Effectiveness and characteristics of interventions to improve work participation in adults with chronic physical conditions: a systematic review

Purpose: Chronic physical conditions often negatively affect work participation. The objective of this systematic review is to investigate the effectiveness and characteristics of vocational rehabilitation interventions for people with a chronic physical condition. Methods: Searches in five databases up to April 2020 identified 30 studies meeting our inclusion criteria. Two reviewers independently assessed and extracted data. The Grading of Recommendation, Assessment, Development and Evaluation (GRADE) framework was used to evaluate quality of evidence for three outcome measures related to work participation. Results: All vocational rehabilitation interventions consisted of multiple components, but their characteristics varied widely. Analysis of 22 trials yielded a moderate positive effect with moderate certainty of interventions on work status; analysis of five trials with low risk of bias showed a large positive effect with moderate certainty (risk ratio 1.33 and 1.57, respectively). In addition, in eight studies we found a moderate to small positive effect with low certainty on work attitude (standardized mean difference = 0.59 or 0.38, respectively). We found no effect on work productivity in nine studies. Conclusion: The systematic review of the literature showed positive effects of vocational rehabilitation interventions on work status and on work attitude; we found no effect on work productivity.Implications for rehabilitation In rehabilitation, addressing work participation of persons with a chronic physical condition using targeted inte

Using the work limitations questionnaire in patients with a chronic condition in the Netherlands

OBJECTIVE: To examine the intelligibility and psychometric properties of the modified Dutch language version of the Work Limitations Questionnaire (WLQ) (WLQ-mdlv)

Recombination in Escherichia coli III. Mapping by the gradient of transmission

Mapping of markers on the Escherichia coli chromosome by the gradient of transmission is presented. The method appeared to be useful and accurate if chromosome withdrawal is prevented and if the viability of the zygotes is assured. The guaC was mapped by this method in the 89–90 min region of the chromosome map o

A new intervention to improve work participation of young adults with physical disabilities: a feasibility study

The aim of the study was to evaluate the feasibility of a new intervention to improve work participation of young adults with physical disabilities, addressing (1) implementation and costs and (2) preliminary effectiveness

Samenvatting project Proefimplementatie TraJect

In dit project is de interventie TraJect geïmplementeerd in twee nieuwe revalidatiecentra en is een derde centrum getraind om de interventie te geven. Doelstellingen van het huidige project waren A) het ontwikkelen en toepassen van de train-de-trainer cursus, B) lokale netwerk vorming in revalidatie en reintegratieveld, en C) monitoring en evaluatie van de interventie. In dit implementatieproject is veel ervaring en kennis opgedaan over de implementatie van de in Rotterdam ontwikkelde interventie in revalidatiecentra buiten Rotterdam

Development of work participation in young adults with cerebral palsy: A longitudinal study

OBJECTIVE: To document the development of work participation in young adults with cerebral palsy who are transitioning into adulthood, examine associated characteristics, and investigate work limitations and barriers among employed persons

Improved Occupational Performance of Young Adults with a Physical Disability After a Vocational Rehabilitation Intervention

The purpose of this study was to investigate into more detail how occupational performance of participants of a 1-year multidisciplinary vocational rehabilitation intervention changed over time, using a broad focus on three areas of occupational performance, addressing work, as well as self-care and leisure. In addition, we explored differences between employed and unemployed persons