caa a22 4500 606211349 CHVBK 20210128101037.0 cr unu---uuuuu 210128e20150601xx s 000 0 eng 10.1007/s10926-014-9548-z doi (NATIONALLICENCE)springer-10.1007/s10926-014-9548-z Workplace Accommodation Among Persons with Disabilities: A Systematic Review of Its Effectiveness and Barriers or Facilitators [Elektronische Daten] [Nina Nevala, Irmeli Pehkonen, Inka Koskela, Johanna Ruusuvuori, Heidi Anttila] Purpose A systematic review was conducted to review the effectiveness of workplace accommodation (WA) regarding employment, work ability, and cost-benefit among disabled people. It also describes the evidence gained on the barriers and facilitators of WA process to sustain employment. Methods We reviewed systematically current scientific evidence about effectiveness of WA among disabled persons. The outcomes were employment, work ability, and cost-benefit. Qualitative studies of employment facilitators and barriers were also included. The population comprised people with physical disability, visual impairment, hearing impairment, cognitive disability, or mental disability, aged 18-68years. CINAHL, the Cochrane Library, Embase, Medic, OTseeker, PEDro, PsycInfo, PubMed, Scopus, and Web of Science were searched for peer-reviewed articles published in English from January 1990 to November 2012. Results Three quantitative (one randomized controlled, one concurrently controlled, and one cohort) and eight qualitative studies met the inclusion criteria. There was moderate evidence that specific types of WA (vocational counselling and guidance, education and self-advocacy, help of others, changes in work schedules, work organization, and special transportation) promote employment among physically disabled persons and reduce costs. There was low evidence that WA (liaison, education, work aids, and work techniques) coordinated by case managers increases return to work and is cost-effective when compared with the usual care of persons with physical and cognitive disabilities. The key facilitators and barriers of employment were self-advocacy, support of the employer and community, amount of training and counselling, and flexibility of work schedules and work organization. Conclusions More high-quality studies using validated measures of the work ability and functioning of disabled persons are needed. The identified barriers and facilitators found in the qualitative studies should be used to develop quantitative study designs. Springer Science+Business Media New York, 2014 Workplace accommodation nationallicence Disability nationallicence Employment nationallicence Work ability nationallicence Systematic review nationallicence Nevala Nina Finnish Institute of Occupational Health, Topeliuksenkatu 41 a A, 00250, Helsinki, Finland aut Pehkonen Irmeli Finnish Institute of Occupational Health, Topeliuksenkatu 41 a A, 00250, Helsinki, Finland aut Koskela Inka Finnish Institute of Occupational Health, Topeliuksenkatu 41 a A, 00250, Helsinki, Finland aut Ruusuvuori Johanna School of Social Sciences and Humanities, University of Tampere, 33014, Tampere, Finland aut Anttila Heidi National Institute for Health and Welfare, P.O. Box 30, 00271, Helsinki, Finland aut Journal of Occupational Rehabilitation Springer US; http://www.springer-ny.com 25/2(2015-06-01), 432-448 1053-0487 25:2<432 2015 25 10926 https://doi.org/10.1007/s10926-014-9548-z text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 review-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s10926-014-9548-z text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Nevala Nina Finnish Institute of Occupational Health, Topeliuksenkatu 41 a A, 00250, Helsinki, Finland aut NATIONALLICENCE 700 1- Pehkonen Irmeli Finnish Institute of Occupational Health, Topeliuksenkatu 41 a A, 00250, Helsinki, Finland aut NATIONALLICENCE 700 1- Koskela Inka Finnish Institute of Occupational Health, Topeliuksenkatu 41 a A, 00250, Helsinki, Finland aut NATIONALLICENCE 700 1- Ruusuvuori Johanna School of Social Sciences and Humanities, University of Tampere, 33014, Tampere, Finland aut NATIONALLICENCE 700 1- Anttila Heidi National Institute for Health and Welfare, P.O. Box 30, 00271, Helsinki, Finland aut NATIONALLICENCE 773 0- Journal of Occupational Rehabilitation Springer US; http://www.springer-ny.com 25/2(2015-06-01), 432-448 1053-0487 25:2<432 2015 25 10926