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Building the case for delivery of health promotion services within the Vocational Rehabilitation system.

机译:为在职业康复系统中提供健康促进服务提供依据。

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The majority of wellness programs are offered at the worksite to full-time employees. Research about these programs indicates that participating employees experience improved health and work-related outcomes, and that outcomes are exaggerated for workers with multiple health risk factors.;People who are not employed or are underemployed cannot access health promotion services at the worksite. This is a significant barrier for people with physical disability because they experience lower rates of employment and higher rates of secondary health conditions than the general population.;Compromised health reduces the probability of full-time employment. Secondary health issues such as pain, depression, anxiety, fatigue, and sleep problems are each associated with worse employment outcomes. Many secondary health conditions, however, can be managed through health promotion activities. Increasing participation in wellness programs may be a viable strategy for improving health and employment outcomes of adults with physical disability. Vocational Rehabilitation provides one possible access point for this delivery.;The purpose of this study was to explore the viability of offering health promotion services within VRs array of services. Consumers of VR (n = 246) were recruited into this study to explore relationships among secondary health conditions, health promoting lifestyle behaviors, and employment. 162 consumers provided data at baseline and an 18 month follow-up measure, and constitute the study sample.;A binary logistic regression model was developed to assess how baseline secondary health conditions and health promoting lifestyle behaviors impacted employment outcome at 18 months. The model included variables to control for demographic characteristics (age, gender, education, marital status), disability severity, and economic indicators (receipt of public insurance benefits). Overall, the sum of secondary conditions score was the only significant predictor of employment. Because secondary conditions can be reduced and managed with health promotion programming, this research supports continued exploration about potential health promotion delivery within the VR system.
机译:大多数保健计划是在工作场所为全职员工提供的。对这些计划的研究表明,参与计划的员工体验到改善的健康和与工作相关的结果,并且对于具有多种健康风险因素的工人而言,结果被夸大了。未受雇或就业不足的人们无法在工作场所获得健康促进服务。这是肢体残疾人的重要障碍,因为他们的就业率和二级健康状况的发生率均比一般人群低。健康状况不佳会降低全职工作的可能性。诸如疼痛,抑郁,焦虑,疲劳和睡眠问题等次生健康问题均与较差的就业结果相关。但是,可以通过健康促进活动来管理许多次要健康状况。增加对健康计划的参与可能是改善身体残疾成年人健康和就业结果的可行策略。职业康复为这一交付提供了一个可能的接入点。;本研究的目的是探讨在VR服务系列中提供健康促进服务的可行性。 VR的消费者(n = 246)被招募到这项研究中,以探索二级健康状况,健康促进生活方式行为和就业之间的关系。 162位消费者在基线和18个月的随访措施中提供了数据,并构成了研究样本。开发了一个二元logistic回归模型来评估基线的二级健康状况和健康促进生活方式的行为如何影响18个月的就业结果。该模型包括用于控制人口统计学特征(年龄,性别,教育程度,婚姻状况),残疾严重程度和经济指标(接收公共保险福利)的变量。总体而言,次要条件得分的总和是就业的唯一重要预测指标。由于可以通过健康促进计划来减少和管理继发性疾病,因此本研究支持继续探索有关VR系统内潜在健康促进交付的方式。

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