Strategic insights from a Delphi study: enhancing employment for multiply marginalized people with disabilities.
Kelsey S Goddard, Noelle K Kurth, Jean P Hall and 3 others
PMID 39296822WHAT IT FOUND
Experts prioritized emergency preparedness training, disability-aware education, assistive technology, accommodations, benefit rules, and poverty supports to improve employment for multiply marginalized disabled people.
Key findings
01Emergency preparedness training was rated the most important factor for improving employment over the next 5 years, with a median score of 4.118 on a 1 to 5 importance scale.
02Education and training had a median importance score of 4.029, and recommendations included skills-oriented employment education and hiring HR professionals knowledgeable about disability.
03Four participant-added factors were included: complex rules surrounding disability-related benefits, emergency preparedness training, poverty, scarcity and financial empowerment, and VR eligibility requirements.
STILL TO COME
How it was doneWhat they foundWhat it means for OTs
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What it does not show
The study reports expert consensus and recommendations, not tested interventions or employment outcomes. It relies on experts' knowledge and opinions, which may not capture the full experiences of multiply marginalized people with disabilities. The panel was small and selected by researchers, and the findings are not generalizable to all settings or populations. Attrition reduced the panel before final consensus.
Declared interests
Financial support was received for the research, authorship, and publication from NIDILRR grant number 90RTEM0009. The paper states that the contents do not necessarily represent NIDILRR, ACL, or HHS policy and should not be assumed to be endorsed by the Federal Government.
The easy way to misread this
Do not read these expert priorities as proof that the recommended policies or services improve employment. The study reports consensus ratings and recommendations, not tested interventions or employment outcomes.