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一项针对职业边缘化公民的市级职业康复计划:一项混合方法研究的研究方案

A municipality-based vocational rehabilitation programme for occupationally marginalized citizens: a study protocol for a mixed methods study.

作者信息

Andersen Lotte Nygaard, Stochkendahl Mette Jensen, Roessler Kirsten Kaya

机构信息

Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark.

Nordic Institute of Chiropractic and Clinical Biomechanics, Odense, Denmark.

出版信息

BMC Health Serv Res. 2018 Jul 3;18(1):517. doi: 10.1186/s12913-018-3322-4.

DOI:10.1186/s12913-018-3322-4
PMID:29970107
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6029077/
Abstract

BACKGROUND

In 2013 vocational rehabilitation programmes (VRP) were given official and legal approval under Danish law to assist occupationally marginalized citizens in gaining general life skills, building their work ability, and increasing their chances of entering the work force. The project's aim is to develop a detailed understanding of the health, psychosocial and work circumstances of participating citizens, and of the important processes and mechanisms underlying the potential effects of participating in the VRP.

METHODS

This study uses an exploratory mixed methods approach with sequential use of quantitative and qualitative methods. Participants are citizens assigned to an individually tailored VRP in the municipality of Sonderborg, Denmark. The quantitative part of the study consists of a longitudinal survey in which participants complete questionnaires at baseline and at follow-up one year later. Variables include demographic and personal characteristics, the latter ascertained through validated questionnaires on well-being, physical activity, interpersonal problems, general health, work ability, kinesiophobia, self-efficacy, depression and anxiety. The qualitative part of the study consists of semi-structured interviews and observations that explore experiences related to VRP. Participants will be recruited and data collected from questionnaires, interviews and observations in the period February 2016 - March 2018.

DISCUSSION

This research will assemble a unique corpus of knowledge about the characteristics, experiences and outcomes of occupationally marginalized citizens participating in a VRP. It will identify potential enablers and barriers to a successful outcome, and ultimately this knowledge will help inform the future design of individually tailored VRP's.

TRIAL REGISTRATION

ClinicalTrials.gov Identifier: NCT02641704 , date of registration December 29, 2015.

摘要

背景

2013年,职业康复计划(VRP)根据丹麦法律获得官方和法律批准,以协助职业边缘化公民获得一般生活技能、培养工作能力并增加进入劳动力市场的机会。该项目的目的是深入了解参与计划的公民的健康、心理社会和工作状况,以及参与职业康复计划潜在效果背后的重要过程和机制。

方法

本研究采用探索性混合方法,依次使用定量和定性方法。参与者是丹麦南丹麦大区指定接受个性化职业康复计划的公民。研究的定量部分包括一项纵向调查,参与者在基线时和一年后的随访时填写问卷。变量包括人口统计学和个人特征,后者通过关于幸福感、身体活动、人际问题、总体健康、工作能力、运动恐惧、自我效能、抑郁和焦虑的有效问卷确定。研究的定性部分包括半结构化访谈和观察,以探索与职业康复计划相关的经历。参与者将在2016年2月至2018年3月期间招募,并从问卷、访谈和观察中收集数据。

讨论

本研究将收集关于参与职业康复计划的职业边缘化公民的特征、经历和结果的独特知识体系。它将确定成功结果的潜在促进因素和障碍,最终这些知识将有助于为未来个性化职业康复计划的设计提供信息。

试验注册

ClinicalTrials.gov标识符:NCT02641704,注册日期2015年12月29日。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b8f9/6029077/bb41918ee48f/12913_2018_3322_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b8f9/6029077/fb0ea04952f2/12913_2018_3322_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b8f9/6029077/bb41918ee48f/12913_2018_3322_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b8f9/6029077/fb0ea04952f2/12913_2018_3322_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b8f9/6029077/bb41918ee48f/12913_2018_3322_Fig2_HTML.jpg

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