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European Review For Medical and... Jan 2021Inflammatory bowel diseases (IBD), including Crohn's disease (CD) and Ulcerative Colitis (UC), are chronic, relapsing intestinal disorders that may severely compromise...
OBJECTIVE
Inflammatory bowel diseases (IBD), including Crohn's disease (CD) and Ulcerative Colitis (UC), are chronic, relapsing intestinal disorders that may severely compromise patients' labour force participation. In this context, the present review aims to provide an overview on possible IBD pathological, socio-demographic, and treatment-related factors predictive for work disability with the purpose to provide guidance for a successful clinical and occupational management.
MATERIALS AND METHODS
A systematic review of PubMed, Scopus, and ISI Web of Science databases was performed to retrieve all the studies addressing IBD-related predictors for work disability.
RESULTS
Several factors have been suggested to predict work disability in the 15 revised investigations, although with not homogeneous results. Having CD was reported as a significantly better predictor for permanent work disability compared to UC, maybe in relation to the generally more serious disease course. Activity and severity of IBD, also indicated by the need for surgical treatment and comorbidities, was related to a significantly greater risk for work disability, although the exact role of other variables, i.e., specific symptoms, disease pattern and inflammatory parameters are still unclear. Among demographic factors, a significant predictive role has been suggested for female gender.
CONCLUSIONS
Further research seems necessary to confirm the role of IBD related factors on work disability, and on other parameters of work impairment, i.e., absenteeism, presenteeism, activity and productivity loss. Additionally, work disability should be evaluated in relation to specific occupational risk factors. Overall, this may require a multidisciplinary approach aimed to achieve an adequate IBD clinical evaluation and management, an improvement of patients' psychosocial and professional well-being, while appropriately assessing and managing risks in the workplace.
Topics: Disabled Persons; Humans; Inflammatory Bowel Diseases; Risk Factors
PubMed: 33506905
DOI: 10.26355/eurrev_202101_24382 -
Work (Reading, Mass.) 2018Disability management (DM) is a systematic method to ensure job-retention and job-reintegration in competitive employment for individuals with a disability. There is... (Review)
Review
BACKGROUND
Disability management (DM) is a systematic method to ensure job-retention and job-reintegration in competitive employment for individuals with a disability. There is evidence that 'returning to work' has a positive impact on the individual, the company and on the society. However, a clear overview of the efficacy and efficiency of the DM programs is scarce.
OBJECTIVE
To systematically review the efficacy and efficiency of the disability management programs. Cochrane, PubMed, Google Scholar, and Web of Science were searched from 1994 to 2015.
METHODS
Two reviewers independently evaluated the articles on title, abstract, and full text. The data extraction and results are documented according to the study designs.
RESULTS
Twenty-eight articles were included in the review. These 28 articles consisted of 7 systematic reviews, 3 randomized controlled trials, 9 clinical trials, 4 mixed-method studies and 5 qualitative studies.
CONCLUSIONS
The DM program has shown to be effective and efficient. A consensus about the DM components is still not reached. Nevertheless, some components are emphasized more than others; job accommodation, facilitation of transitional duty, communication between all stakeholders, health care provider advice, early intervention, and acceptance, goodwill and trust in the stakeholders, in the organization, and in the disability management process.
Topics: Disabled Persons; Efficiency, Organizational; Humans; Job Satisfaction; Rehabilitation, Vocational
PubMed: 29733052
DOI: 10.3233/WOR-182709 -
Journal of Occupational Rehabilitation Mar 2023Young people with disabilities are persistently under-employed and experience concerning rates of discrimination and ableism in looking for work and within the... (Review)
Review
PURPOSE
Young people with disabilities are persistently under-employed and experience concerning rates of discrimination and ableism in looking for work and within the workplace. Focusing on youth is salient because rates of ableism are often higher among younger ages compared to older. The objective of this systematic review was to explore the experiences and impact of workplace discrimination and ableism among youth and young adults with disabilities.
METHODS
Systematic searches of seven databases from 2000 to 2021 were conducted. Four reviewers independently applied the inclusion criteria, extracted the data and rated the study quality.
RESULTS
Of the 39 studies meeting our inclusion criteria, they represented 516,281 participants across eight countries over a 20-year period. The findings highlight the rates of workplace ableism, factors affecting workplace ableism (i.e., type of disability, gender, education level, lack of employers' knowledge about disability), ableism in job searching and anticipated ableism. The review also noted the impact of workplace ableism, which included pay discrimination, lack of job supports and social exclusion, job turnover and unemployment, and discrimination allegations and charges.
CONCLUSIONS
Our findings reveal the stark prevalence of workplace ableism among youth and young adults with disabilities. There is an urgent need for further in-depth research to understand youth's lived experiences of ableism and the development of solutions to address it so they can be included in a meaningful and respectful way in the workplace.
Topics: Humans; Adolescent; Young Adult; Rehabilitation, Vocational; Workplace; Employment; Disabled Persons; Social Discrimination
PubMed: 35976480
DOI: 10.1007/s10926-022-10049-4 -
Preventive Medicine Jun 2017The aim of this systematic review was to assess the association between the characteristics of the socioeconomic and physical/built neighborhoods and disability in basic... (Review)
Review
The aim of this systematic review was to assess the association between the characteristics of the socioeconomic and physical/built neighborhoods and disability in basic activities of daily living (ADL) and/or instrumental activities of daily living (IADL). Six databases were searched. Fourteen from the 1811 identified studies were included. Neighborhoods with socioeconomic disadvantage were associated with ADL/IADL disabilities in 7 out of the 11 studies with this objective. Worst features of the physical/built neighborhoods were associated with disabilities in only 3 of the 7 studies that investigated this. Relative to the physical/built, the socioeconomic neighborhood and ADL/IADL disabilities were more consistently associated in the still scarcely available literature on the subject.
Topics: Activities of Daily Living; Disabled Persons; Environment Design; Humans; Socioeconomic Factors
PubMed: 28216376
DOI: 10.1016/j.ypmed.2017.02.014 -
Sensors (Basel, Switzerland) Mar 2021The interest and competitiveness in sports for persons with disabilities has increased significantly in the recent years, creating a demand for technological tools... (Review)
Review
The interest and competitiveness in sports for persons with disabilities has increased significantly in the recent years, creating a demand for technological tools supporting practice. Wearable sensors offer non-invasive, portable and overall convenient ways to monitor sports practice. This systematic review aims at providing current evidence on the application of wearable sensors in sports for persons with disability. A search for articles published in English before May 2020 was performed on Scopus, Web-Of-Science, PubMed and EBSCO databases, searching titles, abstracts and keywords with a search string involving terms regarding wearable sensors, sports and disability. After full paper screening, 39 studies were included. Inertial and EMG sensors were the most commonly adopted wearable technologies, while wheelchair sports were the most investigated. Four main target applications of wearable sensors relevant to sports for people with disability were identified and discussed: athlete classification, injury prevention, performance characterization for training optimization and equipment customization. The collected evidence provides an overview on the application of wearable sensors in sports for persons with disability, providing useful indication for researchers, coaches and trainers. Several gaps in the different target applications are highlighted altogether with recommendation on future directions.
Topics: Athletes; Disabled Persons; Humans; Monitoring, Physiologic; Sports; Wearable Electronic Devices
PubMed: 33799941
DOI: 10.3390/s21051858 -
Aging & Mental Health 2016To conduct a systematic review of studies that examined associations between physical illness/functional disability and suicidal behaviour (including ideation, nonfatal... (Review)
Review
OBJECTIVES
To conduct a systematic review of studies that examined associations between physical illness/functional disability and suicidal behaviour (including ideation, nonfatal and fatal suicidal behaviour) among individuals aged 65 and older.
METHOD
Articles published through November 2014 were identified through electronic searches using the ERIC, Google Scholar, PsycINFO, PubMed, and Scopus databases. Search terms used were suicid* or death wishes or deliberate self-harm. Studies about suicidal behaviour in individuals aged 65 and older with physical illness/functional disabilities were included in the review.
RESULTS
Sixty-five articles (across 61 independent samples) met inclusion criteria. Results from 59 quantitative studies conducted in four continents suggest that suicidal behaviour is associated with functional disability and numerous specific conditions including malignant diseases, neurological disorders, pain, COPD, liver disease, male genital disorders, and arthritis/arthrosis. Six qualitative studies from three continents contextualized these findings, providing insights into the subjective experiences of suicidal individuals. Implications for interventions and future research are discussed.
CONCLUSION
Functional disability, as well as a number of specific physical illnesses, was shown to be associated with suicidal behaviour in older adults. We need to learn more about what at-risk, physically ill patients want, and need, to inform prevention efforts for older adults.
Topics: Activities of Daily Living; Aged; Chronic Disease; Disabled Persons; Female; Humans; Male; Quality of Life; Risk Factors; Self-Injurious Behavior; Social Environment; Suicidal Ideation; Suicide
PubMed: 26381843
DOI: 10.1080/13607863.2015.1083945 -
International Journal of Environmental... Jan 2022Disability is an important problem in aging societies globally. However, the research findings of the prevalence of disability have been inconsistent. This study aims to... (Meta-Analysis)
Meta-Analysis Review
BACKGROUND
Disability is an important problem in aging societies globally. However, the research findings of the prevalence of disability have been inconsistent. This study aims to estimate the prevalence of disability and its influencing factors among the Chinese older population from 1979 to 31 July 2021.
METHODS
A systematic review and meta-analysis were conducted using both international (PubMed, Web of Science, CBMdisc, PsycINFO, the Cochrane Library, and EMBASE) and Chinese (CNKI, CQVIP, and WanFang) databases. Meta-analysis was performed using a random-effects model to account for heterogeneity. Subgroup analyses were also done.
RESULTS
The pooled prevalence of disability across all 97 studies was 26.2% (95% CI: 23.7-28.6%). The estimates varied according to the types of activities of daily living (ADL), gender, age, and region. Studies based on the identification of cases by using the complete ADL scale showed a higher prevalence than those using the basic ADL scale. The prevalence was slightly higher among female older individuals than among male older individuals. The highest rates were seen in older individuals aged 80 years or older. Elders in central China, southwest China, and northwest China were more likely to be BADL-disabled.
CONCLUSION
Prevalence of disability among the Chinese older population is high, around 26%. Using standardized diagnostic systems to correctly estimate the prevalence of disability would be helpful for public health professionals in China.
Topics: Activities of Daily Living; Aged; Aged, 80 and over; Asian People; China; Disabled Persons; Female; Humans; Male; Prevalence
PubMed: 35162679
DOI: 10.3390/ijerph19031656 -
The Lancet. Diabetes & Endocrinology Oct 2013According to previous reports, the risk of disability as a result of diabetes varies from none to double. Disability is an important measure of health and an estimate of... (Meta-Analysis)
Meta-Analysis Review
BACKGROUND
According to previous reports, the risk of disability as a result of diabetes varies from none to double. Disability is an important measure of health and an estimate of the risk of disability as a result of diabetes is crucial in view of the global diabetes epidemic. We did a systematic review and meta-analysis to estimate this risk.
METHODS
We searched Ovid, Medline, Embase, Cochrane Library, and Cumulative Index to Nursing and Allied Health Literature up to Aug 8, 2012. We included studies of adults that compared the risk of disability-as measured by activities of daily living (ADL), instrumental activities of daily living (IADL), or mobility-in people with and without any type of diabetes. We excluded studies of subpopulations with specific illnesses or of people in nursing homes. From the studies, we recorded population characteristics, how diabetes was diagnosed (by doctor or self-reported), domain and definition of disability, and risk estimates for disability. We calculated pooled estimates by disability type and type of risk estimate (odds ratio [OR] or risk ratio [RR]).
RESULTS
Our systematic review returned 3224 results, from which 26 studies were included in our meta-analyses. Diabetes increased the risk of mobility disability (15 studies; OR 1.71, 95% CI 1.53-1.91; RR 1.51, 95% CI 1.38-1.64), of IADL disability (ten studies; OR 1.65, 95% CI 1.55-1.74), and of ADL disability (16 studies; OR 1.82, 95% CI 1.63-2.04; RR 1.82, 95% CI 1.40-2.36).
INTERPRETATION
Diabetes is associated with a strong increase in the risk of physical disability. Efforts to promote healthy ageing should account for this risk through prevention and management of diabetes.
FUNDING
Monash University, Baker IDI Bright Sparks Foundation, Australian Postgraduate Award, VicHealth, National Health and Medical Research Council, Australian Research Council, Victorian Government.
Topics: Activities of Daily Living; Adult; Diabetes Complications; Diabetes Mellitus; Disabled Persons; Humans; Risk Factors; Work Capacity Evaluation
PubMed: 24622316
DOI: 10.1016/S2213-8587(13)70046-9 -
PloS One 2023Social interventions are essential in supporting the health and well-being of people with disability, but there is a critical need to prioritise resources for those that...
Social interventions are essential in supporting the health and well-being of people with disability, but there is a critical need to prioritise resources for those that provide the best value for money. Economic evaluation is a widely used tool to assist priority setting when resources are scarce. However, the scope and consistency of economic evaluation evidence for disability social services are unclear, making it hard to compare across interventions to guide funding decisions. This systematic review aims to summarise the current evidence in the economic evaluation of social services for people with disability and to critically compare the methodologies used in conducting the economic evaluations with a focus on the outcomes and costs. We searched seven databases for relevant studies published from January 2005 to October 2021. Data were extracted on study characteristics such as costs, outcomes, perspectives, time horizons and intervention types. Overall, economic evaluation evidence of social services for people with disability was scarce. Twenty-four economic evaluations were included, with the majority conducting a cost-effectiveness analysis (n = 16). Most interventions focused on employment (n = 10), followed by community support and independent living (n = 6). Around 40% of the studies addressed people with mental illnesses (n = 10). The evidence was mixed on whether the interventions were cost-effective but the methods used were highly variable, which made comparisons across studies very difficult. More economic evidence on the value of interventions is needed as well as a more standardised and transparent approach for future research.
Topics: Humans; Cost-Benefit Analysis; Mental Disorders; Social Work; Cost-Effectiveness Analysis; Disabled Persons
PubMed: 36662789
DOI: 10.1371/journal.pone.0278930 -
Disability and Rehabilitation Aug 2013The WHO's International Classification of Functioning, Disability, and Health (ICF) describes third-party disability as the disability experienced by significant others... (Review)
Review
PURPOSE
The WHO's International Classification of Functioning, Disability, and Health (ICF) describes third-party disability as the disability experienced by significant others as a consequence of their family members' health condition (WHO, 2001). A systematic review of the literature was conducted to summarize the current knowledge of third-party disability in aphasia.
METHOD
PubMed, CINAHL and three other databases were searched for peer-reviewed studies reporting on how aphasia affects family members with no date restrictions. Findings from relevant studies that met the inclusion criteria were extracted and mapped to the ICF.
RESULTS
This paper summarizes what is known about the experience of family members of people with aphasia, describing negative outcomes in the body functions and activities and participation components of the ICF. However, due to the limited consensus between studies, this review reveals an incomplete understanding of the nature of third-party disability.
CONCLUSION
While current literature suggests there is a broad range of consequences for family members of people with aphasia, the sequelae of disability for family members of people with aphasia are not well understood. Further research is needed to better describe the nature and degree of third-party disability in aphasia.
Topics: Activities of Daily Living; Aphasia; Caregivers; Disability Evaluation; Disabled Persons; Family Health; Humans; International Classification of Diseases
PubMed: 23826903
DOI: 10.3109/09638288.2012.735341