tags:
- relevant
- review
times-cited: '78'
title: 'Workplace Accommodation Among Persons with Disabilities: A Systematic Review
  of Its Effectiveness and Barriers or Facilitators'
type: Review
unique-id: WOS:000354718500019
usage-count-last-180-days: '2'
usage-count-since-2013: '92'
volume: '25'
web-of-science-categories: Rehabilitation; Social Issues
year: '2015'