Predictors of Vocational Outcome in MS Rehabilitation.

TitlePredictors of Vocational Outcome in MS Rehabilitation.
Publication TypeJournal Article
AuthorsFraser RT, Clemmons DC, Koepnick D, Getter A, Johnson E, Gibbons LE
JournalInternational Journal of MS Care

This study describes profile data for 145 consecutive individuals with MS, coming to the University of Washington MS Rehabilitation Research and Training Center for vocational services over a four-year period. The sample is 69% female, mean age = 43.5 years, approximating 15 years of education, and about 10 years from diagnosis. Comprehensive psychosocial measures were administered at intake, to include the Multidimensional Assessment of Fatigue, the ADL Self-care Scale for MS, the Employment Readiness Scale, the Herth Hope Scale, and other measures relating to depression, anxiety, and coping. An abbreviated neuropsychological battery tailored to MS cognitive concerns (Clemmons ,, in press) was also administered. Vocational outcome was established for 90 of the 140 clients both dichotomously (unemployed/employed) at study end and number of months worked half time or more, divided by months available for employment (viz. a monthly employment ratio). Initial analysis involved Spearman correlations of demographic, psychosocial measures, and neuropsychological variables with the monthly employment ratio outcome variable. Initial correlation significant at p=.05 includes years of education, ADL Self-care Scale, and several neuropsychological measures (Stroop measures of attention, Trails B, right tactual errors). At p=.01, the Personal Capacities Questionnaire, Trails A (errors), left tactual errors, and a measure of verbal fluency were significant. Further analysis will be presented as to discriminators of consistent employment versus no employment and best predictors of outcome using multivariate analysis. Implications for service delivery are discussed.

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