个体安置与支持模型支持性就业中自我评估的忠诚度与自我报告的就业之间的关系。
Relationship Between Self-Assessed Fidelity and Self-Reported Employment in the Individual Placement and Support Model of Supported Employment.
机构信息
Dr. Margolies, Dr. Humensky, Dr. Covell, and Dr. Dixon are with the Department of Psychiatry, Columbia University Medical Center, New York. They are also with the New York State Psychiatric Institute, New York, where all of the other authors are affiliated.
出版信息
Psychiatr Serv. 2018 May 1;69(5):609-612. doi: 10.1176/appi.ps.201700472. Epub 2018 Apr 16.
OBJECTIVE
A growing body of literature demonstrates that high-fidelity implementation of the individual placement and support (IPS) model of supported employment increases the chances of achieving desired outcomes. This study examined the relationship between IPS fidelity, as self-reported by program sites, and employment outcomes and determined whether this relationship was maintained over time.
METHODS
A total of 78 outpatient programs in New York State provided data on self-reported IPS fidelity and employment outcomes. Pearson correlations were used to determine the relationship between fidelity scores and competitive employment rates. A mixed-effects model examined the relationship between repeated fidelity and employment measures over time.
RESULTS
A significant positive relationship was found between better self-reported IPS fidelity and greater employment. The relationship between IPS fidelity and employment was sustained over time (up to one year).
CONCLUSIONS
Higher-fidelity implementation of the IPS model, as self-assessed by program sites, was associated with higher employment rates, which were sustained over time.
目的
越来越多的文献表明，高度保真地实施个体安置和支持（IPS）模式的支持性就业增加了实现预期结果的机会。本研究考察了自我报告的 IPS 保真度与就业结果之间的关系，并确定了这种关系是否随着时间的推移而保持。
方法
纽约州的 78 个门诊项目提供了关于自我报告的 IPS 保真度和就业结果的数据。皮尔逊相关系数用于确定保真度得分与竞争性就业率之间的关系。混合效应模型考察了重复的保真度和就业措施之间随时间的关系。
结果
自我报告的 IPS 保真度较高与就业机会较多呈显著正相关。IPS 保真度与就业之间的关系随着时间的推移（长达一年）而持续。
结论
项目现场自我评估的 IPS 模型的更高保真度与更高的就业率相关，并且这种关系随着时间的推移而持续。
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