Analysis of factors influencing satisfaction with vocational rehabilitation services for young persons with disabilities in Sweden.
Johanna Gustafsson, Ingrid Witte
PMID 40519985WHAT IT FOUND
Young people receiving vocational rehabilitation were more satisfied when support felt person-centered, trustworthy, and useful for work, regardless of which model they were assigned to.
Key findings
0171% of participants rated the overall support they received as good.
02Case management participants were more satisfied than supported employment participants, who were more satisfied than regular vocational rehabilitation participants.
03Satisfaction was associated with person-centeredness, trust in support persons, and the belief that activities help with getting a job, rather than with the specific vocational rehabilitation model.
STILL TO COME
How it was doneWhat they foundWhat it means for OTs
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What it does not show
The study did not measure whether each service was delivered as intended, so differences between services may reflect implementation rather than the model itself. The questionnaire was completed at one time point, so satisfaction was captured as a snapshot rather than as a process over time. Response rates differed between services, and non-responders were more likely to have secondary education or daily activities, which may bias results. Many participants needed help completing the questionnaire, and the number of participants included in the full analysis was reduced by missing responses. The trust variable behaved differently in some tests, so its result is less stable than the other findings.
Declared interests
The Swedish Social Insurance Agency and the Swedish Public Employment Service funded data collection. An EU research programme funded manuscript preparation.
The easy way to misread this
Do not conclude that case management is the best vocational rehabilitation model. The service difference disappeared after person-centeredness, trust, and perceived help with work were accounted for.