Young Amanda E, Murphy Gregory C
Center for Disability Research, Liberty Mutual Research Center for Safety and Health, 71 Frankland Road, Hopkinton, Massachusetts 01748, USA.
J Occup Rehabil. 2002 Sep;12(3):175-89. doi: 10.1023/a:1016894628429.
It is rare for rehabilitation researchers to report substantial relationships between functional capacity and vocational rehabilitation achievements. The reason for this is that there are many other factors that also impact on the return-to-work outcomes people achieve. A solution to the problem of having to take into consideration the effects of multiple factors when evaluating intervention effectiveness is to focus more directly on cognitions and behaviors that have been theoretically and empirically linked with a satisfactory return to work. The aim of this paper is to explore and describe a measure of rehabilitation effectiveness based in cognitive-behavioral theory. Rather than the measurement of employment per se, the described measure is focused on the efforts individuals make in relation to achieving their desired outcome. To test the effectiveness, acceptability, and utility of the approach, the measure was trialed with 170 people with a spinal cord injury. This preliminary work has revealed that participants found the measure acceptable and gave detailed responses in regards to: their satisfaction with their vocational status; what it is they would prefer to be doing; and what it is that they are doing to achieve their aims. Study findings suggest that while the approach is likely to require further development, focusing on process variables holds promise as an evaluation approach when assessing the success of vocational rehabilitation intervention effectiveness.
康复研究人员很少报告功能能力与职业康复成果之间的显著关系。原因在于，还有许多其他因素也会影响人们实现的重返工作岗位的结果。在评估干预效果时，解决必须考虑多种因素影响这一问题的一个办法是，更直接地关注在理论和实证上与令人满意的重返工作岗位相关的认知和行为。本文的目的是探索和描述一种基于认知行为理论的康复效果衡量方法。所描述的衡量方法并非专注于就业本身的衡量，而是关注个人为实现其期望结果所付出的努力。为了测试该方法的有效性、可接受性和实用性，对170名脊髓损伤患者试用了该衡量方法。这项初步工作表明，参与者认为该衡量方法是可接受的，并就以下方面给出了详细回答：他们对自己职业状况的满意度；他们希望从事的工作；以及他们为实现目标正在做的事情。研究结果表明，虽然该方法可能需要进一步发展，但在评估职业康复干预效果的成功程度时，关注过程变量作为一种评估方法具有前景。
