Vocational Interventions to Improve Employment Participation of People with Psychosocial Disability, Autism and/or Intellectual Disability: A Systematic Review

<b>Objective:</b> To systematically review interventions aimed at improving employment participation of people with psychosocial disability, autism, and intellectual disability. <b>Methods:</b> We searched MEDLINE, Embase, PsycINFO, Web of Science, Scopus, CINAHL, ERIC, and E...

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Autores principales: Isabelle Weld-Blundell, Marissa Shields, Alexandra Devine, Helen Dickinson, Anne Kavanagh, Claudia Marck
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Publicado: MDPI AG 2021
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spelling oai:doaj.org-article:803845f5d81941d6bddda43260699a1e2021-11-25T17:50:59ZVocational Interventions to Improve Employment Participation of People with Psychosocial Disability, Autism and/or Intellectual Disability: A Systematic Review10.3390/ijerph1822120831660-46011661-7827https://doaj.org/article/803845f5d81941d6bddda43260699a1e2021-11-01T00:00:00Zhttps://www.mdpi.com/1660-4601/18/22/12083https://doaj.org/toc/1661-7827https://doaj.org/toc/1660-4601<b>Objective:</b> To systematically review interventions aimed at improving employment participation of people with psychosocial disability, autism, and intellectual disability. <b>Methods:</b> We searched MEDLINE, Embase, PsycINFO, Web of Science, Scopus, CINAHL, ERIC, and ERC for studies published from 2010 to July 2020. Randomized controlled trials (RCTs) of interventions aimed at increasing participation in open/competitive or non-competitive employment were eligible for inclusion. We included studies with adults with psychosocial disability autism and/or intellectual disability. Risk of bias was assessed using the Cochrane Collaboration Risk of Bias II Tool. Data were qualitatively synthesized. Our review was registered with PROSPERO (CRD42020219192). <b>Results:</b> We included 26 RCTs: 23 targeted people with psychosocial disabilities (<i>n</i> = 2465), 3 included people with autism (<i>n</i> = 214), and none included people with intellectual disability. Risk of bias was high in 8 studies, moderate for 18, and low for none. There was evidence for a beneficial effect of Individual Placement and Support compared to control conditions in 10/11 studies. Among young adults with autism, there was some evidence for the benefit of Project SEARCH and ASD supports on open employment. <b>Discussion:</b> Gaps in the availability of high-quality evidence remain, undermining comparability and investment decisions in vocational interventions. Future studies should focus on improving quality and consistent measurement, especially for interventions targeting people with autism and/or intellectual disability.Isabelle Weld-BlundellMarissa ShieldsAlexandra DevineHelen DickinsonAnne KavanaghClaudia MarckMDPI AGarticlesystematic reviewrandomized control trialsvocational interventionspsychosocial disabilityautismintellectual disabilityMedicineRENInternational Journal of Environmental Research and Public Health, Vol 18, Iss 12083, p 12083 (2021)
institution DOAJ
collection DOAJ
language EN
topic systematic review
randomized control trials
vocational interventions
psychosocial disability
autism
intellectual disability
Medicine
R
spellingShingle systematic review
randomized control trials
vocational interventions
psychosocial disability
autism
intellectual disability
Medicine
R
Isabelle Weld-Blundell
Marissa Shields
Alexandra Devine
Helen Dickinson
Anne Kavanagh
Claudia Marck
Vocational Interventions to Improve Employment Participation of People with Psychosocial Disability, Autism and/or Intellectual Disability: A Systematic Review
description <b>Objective:</b> To systematically review interventions aimed at improving employment participation of people with psychosocial disability, autism, and intellectual disability. <b>Methods:</b> We searched MEDLINE, Embase, PsycINFO, Web of Science, Scopus, CINAHL, ERIC, and ERC for studies published from 2010 to July 2020. Randomized controlled trials (RCTs) of interventions aimed at increasing participation in open/competitive or non-competitive employment were eligible for inclusion. We included studies with adults with psychosocial disability autism and/or intellectual disability. Risk of bias was assessed using the Cochrane Collaboration Risk of Bias II Tool. Data were qualitatively synthesized. Our review was registered with PROSPERO (CRD42020219192). <b>Results:</b> We included 26 RCTs: 23 targeted people with psychosocial disabilities (<i>n</i> = 2465), 3 included people with autism (<i>n</i> = 214), and none included people with intellectual disability. Risk of bias was high in 8 studies, moderate for 18, and low for none. There was evidence for a beneficial effect of Individual Placement and Support compared to control conditions in 10/11 studies. Among young adults with autism, there was some evidence for the benefit of Project SEARCH and ASD supports on open employment. <b>Discussion:</b> Gaps in the availability of high-quality evidence remain, undermining comparability and investment decisions in vocational interventions. Future studies should focus on improving quality and consistent measurement, especially for interventions targeting people with autism and/or intellectual disability.
format article
author Isabelle Weld-Blundell
Marissa Shields
Alexandra Devine
Helen Dickinson
Anne Kavanagh
Claudia Marck
author_facet Isabelle Weld-Blundell
Marissa Shields
Alexandra Devine
Helen Dickinson
Anne Kavanagh
Claudia Marck
author_sort Isabelle Weld-Blundell
title Vocational Interventions to Improve Employment Participation of People with Psychosocial Disability, Autism and/or Intellectual Disability: A Systematic Review
title_short Vocational Interventions to Improve Employment Participation of People with Psychosocial Disability, Autism and/or Intellectual Disability: A Systematic Review
title_full Vocational Interventions to Improve Employment Participation of People with Psychosocial Disability, Autism and/or Intellectual Disability: A Systematic Review
title_fullStr Vocational Interventions to Improve Employment Participation of People with Psychosocial Disability, Autism and/or Intellectual Disability: A Systematic Review
title_full_unstemmed Vocational Interventions to Improve Employment Participation of People with Psychosocial Disability, Autism and/or Intellectual Disability: A Systematic Review
title_sort vocational interventions to improve employment participation of people with psychosocial disability, autism and/or intellectual disability: a systematic review
publisher MDPI AG
publishDate 2021
url https://doaj.org/article/803845f5d81941d6bddda43260699a1e
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