一项针对身体残疾青年的为期12周的电子指导就业准备干预措施：试点可行性随机对照试验。
A 12-Week Electronic Mentoring Employment Preparation Intervention for Youth With Physical Disabilities: Pilot Feasibility Randomized Controlled Trial.
作者信息
Lindsay Sally, Cagliostro Elaine, Leck Joanne, Stinson Jennifer
机构信息
Bloorview Research Institute, Holland Bloorview Kids Rehabilitation Hospital, Department of Occupational Science & Occupational Therapy, University of Toronto, Toronto, ON, Canada.
Bloorview Research Institute, Holland Bloorview Kids Rehabilitation Hospital, Toronto, ON, Canada.
出版信息
JMIR Pediatr Parent. 2019 Mar 29;2(1):e12088. doi: 10.2196/12088.
BACKGROUND
Youth with disabilities are at high risk of unemployment compared with youth without disabilities. They often encounter challenges in accessing vocational programs that meet their needs. One promising approach that could help to address barriers that youth encounter while also enhancing social support is through electronic mentoring (e-mentoring). Although there is an increase in e-mentoring for youth with disabilities, little is known about its impact for youth with physical disabilities.
OBJECTIVE
This study aimed to assess the acceptability and initial impact of a Web-based peer electronic mentor employment intervention for youth with physical disabilities.
METHODS
The Empowering Youth Towards Employment intervention was evaluated using a pilot randomized controlled trial (RCT). Youth, aged 15-21 years, with physical disabilities were randomly assigned to an intervention (ie, mentored) or control (ie, not mentored) group. Trained mentors (ie, near peers) with a physical disability led the online discussion forums and provided peer support and resources for 12 modules (1 topic per week over 12 weeks). Primary outcomes focused on self-determination, career maturity, and social support. We also explored program adherence and dosage, participant satisfaction, and areas for improvement.
RESULTS
A total of 13 youth (mean age 17.3 years, SD 1.88; 54%, 7/13 female) completed the RCT. In the intervention group (n=9), 56% (5/9) of the youth were females, and in the control group (n=4), 50% (2/4) of the youth were female. Participants reported satisfaction with the program and that it was feasible and acceptable. Participants' mean engagement level with the program was 5.22 (SD 2.48) for the intervention group and 5.40 (SD 4.56) for controls. Participants in the intervention group demonstrated significant improvements in self-determination (t=2.49; P<.04) compared with the control group. No adverse events were reported.
CONCLUSIONS
The Empowering Youth Towards Employment is a promising intervention that enhances self-determination among youth with physical disabilities.
TRIAL REGISTRATION
ClinicalTrials.gov NCT02522507; https://clinicaltrials.gov/ct2/show/NCT02522507 (Archived by WebCite at http://www.webcitation.org/6uD58Pvjc).
INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): RR2-10.2196/resprot.8034.
背景
与无残疾青年相比，残疾青年面临着更高的失业风险。他们在获得满足自身需求的职业项目时往往会遇到挑战。一种有前景的方法，既能帮助消除残疾青年遇到的障碍，又能增强社会支持，那就是通过电子指导（e指导）。尽管针对残疾青年的电子指导有所增加，但对于其对身体残疾青年的影响却知之甚少。
目的
本研究旨在评估一项基于网络的同伴电子指导就业干预措施对身体残疾青年的可接受性和初步影响。
方法
采用试点随机对照试验（RCT）对“赋能青年就业”干预措施进行评估。将年龄在15至21岁之间的身体残疾青年随机分为干预组（即接受指导）或对照组（即不接受指导）。由身体残疾的经过培训的指导者（即年龄相仿的同龄人）主持在线讨论论坛，并为12个模块（12周内每周1个主题）提供同伴支持和资源。主要结果集中在自我决定、职业成熟度和社会支持方面。我们还探讨了项目的依从性和剂量、参与者满意度以及改进的方面。
结果
共有13名青年（平均年龄17.3岁，标准差1.88；54%，7/13为女性）完成了随机对照试验。干预组（n = 9）中，56%（5/9）的青年为女性，对照组（n = 4）中，50%（2/4）的青年为女性。参与者对该项目表示满意，并认为其可行且可接受。干预组参与者对项目的平均参与度为5.22（标准差2.48），对照组为5.40（标准差4.56）。与对照组相比，干预组参与者在自我决定方面有显著改善（t = 2.49；P <.04）。未报告不良事件。
结论
“赋能青年就业”是一项有前景的干预措施，可增强身体残疾青年的自我决定能力。
试验注册
ClinicalTrials.gov NCT02522507；https://clinicaltrials.gov/ct2/show/NCT02522507（由WebCite存档于http://www.webcitation.org/6uD58Pvjc）。
国际注册报告识别码（IRRID）：RR2-10.2196/resprot.8034。
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