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- Go to article: Functional Outcome and Mental Health Symptoms in Military Personnel and Veterans Pursuing Postsecondary Education After Traumatic Brain Injury: A VA TBI Model Systems Study
Functional Outcome and Mental Health Symptoms in Military Personnel and Veterans Pursuing Postsecondary Education After Traumatic Brain Injury: A VA TBI Model Systems Study
TBI is a leading cause of disability among veterans and active duty military personnel, and presents an obstacle to community reintegration. Prior studies examining adult survivors of TBI pursuing postsecondary education have methodological flaws that limit the understanding the scope and severity of sequelae experienced by persons with TBI who attend college.
To describe (a) physical and cognitive functioning, and (b) postconcussion and mental health symptoms in veterans and military personnel (V/M) with traumatic brain injury (TBI) enrolled in postsecondary education programs after discharge from rehabilitation.
Cross-sectional study. Participants were recruited from five Veterans Affairs (VA) Polytrauma Rehabilitation Centers, enrolled in the VA TBI Model Systems parent study, and attending school during follow-up (N = 155). Outcome measures included the Functional Independence Measure (FIM), Neurobehavioral Symptom Inventory (NSI), Post-traumatic Stress Disorder (PTSD) Checklist-Civilian version (PCL-C), Patient Health Questionnaire-Depression (PHQ-9), and Generalized Anxiety Disorder Questionnaire (GAD-7).
Participants were mostly male (92.9%) and White (81.4%), with mild (40.0%), moderate (11.5%), severe (34.5%), or very severe TBI (23.0%). Depression, anxiety, PTSD, and postconcussion symptoms were lowest in participants with very severe TBI and highest in those with mild TBI. There were no significant differences in FIM across TBI severity levels.
This study supports the need for rehabilitation counselors, educators, and administrators to prepare future practitioners to deliver tailored services to student V/M with TBI. These services can facilitate successful community reintegration and transition into civilian school settings. Symptom profiling may inform personalized cognitive interventions to enhance these students’ academic success.
- Go to article: HIV Microaggressions Across Bronfenbrenner's Ecological Systems: A Social Justice Perspective
Microaggressions play a prominent role in the cultural competency of the rehabilitation professionals. Understanding these biases and stereotypes faced by the individuals living with HIV/AIDS from a social justice and systemic perspective is crucial to become a culturally competent rehabilitation counselor. The current article is a systematic review of the anecdotal and scientific literature from 1900 to 2017 about these microaggressions toward individuals with HIV/AIDS. Authors present the common themes that emerged out of this extensive qualitative analysis by utilizing the Urie Bronfenbrenner's ecological model as a basis and discuss its impact from a social justice perspective. Implications for rehabilitation counselors and future recommendations are presented at the end.
- Go to article: The Conventional and Unconventional About Disability Conventions: A Reflective Analysis of United Nations Convention on the Rights of Persons With Disabilities
The Conventional and Unconventional About Disability Conventions: A Reflective Analysis of United Nations Convention on the Rights of Persons With Disabilities
This article presents an analysis of the United Nations Convention on the Rights of Persons with Disabilities (CRPD) in relation to prior United Nations conventions on disability and U.S. disability policy law with a view to identifying the conventional and also the incremental advances of the CRPD. Previous United Nations conventions related to disability have had, at best, partial success in effectively protecting the human rights of individuals with disabilities. The CRPD, as a policy instrument, has considerable potential for advancing the legal rights of persons with disabilities in the United States and globally. This article reviews this potential from national and international perspectives and explores the implications of the CRPD for rehabilitation counseling advocacy and education.
- Go to article: Evaluation of a Multiple Mediator Model of the Relationship Between Core Self-Evaluations and Job Satisfaction in Employed Individuals With Disabilities
Evaluation of a Multiple Mediator Model of the Relationship Between Core Self-Evaluations and Job Satisfaction in Employed Individuals With Disabilities
To test a meditation model of the relationship between core self-evaluations (CSE) and job satisfaction in employed individuals with disabilities.
A quantitative descriptive design using Hayes’s (2012) PROCESS macro for SPSS and multiple regression analysis. Two-hundred fifty-nine employed persons with disabilities were recruited from Amazon Mechanical Turk to participate in the study.
Support from supervisors, work engagement, wage, and job stress were found to partially mediate the relationship between CSE and job satisfaction. The direct effect of CSE on job satisfaction was still significant after controlling for the effects of all mediators.
CSE affected job satisfaction in persons with disabilities, both directly and through improved supervisory support, greater engagement in work, increased pay, and decreased job stress. Implications of the results on rehabilitation counseling practice to improve job satisfaction in clients with disabilities are discussed.
Many studies have shown gender differences in publishing rates over the years, however a comprehensive exploration of trends of gender differences in publishing in rehabilitation counseling has not been conducted.
This article examines gender differences in publication in rehabilitation counseling over the course of 25 years.
The gender of each author in every article published in five major rehabilitation counseling journals from 1990 to 2015 was analyzed to identify how gender differences have changed over time, in terms of authorship, sole authorship, and lead authorship.
Results showed that overall, men published more than women (in any author position, as lead author, and as sole author). However, when exploring trends in publishing over the course of 25 years, the gender differences changed. More recent data show that women published more than men, and women were more likely to be lead authors. However, these changes did not extend to sole authorship.
Implications for rehabilitation counseling researchers are discussed.
- Go to article: Application of the KVI-R to Assess and Compare Training Needs for Private and Public State-Federal Rehabilitation Counselors
Application of the KVI-R to Assess and Compare Training Needs for Private and Public State-Federal Rehabilitation Counselors
The KVI-R was developed by a team of researchers in collaboration with the Commission on Rehabilitation Counselor Certification (CRCC) as a measurement instrument to assess training needs of rehabilitation counselors. The KVI-R includes 92 items measured on two dimensions: importance to the rehabilitation counseling field and degree of preparedness to work in that area.
The objective for this study was to assess and compare training needs reported by private sector and public sector rehabilitation counselors via the KVI-R.
Participant data for this study was compiled from two previous studies examining rehabilitation counselors working the public sector and a second study examining the private sector. A sample of 442 public sector rehabilitation counselors were recruited from the state-federal Vocational Rehabilitation (VR) agencies within the federal Mid-Atlantic Region III (DC, DE, MD, PA, VA, WV). A sample of 423 private sector rehabilitation counselors across the United States were recruited through the George Washington University's Forensic Rehabilitation Counseling Certificate Program marketing email list for a total sample of N = 865 Participants responded to two pre- and post- survey questions along with the Knowledge Validation Inventory–Revised (KVI-R) instrument which is used to measure training needs of rehabilitation professionals.
There were no statistically significant differences shown between the two groups' overall training need or for any KVI-R domain specific need. Both groups indicated that time spent in training was unnecessarily emphasized in areas of group counseling practices and interventions, group counseling theories, and historical philosophical foundations of rehabilitation counseling. Comparing qualitative responses between rehabilitation counselors in the private and the public sector, there were several areas of differences in reported training needs. Those who worked in the public sector reported significantly higher perceived benefits from further training for persons with disabilities (p = .001). Additionally, demographic differences were found between overall years practicing, with private sector counselors having about twice the clinical experience on average compared to the public sector counselors. In addition, private sector counselors had significantly more professional credentials compared to public sector rehabilitation counselors.
- Go to article: Broadening Rehabilitation Education and Research Through Cultural Humility: A Conceptual Framework for Rehabilitation Counseling
Broadening Rehabilitation Education and Research Through Cultural Humility: A Conceptual Framework for Rehabilitation Counseling
Purpose: The purpose of this conceptual article is to present a framework that incorporates the concept of culture humility into effective rehabilitation services.
Method: Based on a comprehensive literature review and theoretical integration, this article provides the reader with the basic concept of cultural humility, similarities and differences between cultural humility and cultural competence, and significance of the cultural humility concept to rehabilitation counseling.
Results: The literature consistently describes the need for professionals to be culturally competent to effectively serve an increasingly diverse population. However, when using only a multicultural competency framework, counselors may have false beliefs about their competence in working with culturally diverse individuals, understate the power imbalance between service providers and clients, and ignore institutional (e.g., system, homophobia, racism) accountability. Cultural humility can directly address these issues and serve as a complement to cultural competence in rehabilitation counseling services given its emphasis on reflectivity, power differentials between counselors and clients, and institutional accountability.
Conclusion: Cultural humility can be applied to rehabilitation research, education, and practice. We need to broaden multicultural rehabilitation counseling through a cultural humility approach.
- Go to article: Social Cognitive and Planned Behavior Variables Associated With Stages of Change for Physical Activity in Spinal Cord Injury: A Multivariate Analysis
Social Cognitive and Planned Behavior Variables Associated With Stages of Change for Physical Activity in Spinal Cord Injury: A Multivariate Analysis
Purpose: To apply the constructs of social cognitive theory (SCT) and the theory of planned behavior (TPB) to understand the stages of change (SOC) for physical activities among individuals with a spinal cord injury (SCI).
Method: Ex post facto design using multivariate analysis of variance (MANOVA). The participants were 144 individuals with SCI who completed an online SCT, TPB, and SOC for physical activities survey.
Results: Participants in the preintender, intender, and actor groups differed significantly in functional disability, secondary health conditions, exercise self-efficacy, perceived benefits and barriers, intention, and physical health.
Conclusion: Findings support the concept of stage-matching exercise and physical activity cognitive behavioral interventions for people with SCI.