Early Vocational Intervention

Principal Investigator: Kurt Johnson, PhD

People with multiple sclerosis (MS) are unemployed at higher rates than expected given their average age, education, and level of occupational attainment. Research indicates barriers to maintaining employment can be addressed through self- and employer initiated accommodations for physical and cognitive limitations.

Motivational interviewing (MI) is a brief evidence-based intervention designed to enhance self-management of a variety of symptoms. This study evaluated motivational interviewing via telephone to assist people with MS to develop and implement accommodation plans and preserve employment.

Preliminary data from this study demonstrates that participants were satisfied with the intervention, perceived it to be effective, and perceived that they had enhanced self-efficacy with respect to their employment status. Given the cost-effectiveness of the telephone-based MI and subject satisfaction, further research on efficacy is warranted. Final study results are currently being analyzed and written up for publication.

Published Abstracts

1. Hunter, C; Johnson, K; Fraser, R. (2007) Motivational Interviewing as Early Vocational Intervention in MS. International Journal of MS Care. 9 (2), 46.
• View the Abstract (Page 46).
2. Johnson, K. L.; Fraser, R.; Bamer, A. M.; Bombardier, C. (2007) Preliminary results of a brief motivational interviewing intervention to preserve employment in people with multiple sclerosis. Journal: Multiple Sclerosis. 13 (S2), S138.
• View the Abstract.
3. Johnson, K L; Bamer, A M ; Fraser, R (2008) Motivational interviewing intervention to preserve employment in multiple sclerosis: promoting self-efficacy in the workplace. Multiple Sclerosis. 14 (S1), S142.
• View the Abstract.
4. Stuckey, J; Johnson, K (2008) Clinical considerations to maximize job retention for people with multiple sclerosis. International Journal of MS Care. 10 (S1), 51-52.
• View the Abstract (Page 46).