caa a22 4500 606210601 CHVBK 20210128101034.0 cr unu---uuuuu 210128e20150301xx s 000 0 eng 10.1007/s10926-014-9519-4 doi (NATIONALLICENCE)springer-10.1007/s10926-014-9519-4 Factors Related to Participation in Paid Work After Organ Transplantation: Perceptions of Kidney Transplant Recipients [Elektronische Daten] [Nazanin Nour, Carol Heck, Heather Ross] Purpose Following kidney transplantation, recipients often have difficulty returning to meaningful occupations, including paid employment. The purpose of the current study was to describe the sociodemographic profile of kidney transplant recipients at a major Canadian Transplant Centre and to identify factors perceived to affect participation in paid work post-transplant. Methods Of the 530 kidney recipients who had received a kidney transplant at our facility between 2003 and 2008, 144 recipients were randomly selected, and mailed a questionnaire. Results There were 60 returned questionnaires (41.7% response rate). The average age of responders was 49.4years and the majority were male (68.3%). While the rate of employment decreased significantly (p=0.00) from 68.3% pre- to 38.3% post-transplant, retirement rates increased significantly (p=0.00) from 8.3% pre- to 18.3% post-transplant. The responders, who were not working post-transplant, more likely lived alone (p=0.05), had a lower level of education (p=0.02), and had lower perceived emotional (p=0.00) and physical (p=0.00) health status compared to those who returned to work post-transplant. Gender, donor type, age, and post-transplant complications did not differ (p>0.05) between the working and not working groups. Both person- and work-related factors impacted on return to paid work post-transplant. Most responders (working and not working) reported feeling emotionally and physically ready to work after their transplant. Work-related enablers included positive employer attitude towards medical history and employer agreement that recipients could take time off for medical appointments. Of those returning to work, the nature of their jobs changed from heavy physical demands to sedentary work. There was a 20.0% increase in reliance on government disability insurance post-transplant. Responders recommended the development of a rehabilitation program focused on working and consulting with transplant recipients' employers to further enable successful reintegration into the workplace after transplantation. Conclusions The ability to return to paid work after kidney transplant is a complex phenomenon, likely impacted by a combination of person- and work-related factors, which contributed to how individuals perceived their abilities to attain or return to paid work. It is important that in facilitating renal transplant recipients to resume valued life occupations such as paid work, the dynamic interactions between personals values, perception of one's abilities, skills, job requirements and employer characteristics be considered. Springer Science+Business Media New York, 2014 Renal transplantation employment nationallicence Paid work nationallicence Perceived factors nationallicence Disability nationallicence Motivation nationallicence Nour Nazanin Toronto General Hospital, University Health Network, 4EB-316-200 Elizabeth Street, M2G 2C4, Toronto, ON, Canada aut Heck Carol Toronto General Hospital, University Health Network, 4E - 306, 200 Elizabeth Street, M2G 2C4, Toronto, ON, Canada aut Ross Heather Toronto General Hospital, University Health Network, NCSB 11C, 1203; 585 University Ave, M5G 2N2, Toronto, ON, Canada aut Journal of Occupational Rehabilitation Springer US; http://www.springer-ny.com 25/1(2015-03-01), 38-51 1053-0487 25:1<38 2015 25 10926 https://doi.org/10.1007/s10926-014-9519-4 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s10926-014-9519-4 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Nour Nazanin Toronto General Hospital, University Health Network, 4EB-316-200 Elizabeth Street, M2G 2C4, Toronto, ON, Canada aut NATIONALLICENCE 700 1- Heck Carol Toronto General Hospital, University Health Network, 4E - 306, 200 Elizabeth Street, M2G 2C4, Toronto, ON, Canada aut NATIONALLICENCE 700 1- Ross Heather Toronto General Hospital, University Health Network, NCSB 11C, 1203; 585 University Ave, M5G 2N2, Toronto, ON, Canada aut NATIONALLICENCE 773 0- Journal of Occupational Rehabilitation Springer US; http://www.springer-ny.com 25/1(2015-03-01), 38-51 1053-0487 25:1<38 2015 25 10926