Factors associated with sustaining work with chronic spinal cord injury: a scoping review

Katarzyna Karcz · Bruno Trezzini · Reuben S. Escorpizo · Monika Elisabeth Finger

23 citations0/0 files storedDisability and Rehabilitation

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Disability Education and Employment Medical Practices and Rehabilitation Spinal Cord Injury Research

Abstract

PURPOSE: Work participation remains challenging for people with spinal cord injury (SCI), as reflected in lower employment rates compared to the general population. To promote work participation for people with SCI, practitioners and policymakers need a better understanding of the factors associated with sustaining work in the long term. This study aimed to identify such factors. MATERIALS AND METHODS: Scoping review synthesizing quantitative and qualitative research published between 2000 and 2021. The databases searched were PubMed, CINAHL Complete, PsycINFO, Scopus, and Web of Science. RESULTS: Initially, 1221 articles were identified. Three quantitative studies investigating socio-demographic and injury-related factors and eight qualitative studies exploring mainly personal and environmental facilitators and barriers to working in the long term were retained. The results of the quantitative studies showed the importance of time since injury, age, and education. The qualitative findings emphasized the positive influence of self-advocacy, managing health behaviors, and a supportive work environment. Main barriers were time organization and societal attitudes. CONCLUSIONS: Future interventions should address the identified factors to promote working in the long term of people with SCI. Policymakers should adapt and enforce legal standards that address environmental and social barriers to creating supportive work environments for persons with SCI.Implications for rehabilitationPeople with spinal cord injury (SCI) experience difficulties in maintaining employment.Personal factors identified as crucial for working in the long term, such as self-advocacy and self-management of health behaviors, should be strengthened by future interventions.People with SCI should be offered a supportive work environment with work accommodations and flexible working hours to facilitate their labor market participation.

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References

2005Scoping studies: towards a methodological framework 2018Systematic review or scoping review? Guidance for authors when choosing between a systematic or scoping review approach 2017Metasynthesis: An Original Method to Synthesize Qualitative Literature in Psychiatry 2007Return to work following spinal cord injury: a review 2009Review of Critical Factors Related to Employment After Spinal Cord Injury: Implications for Research and Vocational Services 2005A Content and Methodological Review of Self-Advocacy Intervention Studies 2009Employment status after spinal cord injury (1992–2005): a review with implications for interpretation, evaluation, further research, and clinical practice 2015Modifiable and non-modifiable factors associated with employment outcomes following spinal cord injury: A systematic review

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