Work and SCI: a pilot randomized controlled study of an online resource for job-seekers with spinal cord dysfunction.

Dorstyn, D; Roberts, R; Murphy, G; Craig, A; Kneebone, I; Stewart, P; Chur-Hansen, A; Marshall, R; Clark, J; Migliorini, C

Work and SCI: a pilot randomized controlled study of an online resource for job-seekers with spinal cord dysfunction.

Dorstyn, D Roberts, R Murphy, G Craig, A Kneebone, I

Stewart, P Chur-Hansen, A Marshall, R Clark, J Migliorini, C

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Publisher:: NATURE PUBLISHING GROUP
Publication Type:: Journal Article
Citation:: Spinal cord, 2019, 57, (3), pp. 221-228
Issue Date:: 2019-03

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Field	Value	Language
dc.contributor.author	Dorstyn, D
dc.contributor.author	Roberts, R
dc.contributor.author	Murphy, G
dc.contributor.author	Craig, A
dc.contributor.author	Kneebone, I https://orcid.org/0000-0003-3324-7264
dc.contributor.author	Stewart, P
dc.contributor.author	Chur-Hansen, A
dc.contributor.author	Marshall, R
dc.contributor.author	Clark, J
dc.contributor.author	Migliorini, C
dc.date.accessioned	2020-04-29T22:21:55Z
dc.date.available	2018-08-22
dc.date.available	2020-04-29T22:21:55Z
dc.date.issued	2019-03
dc.identifier.citation	Spinal cord, 2019, 57, (3), pp. 221-228
dc.identifier.issn	1362-4393
dc.identifier.issn	1476-5624
dc.identifier.uri	http://hdl.handle.net/10453/140340
dc.description.abstract	STUDY DESIGN:A prospective, parallel randomized controlled trial (RCT). OBJECTIVES:To test the preliminary effects of an online resource targeted to job-seekers with spinal cord injury or disorder (SCI/D), and to determine the feasibility of proceeding to a full-scale RCT. SETTING:A community cohort in Australia. METHODS:Forty-eight adults (M = 42 years, SD = 10.95, 27 males) were randomized to receive 4-weeks access to the Work and SCI resource (n = 25) or to a wait-list control group (n = 23). The Work and SCI intervention involved six stand-alone learning modules which provided job-searching and career-planning information through text, videos, and interactive activities. Self-report measures were administered at baseline and after 4 weeks: Job Procurement Self-Efficacy Scale (JSES), Life Orientation Test-Revised (LOT-R), and Patient Health Questionnaire-9 (PHQ-9). RESULTS:Online usage data identified high uptake of the Work and SCI resource, although study attrition was problematic. Intention-to-treat analyses failed to reach statistical significance, whereas complete data revealed a significant interaction effect for optimism (LOT-R). CONCLUSION:Further research to develop and enhance Work and SCI is indicated. Remediable strategies to optimize recruitment and statistical power in a future definitive RCT are discussed. SPONSORSHIP:This project was funded by the auDA Foundation (project 16019).
dc.format	Print-Electronic
dc.language	eng
dc.publisher	NATURE PUBLISHING GROUP
dc.relation.ispartof	Spinal cord
dc.relation.isbasedon	10.1038/s41393-018-0200-1
dc.rights	info:eu-repo/semantics/openAccess
dc.subject	1103 Clinical Sciences, 1106 Human Movement and Sports Sciences, 1109 Neurosciences
dc.subject.classification	Rehabilitation
dc.subject.mesh	Humans
dc.subject.mesh	Spinal Cord Diseases
dc.subject.mesh	Spinal Cord Injuries
dc.subject.mesh	Treatment Outcome
dc.subject.mesh	Occupational Therapy
dc.subject.mesh	Feasibility Studies
dc.subject.mesh	Pilot Projects
dc.subject.mesh	Self Efficacy
dc.subject.mesh	Internet
dc.subject.mesh	Adult
dc.subject.mesh	Middle Aged
dc.subject.mesh	Employment
dc.subject.mesh	Patient Acceptance of Health Care
dc.subject.mesh	Female
dc.subject.mesh	Male
dc.subject.mesh	Young Adult
dc.subject.mesh	Optimism
dc.subject.mesh	Telerehabilitation
dc.subject.mesh	Humans
dc.subject.mesh	Spinal Cord Diseases
dc.subject.mesh	Spinal Cord Injuries
dc.subject.mesh	Treatment Outcome
dc.subject.mesh	Occupational Therapy
dc.subject.mesh	Feasibility Studies
dc.subject.mesh	Pilot Projects
dc.subject.mesh	Self Efficacy
dc.subject.mesh	Internet
dc.subject.mesh	Adult
dc.subject.mesh	Middle Aged
dc.subject.mesh	Employment
dc.subject.mesh	Patient Acceptance of Health Care
dc.subject.mesh	Female
dc.subject.mesh	Male
dc.subject.mesh	Young Adult
dc.subject.mesh	Optimism
dc.subject.mesh	Telerehabilitation
dc.subject.mesh	Adult
dc.subject.mesh	Employment
dc.subject.mesh	Feasibility Studies
dc.subject.mesh	Female
dc.subject.mesh	Humans
dc.subject.mesh	Internet
dc.subject.mesh	Male
dc.subject.mesh	Middle Aged
dc.subject.mesh	Occupational Therapy
dc.subject.mesh	Optimism
dc.subject.mesh	Patient Acceptance of Health Care
dc.subject.mesh	Pilot Projects
dc.subject.mesh	Self Efficacy
dc.subject.mesh	Spinal Cord Diseases
dc.subject.mesh	Spinal Cord Injuries
dc.subject.mesh	Telerehabilitation
dc.subject.mesh	Treatment Outcome
dc.subject.mesh	Young Adult
dc.title	Work and SCI: a pilot randomized controlled study of an online resource for job-seekers with spinal cord dysfunction.
dc.type	Journal Article
utslib.citation.volume	57
utslib.location.activity	England
utslib.for	1103 Clinical Sciences
utslib.for	1109 Neurosciences
utslib.for	1106 Human Movement and Sports Sciences
utslib.for	1103 Clinical Sciences
utslib.for	1106 Human Movement and Sports Sciences
utslib.for	1109 Neurosciences
pubs.organisational-group	/University of Technology Sydney/Graduate School of Health
pubs.organisational-group	/University of Technology Sydney
utslib.copyright.status	open_access	*
pubs.consider-herdc	false
dc.date.updated	2020-04-29T22:21:54Z
pubs.issue	3
pubs.publication-status	Published
pubs.volume	57
utslib.start-page	221
utslib.citation.issue	3

Abstract:

STUDY DESIGN:A prospective, parallel randomized controlled trial (RCT). OBJECTIVES:To test the preliminary effects of an online resource targeted to job-seekers with spinal cord injury or disorder (SCI/D), and to determine the feasibility of proceeding to a full-scale RCT. SETTING:A community cohort in Australia. METHODS:Forty-eight adults (M = 42 years, SD = 10.95, 27 males) were randomized to receive 4-weeks access to the Work and SCI resource (n = 25) or to a wait-list control group (n = 23). The Work and SCI intervention involved six stand-alone learning modules which provided job-searching and career-planning information through text, videos, and interactive activities. Self-report measures were administered at baseline and after 4 weeks: Job Procurement Self-Efficacy Scale (JSES), Life Orientation Test-Revised (LOT-R), and Patient Health Questionnaire-9 (PHQ-9). RESULTS:Online usage data identified high uptake of the Work and SCI resource, although study attrition was problematic. Intention-to-treat analyses failed to reach statistical significance, whereas complete data revealed a significant interaction effect for optimism (LOT-R). CONCLUSION:Further research to develop and enhance Work and SCI is indicated. Remediable strategies to optimize recruitment and statistical power in a future definitive RCT are discussed. SPONSORSHIP:This project was funded by the auDA Foundation (project 16019).

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http://hdl.handle.net/10453/140340