Determinants of outcome of vocational rehabilitation

Abstract

BACKGROUND: Information regarding the determinants of successful vocational rehabilitation (VR) is scarce.  OBJECTIVE: Investigate whether sex, duration, quality of life and financial circumstances influence the success of VR.  METHODS: The study group consisted of 519 participants (293 women, 56%), who finished VR in the period 2000–2014. The group was divided into the following subgroups: dropouts, unsuccessful and successful VR. Data were collected by questionnaire.  RESULTS: Income had the most impact on whether the outcome was successful. Having supplemental income when entering the VR program increased the likelihood of a successful conclusion, odds ratio (OR) 5.60 (95% CI; 2.43–13.59) (p < 0.001), being on sick leave OR 5.02 (95% CI 1.93–13.79) (p < 0.001) or rehabilitation pension OR 1.93 (95% CI 1.07–3.52) (p < 0.03). The participants in the successful sub-group were older (p < 0.06) and stayed in rehabilitation longer (p < 0.001), compared to those who were unsuccessful. However, the effect on OR was limited: 1.03 (95% CI 1.01–1.06) and 1.04 (95% CI 1.02–1.07), respectively.  CONCLUSIONS: For this sample, supplemental income appears to be the most important factor for a successful rehabilitation outcome. Checking financial status at the beginning of the rehabilitation process could minimize financial strain and increase the likelihood of success.