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Factors influencing work retention for people with multiple sclerosis Cross-sectional studies using qualitative and quantitative methods
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O'Connor, R. J., Cano, S. J., Ramio-Torrenta, L. R., Thompson, A. J. and Playford, E. Diane (2005) Factors influencing work retention for people with multiple sclerosis Cross-sectional studies using qualitative and quantitative methods. Journal of Neurology, 252 (8). pp. 892-896. doi:DOI: 10.1007/s00415-005-0765-4 ISSN 0340-5354.
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Official URL: http://dx.doi.org/10.1007/s00415-005-0765-4
Abstract
OBJECTIVE:
To identify factors that impact on the ability of patients with multiple sclerosis (MS) to remain in work in order to make recommendations for future clinical management.
METHODS:
Cross-sectional studies using qualitative (phase one) and quantitative (phase two) methods. In phase one, 62 patients were interviewed and completed an exploratory questionnaire regarding the impact of MS on employment. In phase two, 100 patients attending an MS outpatient clinic completed an impact on work questionnaire, the self-report Barthel index, and the General Health Questionnaire (GHQ-28).
RESULTS:
In phase one, 17 areas were identified as impacting on MS patients' ability to remain in work, either relating to MS or environment. In phase two, both MS related factors and environmental factors were reported to have a major impact on ability to work. Only 20% of patients had received any advice about work retention. Unemployed patients (N = 64) had greater disability than employed patients on the Barthel index (difference 5.1; p < 0.001), but similar psychological wellbeing on the GHQ-28.
CONCLUSION:
The issues that prevent people with MS from working tend to be disease-related, as well as work-related. Many patients are isolated, as they are unaware of sources of help. Effective management by healthcare professionals has a potentially important role in helping people with multiple sclerosis to remain employed.
| Item Type: | Journal Article | ||||
|---|---|---|---|---|---|
| Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences > Social Science & Systems in Health (SSSH) Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
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| Journal or Publication Title: | Journal of Neurology | ||||
| Publisher: | Springer Medizin | ||||
| ISSN: | 0340-5354 | ||||
| Official Date: | August 2005 | ||||
| Dates: |
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| Volume: | 252 | ||||
| Number: | 8 | ||||
| Page Range: | pp. 892-896 | ||||
| DOI: | DOI: 10.1007/s00415-005-0765-4 | ||||
| Status: | Peer Reviewed | ||||
| Publication Status: | Published | ||||
| Access rights to Published version: | Restricted or Subscription Access | ||||
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