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1.
Scand J Occup Ther ; : 1-11, 2021 Nov 09.
Artigo em Inglês | MEDLINE | ID: mdl-34751605

RESUMO

BACKGROUND: Evidence-based information and communication technology (ICT) interventions to enhance school participation among students with special educational needs (SEN) are required. AIM: To evaluate the impact of an ICT intervention on school participation among upper secondary school students with special educational needs. MATERIALS AND METHODS: Data on 300 students' assessments with the School Setting Interview (SSI), grades and school attendance were used in this quasi-experimental study, with a one-group pretest-posttest design. Descriptive and inferential statistics and effect size were used, as well as Rasch analysis to generate interval data on the students' ordinal SSI ratings. RESULTS: In the ICT intervention (median time eight hours), 54% of the students received a tablet, and software concerned with planning and structure was received by 85%. After the ICT intervention, a significant decrease in perceived need for adjustments in school activities was found on a group level and 30% of the students improved their school attendance. Students who benefitted the most from the ICT intervention had few adjustment needs in school activities and no special educational support at baseline. CONCLUSION: An ICT intervention is promising for improving school participation among upper secondary school students with SEN.

2.
Healthcare (Basel) ; 8(4)2020 Nov 02.
Artigo em Inglês | MEDLINE | ID: mdl-33147864

RESUMO

BACKGROUND: This case study explores changes in work potential and work performance for ten people who worked before their stroke while participating in the ReWork-Stroke programme. It describes measures performed by the occupational therapists to enhance work potential and work performance and the participants' level of work re-entry nine months after the start of their work trial. METHODS: Ten people who had experienced a mild or moderate stroke participated. Changes were assessed using the Worker Role Interview and the Assessment of Work Performance. Logbooks relating to work potential and work performance were analysed using content analysis. RESULTS: The participants' work potential was in general supportive to returning to work at baseline and remained so at the three-month follow-up. Most changes occurred in the environmental factors regarding the participants' belief that adaptations at the workplace would make re-entry possible. Changes concerning work performance were predominately in a positive direction. Seven of the participants returned to paid work. CONCLUSION: The ReWork-Stroke programme seems promising for promoting changes in work potential, work performance, and return to paid work. However, further studies are needed to evaluate changes in work potential and work performance and the programme's effectiveness for increasing work re-entry for people who have had stroke.

3.
Health Qual Life Outcomes ; 16(1): 12, 2018 Jan 12.
Artigo em Inglês | MEDLINE | ID: mdl-29329584

RESUMO

BACKGROUND: Participation in education is a vital component of adolescents' everyday life and a determinant of health and future opportunities in adult life. The School Setting Interview (SSI) is an instrument which assesses student-environment fit and reflects the potential needs for adjustments to enhance students' participation in school activities. The aim of the study was to investigate the psychometric properties of the SSI for students with special educational needs in regular high school. METHODS: A sample of 509 students with special educational needs was assessed with the SSI. The polytomous unrestricted Rasch model was used to analyze the psychometric properties of the SSI regarding targeting, model fit, differential item functioning (DIF), response category functioning and unidimensionality. RESULTS: The SSI generally confirmed fit to assumptions of the Rasch model. Reliability was acceptable (0.73) and the SSI scale was able to separate students into three different levels of student-environment fit. DIF among gender was detected in item "Remember things" and in item "Homework" DIF was detected among students with or without diagnosis. All items had disordered thresholds. The SSI demonstrated unidimensionality and no response dependence was present among items. CONCLUSION: The results suggest that the SSI is valid for use among students with special educational needs in order to provide and evaluate environmental adjustments. However, the items with the detected DIF and the SSI rating scale with its disordered thresholds needs to be further scrutinized.


Assuntos
Crianças com Deficiência/psicologia , Crianças com Deficiência/estatística & dados numéricos , Educação Especial/organização & administração , Determinação de Necessidades de Cuidados de Saúde/organização & administração , Psicometria/métodos , Estudantes/psicologia , Adolescente , Feminino , Humanos , Entrevistas como Assunto , Masculino , Qualidade de Vida , Reprodutibilidade dos Testes , Instituições Acadêmicas , Inquéritos e Questionários
4.
Scand J Occup Ther ; 22(6): 416-23, 2015.
Artigo em Inglês | MEDLINE | ID: mdl-25797368

RESUMO

BACKGROUND: Work ability assessments are used to guide interventions designed to reduce or eliminate work disability and facilitate work participation. The clinical utility of assessments concerns the extent to which the assessment results support clinical decision-making. AIM: The aim was to investigate how users perceive the clinical utility of the Swedish version of the Worker Role Interview (WRI-S). An additional aim was to investigate differences in clinical utility related to the users' level of WRI-S experience, attendance at courses on WRI-S application, and knowledge of the Model of Human Occupation. MATERIAL AND METHODS: Data are based on 187 respondents' answers to a web-based questionnaire and analysed through descriptive and inferential statistics. RESULTS: In total, the respondents performed 12,000 WRI-S assessments. The respondents were mainly satisfied with the clinical utility of the WRI-S and experienced the assessment as supporting clinical practice. The main hindrance affecting clinical utility was the amount of time needed for conducting a WRI-S assessment. Experienced users and users with very good knowledge of MOHO conduct WRI-S assessments in a more time-effective manner. CONCLUSION: This study contributes to further development of the clinical utility of the Swedish version of the WRI-S, mainly focusing on time consumption.


Assuntos
Entrevistas como Assunto , Avaliação da Capacidade de Trabalho , Humanos , Saúde do Trabalhador , Terapia Ocupacional , Psicometria/métodos , Inquéritos e Questionários , Suécia
5.
Work ; 47(2): 213-9, 2014.
Artigo em Inglês | MEDLINE | ID: mdl-23324715

RESUMO

BACKGROUND: The Work Environment Impact Scale (WEIS) is an assessment that focuses on the fit between a person and his or her work environment. It is based on Kielhofner's Model of Human Occupation and designed to gather information on how clients experience their work environment. OBJECTIVE: The aim of this study was to examine the psychometric properties of the Swedish version of the WEIS assessment instrument. METHOD: In total, 95 ratings on the 17-item WEIS were obtained from a sample of clients with experience of sick leave due to different medical conditions. Rasch analysis was used to analyze the data. RESULTS: Overall, the WEIS items together cohered to form a single construct of increasingly challenging work environmental factors. The hierarchical ordering of the items along the continuum followed a logical and expected pattern, and the participants were validly measured by the scale. The three occupational therapists serving as raters validly used the scale, but demonstrated a relatively high rater separation index, indicating differences in rater severity. CONCLUSION: The findings provide evidence that the Swedish version of the WEIS is a psychometrically sound assessment across diagnoses and occupations, which can provide valuable information about experiences of work environment challenges.


Assuntos
Retorno ao Trabalho , Inquéritos e Questionários , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Psicometria , Reabilitação Vocacional , Reprodutibilidade dos Testes , Suécia , Local de Trabalho/psicologia
6.
J Occup Environ Med ; 55(2): 121-7, 2013 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-23364210

RESUMO

OBJECTIVE: To analyze if the combination of organizational climate and work commitment can predict return to work (RTW). METHODS: This prospective Swedish study was based on 2285 participants, 19 to 64 years old, consecutively selected from the employed population, newly sick-listed for more than 14 days. Data were collected in 2008 through postal questionnaire and from register data. RESULTS: Among women, the combination of good organizational climate and fair work commitment predicted an early RTW with an adjusted relative risk of 2.05 (1.32 to 3.18). Among men, none of the adjusted variables or combinations of variables was found significantly to predict RTW. CONCLUSIONS: This study demonstrated the importance of integrative effects of organizational climate and individual work commitment on RTW among women. These factors did not predict RTW in men. More research is needed to understand the RTW process among men.


Assuntos
Retorno ao Trabalho/psicologia , Adulto , Feminino , Humanos , Modelos Lineares , Masculino , Pessoa de Meia-Idade , Motivação , Cultura Organizacional , Estudos Prospectivos , Fatores Sexuais , Licença Médica , Inquéritos e Questionários , Suécia , Local de Trabalho/psicologia , Adulto Jovem
7.
OTJR (Thorofare N J) ; 33(3): 125-33, 2013.
Artigo em Inglês | MEDLINE | ID: mdl-24651898

RESUMO

This study examined the validity and reliability of the Assessment of Work Performance (AWP) using Rasch analysis. The AWP was administered to 365 clients with a variety of work-related problems. Rasch analysis and principal component analysis were used to examine the appropriateness of the rating scales and unidimensionality of AWP items. The person-response validity, internal consistency, targeting appropriateness, and differential item function were also analyzed. The Rasch analysis confirmed the 4-point rating scale, and the item set met the criteria of unidimensionality. The AWP exhibited satisfactory person-response validity and internal consistency. Among the three subdomains, the targeting of item-difficulty was sufficient in the motor skills and process skills subdomains. Differential item functioning was found across gender and diagnoses. This study presented evidence to support that the AWP functioned as a reliable and valid assessment in assessing work performance. [OTJR: Occupation, Participation and Health 2013;33(3):125-133.].

8.
Work ; 35(2): 125-36, 2010.
Artigo em Inglês | MEDLINE | ID: mdl-20164607

RESUMO

PURPOSE: The aims were to describe and analyze how people with experience of long term sick leave perceive that factors in their work environment support or interfere with work performance, satisfaction, and well-being. METHOD: The 53 participants were interviewed with the Work Environment Impact Scale (WEIS). The WEIS ratings and belonging notes were analyzed by descriptive statistics and qualitative analysis respectively. Differences in WEIS ratings between; women and men; participants with somatic and mental diseases; and participants working and on full-time sick leave were tested. RESULTS: The most supportive factors concerned social interactions at work, and the value and meaning of work. The factors perceived as most interfering concerned work demands and rewards. The social relations at work were perceived as more supportive by the working group than by those on full-time sick leave. The participants with somatic diseases perceived physical work factors as more interfering than did participants with mental diseases, who in turn perceived the value and meaning of work as more interfering. CONCLUSION: Knowledge about the interaction between the worker and the work environment could reveal useful information about the complex phenomenon of reducing sick leave. The WEIS seems useful in providing information about how alterations and accommodations in the work environment could support individual workers.


Assuntos
Adaptação Psicológica , Atitude , Licença Médica , Local de Trabalho , Adulto , Feminino , Humanos , Entrevista Psicológica , Masculino , Transtornos Mentais/psicologia , Pessoa de Meia-Idade , Fatores Sexuais , Apoio Social , Transtornos Somatoformes/psicologia , Suécia
9.
Work ; 35(2): 163-72, 2010.
Artigo em Inglês | MEDLINE | ID: mdl-20164611

RESUMO

Worker Role Interview (WRI) is an assessment tool designed to identify psychosocial and environmental factors which influence a person's ability to return to work. The purpose of this study was to investigate if the Worker Role Interview (WRI) can predict return to work over a period of two years. Fifty three long-term sick-listed people were interviewed and rated with the WRI. Differences in ratings and the ability of WRI to correctly predict whether these people would fall into the working or non-working groups at 6, 12 and 24 month follow-ups were tested by Mann-Whitney test and logistic regression respectively. Eight of 17 items in WRI were rated differently between the groups at one or more of the follow-ups. The regression models based on the WRI ratings had an overall correct prediction rate ranging from 81% to 96%. 'Expectation of job success' which concerns the person's belief in abilities in relation to return to work emerged as an important predictive factor for return to work in all statistical analyses. The WRI assessment contains items that could predict return to work. This implies that the WRI could be a useful tool in vocational rehabilitation for identifying individual rehabilitation needs.


Assuntos
Entrevista Psicológica , Licença Médica , Avaliação da Capacidade de Trabalho , Adulto , Feminino , Seguimentos , Humanos , Modelos Logísticos , Masculino , Pessoa de Meia-Idade , Motivação , Valor Preditivo dos Testes , Reprodutibilidade dos Testes , Suécia
10.
Work ; 27(3): 313-8, 2006.
Artigo em Inglês | MEDLINE | ID: mdl-17006008

RESUMO

OBJECTIVES: This study examined the psychometric properties of the rating scale of the Worker Role Interview (WRI). The study also asked whether the scale's items formed a valid measure of the construct, psychosocial capacity for work, and whether they were targeted to and could effectively discriminate between persons at different levels of psychosocial ability for work. METHOD OF STUDY: Data were collected from 21 raters on 440 participants from the United States, Sweden and Iceland. A many-faceted Rasch model was used to analyze the data. RESULTS: Most items of the scale worked effectively to measure the underlying construct for which the WRI was designed. In addition, the items were ordered from least to more of the underlying construct as expected. The scale validly measured 90.23% of the participants, who varied by nationality, culture, age and diagnostic status. The scale's items distinguished participants into approximately three different strata and were appropriately targeted to the participants. Seventeen of the 21 raters used scale in a valid manner. CONCLUSIONS: The WRI scale and items are valid across ages, diagnoses, and culture and effectively measure a wide range of persons.


Assuntos
Emprego , Entrevistas como Assunto , Psicometria , Papel (figurativo) , Adulto , Países Desenvolvidos , Feminino , Humanos , Masculino , Pessoa de Meia-Idade
11.
J Occup Rehabil ; 14(2): 131-41, 2004 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-15074365

RESUMO

The aim was to investigate the predictive validity of the Worker Role Interview (WRI) for return to work at a 2-year follow-up of clients who attended an insurance medicine investigation center. The WRI identifies psychosocial and environmental factors that influence a person's abilities to return to work. Forty-eight of 202 consecutively selected clients constituted the study group. The Mann-Whitney U test was used to test the statistically significant differences in WRI ratings between those who were working (n = 6) and those who were not (n = 42) 2 years after their investigations. Five of the 17 items in WRI had a tentative predictive validity of return to work. The content area "personal causation" in WRI, had the best predictive validity. The results emphasize the importance of considering the unique individual's beliefs and expectations of his/her effectiveness at work when assessing clients' work ability and planning for further rehabilitation.


Assuntos
Entrevistas como Assunto , Licença Médica , Avaliação da Capacidade de Trabalho , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Programas Nacionais de Saúde , Valor Preditivo dos Testes , Inquéritos e Questionários
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