Effect evaluation of a vocational rehabilitation program for young adults with chronic physical conditions at risk for unemployment: A controlled clinical trial

Marjolijn I. Bal*, Sander R. Hilberink, Pepijn P.D.M. Roelofs, Wilma M.A. van der Slot, Lizanne Bentvelsen, Harald S. Miedema, Marij E. Roebroeck

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

32 Downloads (Pure)

Abstract

Background: 

The work participation of young adults with chronic physical conditions lag behind compared to healthy age-mates. ‘At Work’ is a vocational rehabilitation intervention provided by occupational therapists, that supports them for entering the competitive labour market after graduating post-secondary education. 

Aim: 

To evaluate the effects of ‘At Work’ on self-efficacy, work-ability and employment status as compared to usual care. 

Materials and methods: 

In total, 88 young adults were included in a multicentre controlled trial; 49 entered ‘At Work’, 39 received usual care. GEE-analyses were applied. 

Results:

Scores on all outcome measures substantially improved over time in the intervention group, but no significant effects were found as compared to the control group. The effect on general self-efficacy showed a positive trend in favour of the intervention group. 

Conclusions and significance: 

Unlike previous study results pointing to positive outcomes of At Work’, the current study did not support the effectiveness of this program on work-related self-efficacy, work-ability and paid employment, as compared to usual care. Yet, we did find an indication for positive intervention effect on general self-efficacy, which is known to be an important capacity to achieve social participation.

Original languageEnglish
Pages (from-to)1292-1302
Number of pages11
JournalScandinavian Journal of Occupational Therapy
Volume30
Issue number8
Early online date28 Jun 2023
DOIs
Publication statusPublished - 2023

Bibliographical note

Publisher Copyright:
© 2023 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.

Funding:
This work was supported by SIA-RAAK, the Foundation
Innovation Alliance with funding from the Dutch ministry
of Education, Culture and Science (OCW), under the Grant
PRO-02-025.

Fingerprint

Dive into the research topics of 'Effect evaluation of a vocational rehabilitation program for young adults with chronic physical conditions at risk for unemployment: A controlled clinical trial'. Together they form a unique fingerprint.

Cite this