On prediction of vocational rehabilitation outcome at a Swedish employability institute

J Rehabil Med. 2003 Nov;35(6):284-9. doi: 10.1080/16501970310012437.


Objective: The main objective of this investigation was to identify a set of variables usable in early outcome prediction of vocational rehabilitation.

Design: On commencement of rehabilitation at an employability institute, data were sampled using structured interviews and checklists. Two years later the subjects were followed up by telephone interviews.

Subjects: The study sample was all unemployed with a somatic disorder as the cause of vocational disability, admitted from October 1995 to December 1996 (n = 149). Of these 109 (73%) agreed to participate.

Methods: Initially, data on demography, symptoms, expectations/beliefs about future capacity for gainful employment and sense of coherence (as an indicator of coping resources) were sampled. At follow-up the subjects' vocational situations were recorded.

Results: At follow-up, 40% were working or employable. Among the about 30 variables included, logistic regression showed that having a relatively high belief in vocational return (odds ratio, OR: 4.6, CI: 1.4-15.4), having a relatively high sense of coherence (OR: 3.5, CI: 1.5-8.4) and having a relatively high educational level (OR: 2.6, CI: 1.1-6.3) were significant predictors of positive outcome.

Conclusion: In this sample, socio-psychological and educational aspects were far more predictive of outcome than were medical circumstances.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Disabled Persons / psychology
  • Disabled Persons / rehabilitation*
  • Employment / psychology*
  • Employment / statistics & numerical data
  • Female
  • Humans
  • Male
  • Middle Aged
  • Public Assistance / statistics & numerical data
  • Rehabilitation, Vocational / psychology*
  • Rehabilitation, Vocational / statistics & numerical data
  • Sweden
  • Workers' Compensation / statistics & numerical data