ArticleThe journal of spinal cord medicine2023
Facilitators and barriers to employment for persons with chronic spinal cord injury or disorder: A qualitative study framed by the person-environment-occupation model.
Article in The journal of spinal cord medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed, 14 citations in OpenAlex.
- The Lived Experience of Return to Work in Individuals with Spinal Cord Injury in Saudi Arabia: An Interpretative Phenomenological Analysis.Journal of occupational rehabilitation · 2026Article
- What Works (or Doesn't) in Return to Work after Physical Injury? A Qualitative Study on the Perspectives of Trauma Patients and Health Care Professionals on Barriers and Facilitators in Return to Work.Journal of occupational rehabilitation · 2026Article
- Informing a Workplace Self-Management Intervention for Employees with Long-Term Health Conditions and Disabilities: A Mixed-Methods Study.Journal of occupational rehabilitation · 2026Article
- Barriers and facilitators experienced by people with neurological disabilities: A South African health systems perspective.Journal of public health in Africa · 2026Article
- A Scoping Review of Frameworks for Promoting Employment among Multiply Marginalized People with Disabilities.Journal of rehabilitation · 2025Article
- Disability trajectories individuals with spinal cord injury in mainland China: do psychosocial resources and diseases factors predict trajectories?Spinal cord · 2025Observational
- Exploring the care pathway for neurological conditions in a Gauteng rehabilitation hospital, South Africa.African journal of disability · 2025Article
- Preliminary field validity of ActiGraph-based energy expenditure estimation in wheelchair users with spinal cord injury.Spinal cord · 2024Article
- A Narrative Review of Vocational Rehabilitation in People with Spinal Cord Injury in Different Countries.Medical journal of the Islamic Republic of Iran · 2024Review
- Developing A Conceptual Framework for Early Intervention Vocational Rehabilitation for People Following Spinal Cord Injury.Journal of occupational rehabilitation · 2023Article
- Facilitators and barriers in the rehabilitation process described by persons with spinal cord injury: a deductive-inductive analysis from the Finnish spinal cord injury study.Annals of medicine · 2023Article
Corrections and comments
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Authors and funding
9 authors at 5 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
CONTEXT/
objectiveProlonged unemployment is common for people living with a spinal cord injury or disorder (SCI/D) and can impact negatively on quality of life. The present study examines stakeholder perspectives and experiences with the job search process in order to identify service gaps and return-to-work solutions.
designIn-depth semi-structured interviews were thematically analysed, with questions focused on factors that can help or hinder efforts to gain employment. Generated themes were then applied to the Person-Environment-Occupation (PEO) systems model of participation.
settingCommunity-based disability service provider in South Australia.
participantsPurposive sample of persons with SCI/D (
resultsPerson-centred themes were strongly endorsed by both groups and focused on incentives of, and motivation for, employment. Equally important to the job search process were individual expectations and attitudes, particularly job readiness. Environmental facilitators included employers' positive attitude, although workplace discrimination remained a concern. Occupation-based barriers, rather than opportunities, were identified - namely, difficulties in SCI/D self-management, the need for timely functional assessments, and more opportunities for education, upskilling and retraining.
conclusionsThe PEO model provides a broad framework to better understand the complex return-to-work process for people with a SCI/D and, potentially, uncover tangible solutions. The suggestion is that vocational rehabilitation should go beyond skills training and include motivational support to enhance job readiness. This must be done on a case-by-case basis. There is also a need for active and covert discrimination to be addressed through employment policies. The findings will be used to develop intervention targets for a newly established vocational rehabilitation service.
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Registered trials
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