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多方面工作偏好匹配对日本支持性就业项目中精神障碍患者工作任期的影响。

Influence of multi-aspect job preference matching on job tenure for people with mental disorders in supported employment programs in Japan.

机构信息

Department of Community Mental Health and Law, National Institute of Mental Health, National Center of Neurology and Psychiatry.

出版信息

Psychiatr Rehabil J. 2023 Jun;46(2):101-108. doi: 10.1037/prj0000541. Epub 2022 Oct 6.

Abstract

OBJECTIVE

This study examined the association between job tenure and job preference matching for five job preference domains for people with mental disorders enrolled in Individual Placement and Support (IPS) programs in Japan. The domains include occupation type, monthly income, weekly work hours, commute time, and illness disclosure.

METHODS

We conducted secondary analysis of participants who obtained employment in a longitudinal study during the 24-month follow-up period at 16 agencies routinely providing IPS programs. We included 112 participants who expressed job preferences and were employed at least once. A total of 130 employment cases were analyzed. Matches in the five domains were determined using participants' job preferences and employment information. The Match Level (0-5) indicates the number of domains that match the participant's job preferences. Job tenure (weeks worked) was compared between the matched and unmatched groups in each domain and between each match levels using linear regression mixed-effects models.

RESULTS

A match for a given domain did not show a significant relationship with job tenure, whereas Match Levels 3 ( = 29.6, 95% CI [10.8, 48.4], = .003) and 4 ( = 37.0, 95% CI [17.1, 56.9], < .001) had a significantly longer tenure than those with Match Level 1.

CONCLUSIONS AND IMPLICATIONS FOR PRACTICE

A higher match level may be related to a longer job tenure. The results suggest that employment specialists should prioritize clients' preferences in job searches. Further replication studies in other settings and countries should be conducted to verify the findings in this study. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

摘要

目的

本研究考察了日本个体安置与支持(IPS)项目中精神障碍患者的五个工作偏好领域(职业类型、月收入、周工作时长、通勤时间和疾病披露)的工作任期与工作偏好匹配之间的关联。

方法

我们对在 16 家常规提供 IPS 项目的机构中,在 24 个月的随访期间获得就业的参与者进行了纵向研究的二次分析。我们纳入了 112 名表达了工作偏好并至少就业过一次的参与者。共分析了 130 个就业案例。使用参与者的工作偏好和就业信息确定五个领域的匹配情况。匹配等级(0-5)表示与参与者工作偏好相匹配的领域数量。在每个领域和每个匹配等级中,使用线性回归混合效应模型比较匹配和不匹配组之间的工作任期(工作周数)。

结果

给定领域的匹配与工作任期没有显著关系,而匹配等级 3( = 29.6,95%置信区间 [10.8,48.4], =.003)和 4( = 37.0,95%置信区间 [17.1,56.9], <.001)的任期明显长于匹配等级 1。

结论和实践意义

更高的匹配等级可能与更长的工作任期有关。结果表明,就业专家应在工作搜索中优先考虑客户的偏好。应在其他环境和国家进行进一步的复制研究,以验证本研究的发现。

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