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On prediction of vocational rehabilitation outcome at a Swedish employability institute
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Rehabilitation Medicine.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Rehabilitation Medicine.
2003 (English)In: Journal of Rehabilitation Medicine, ISSN 1650-1977, Vol. 35, no 6, 284-289 p.Article in journal (Refereed) Published
Abstract [en]

OBJECTIVE: The main objective of this investigation was to identify a set of variables usable in early outcome prediction of vocational rehabilitation.

DESIGN: On commencement of rehabilitation at an employability institute, data were sampled using structured interviews and checklists. Two years later the subjects were followed up by telephone interviews.

SUBJECTS: The study sample was all unemployed with a somatic disorder as the cause of vocational disability, admitted from October 1995 to December 1996 (n = 149). Of these 109 (73%) agreed to participate.

METHODS: Initially, data on demography, symptoms, expectations/beliefs about future capacity for gainful employment and sense of coherence (as an indicator of coping resources) were sampled. At follow-up the subjects' vocational situations were recorded.

RESULTS: At follow-up, 40% were working or employable. Among the about 30 variables included, logistic regression showed that having a relatively high belief in vocational return (odds ratio, OR: 4.6, CI: 1.4-15.4), having a relatively high sense of coherence (OR: 3.5, CI: 1.5-8.4) and having a relatively high educational level (OR: 2.6, CI: 1.1-6.3) were significant predictors of positive outcome.

CONCLUSION: In this sample, socio-psychological and educational aspects were far more predictive of outcome than were medical circumstances.

Place, publisher, year, edition, pages
2003. Vol. 35, no 6, 284-289 p.
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:uu:diva-90558PubMedID: 14664319OAI: oai:DiVA.org:uu-90558DiVA: diva2:162947
Available from: 2003-05-08 Created: 2003-05-08 Last updated: 2013-07-30Bibliographically approved
In thesis
1. On life satisfaction and vocational rehabilitation outcome in Sweden
Open this publication in new window or tab >>On life satisfaction and vocational rehabilitation outcome in Sweden
2003 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

This dissertation has two parts. Firstly, satisfaction with life as a whole and with 10 life domains (using an instrument termed LiSat-11 with 6-graded scales) is described in a nationally representative sample aged 18-64 years (n: 2,533) and is related to some socio-demographic circumstances. Secondly, vocationally disabled people (n: 109) at an employability institute are prospectively followed in order to determine their life satisfaction and to identify early predictors of vocational rehabilitation outcome.

Main results: Gender independently, 70 % of the national sample were satisfied with life as a whole (were happy). The ten domains formed a 4-factor pattern: ”Closeness, Health, Spare time, Provision”. Seven domains were sizeable predictors of overall life satisfaction. In a complex manner socio-demographics were predictive of (gross levels) all LiSat-11 items. Main predictors were perceived health, immigrant status and educational level.

Generally, the vocational rehabilitees had low LiSat-11 levels except for the closeness items. They had relatively poor background resources (low “sense of coherence“ level) for successful coping. Whereas a positive rehabilitation outcome was accompanied by increases in several LiSat-11 aspects, only satisfaction with the vocational situation was clearly responsive. Three early predictors of outcome were identified: belief in vocational return, educational level and sense of coherence.

In summary: Besides providing reference values for the LiSat-11 instrument, this dissertation demonstrates that different socio-demographic factors influence different areas of concern (domains) in 18- to 64-year-old Swedes. In turn, satisfaction derived from different areas heavily influences level of overall life satisfaction. Moreover, the vocational rehabilitees generally seemed to be predisposed to being poor copers, possibly a major background of low levels of many LiSat-11 aspects. The identified set of predictors of the outcome of vocational rehabilitation emphasizes a need for focusing on psycho-social aspects within vocational rehabilitation.

Place, publisher, year, edition, pages
Uppsala: Acta Universitatis Upsaliensis, 2003. 64 p.
Series
Comprehensive Summaries of Uppsala Dissertations from the Faculty of Medicine, ISSN 0282-7476 ; 1265
Keyword
Medicine, Life satisfaction, Quality of life, Epidemiology, Vocational rehabilitation outcome, Sense of coherence, Medicin
National Category
Dermatology and Venereal Diseases
Research subject
Rehabilitation Medicine
Identifiers
urn:nbn:se:uu:diva-3467 (URN)91-554-5636-7 (ISBN)
Public defence
2003-05-30, Grönwallsalen, Ingång 70, Akademiska sjukhuset, Uppsala, 13:15
Opponent
Supervisors
Available from: 2003-05-08 Created: 2003-05-08Bibliographically approved

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