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Fong Chan

    Fong Chan

    EJ560573 - A Model for Enhancing Rehabilitation Counselor-Consumer Working Relationships.
    ABSTRACT
    OBJECTIVE: This study examined data provided by the U.S. Department of Education’s Rehabilitation Services Administration (RSA) in an effort to evaluate the impact of demographic variables, vocational rehabilitation services, and agency... more
    OBJECTIVE: This study examined data provided by the U.S. Department of Education’s Rehabilitation Services Administration (RSA) in an effort to evaluate the impact of demographic variables, vocational rehabilitation services, and agency characteristics on the employment outcomes obtained by transition-age youth (i.e., 16 to 25 years old) with visual impairments and blindness. RESULTS: Results indicated that young adults who were male, Hispanic, between the ages of 23 and 25, not receiving Social Security disability benefits, and diagnosed with less severe visual impairments were more likely to become employed than younger, female, Caucasian young adults with more severe visual impairments who were receiving Social Security disability benefits. Receiving reader and assistive technology services also predicted successful employment outcomes. CONCLUSION: Results of this investigation document the importance of individualized VR services that promote long-term career success for transition-age youth with visual impairments and blindness.
    Objectives: To examine the effect of rehabilitation technology interventions on the employment or job retention outcomes of individuals with multiple sclerosis (MS) served by the state-federal vocational rehabilitation program using a... more
    Objectives: To examine the effect of rehabilitation technology interventions on the employment or job retention outcomes of individuals with multiple sclerosis (MS) served by the state-federal vocational rehabilitation program using a case-control study design.Participants: Data for this study were extracted from the Rehabilitation Services Administration Case Service Report database. The sample included 8,715 individuals with MS aged between 16 and 64 years old whose cases were closed between the fiscal years of 2007 and 2011.Outcome measure: Competitive employment.Results: The classification and regression tree method identified 5 homogeneous subgroups ranging from high to low propensity to receive rehabilitation technology services. Specifically, individuals with MS employed at application were most likely to receive rehabilitation technology intervention. The effect of rehabilitation technology on job retention was especially strong for individuals aged 35 years or older with a ...
    Purpose:To examine demographic, functional, and clinical multiple sclerosis (MS) variables affecting employment status in a national sample of adults with MS in the United States.Method:The sample included 4,142 working-age (20–65 years)... more
    Purpose:To examine demographic, functional, and clinical multiple sclerosis (MS) variables affecting employment status in a national sample of adults with MS in the United States.Method:The sample included 4,142 working-age (20–65 years) Americans with MS (79.1% female) who participated in a national survey. The mean age of participants was 51.93 years (SD= 8.7). The dependent variable was employment status. The predictor variables included a set of demographic, functional, and MS variables.Results:The chi-squared automatic interaction detector (CHAID) analysis indicated that participants who were receiving Social Security Disability Insurance (SSDI) had significantly lower rates of employment (8.6%) than those who were not receiving SSDI (53.9%). For those not receiving SSDI, the most important factor predicting employment status was MS impact on physical functioning, as measured with the Multiple Sclerosis Impact Scale Physical Impact scale.Conclusion:The data-mining approach (i.e...
    Physical and Occupational Therapists in large urban hospitals rated the prestige of 13 allied health professions, generally hospital based. Radiologic Technologist was ranked 13th by PTs and 12th by OTs. PTs were more negative with 35%... more
    Physical and Occupational Therapists in large urban hospitals rated the prestige of 13 allied health professions, generally hospital based. Radiologic Technologist was ranked 13th by PTs and 12th by OTs. PTs were more negative with 35% using ratings below "average," while OTs assigned 28%. Only 27% of the PTs used ratings above "average," while 33% of the OTs did so. Prestige scores derived for Radiologic Technologists placed them among nonprofessionals.
    This study examined the impact of positive psychological traits (positive coping, self-efficacy, and self-esteem) on the relationship between seizure severity and life satisfaction among individuals with epilepsy. Hierarchical regression... more
    This study examined the impact of positive psychological traits (positive coping, self-efficacy, and self-esteem) on the relationship between seizure severity and life satisfaction among individuals with epilepsy. Hierarchical regression analysis and correlation techniques were used to test a hypothesized tri-mediation model of life satisfaction for individuals with epilepsy. Results indicated that seizure severity and positive human traits, including positive coping, self-efficacy, and self-esteem, were indeed associated with overall life satisfaction. Self-efficacy and self-esteem (but not positive coping) fully mediated the relationship between seizure severity and life satisfaction, lending support for a dual-mediation model. These findings suggest there may be considerable value for rehabilitation psychologists and counselors to develop specialized intervention programs that focus on capitalizing these positive human traits to promote life satisfaction and well-being for client...
    Objective: To evaluate Snyder’s (2002) hope theory as a motivational model of community participation and life satisfaction.Design: Quantitative descriptive design using path analysis.Setting: Manitoba chapter of the Canadian Paraplegic... more
    Objective: To evaluate Snyder’s (2002) hope theory as a motivational model of community participation and life satisfaction.Design: Quantitative descriptive design using path analysis.Setting: Manitoba chapter of the Canadian Paraplegic Association.Participants: One-hundred and sixteen participants with spinal cord injuries who were members of the Manitoba chapter of the Canadian Paraplegic Association.Results: The respecified path-analytic hope model of participation and life satisfaction fits the data reasonably well, with χ2/df = 2.58; GFI = .95; and CFI = .95. Participation—with indirect effects of causality, perceived control, resilience, agency thinking, and pathways thinking—explained 32% of the variance in life satisfaction. Causality and agency thinking—with indirect effects of perceived control, resilience, and pathways thinking—explained 40% of the variance in participation.Conclusion: Synder’s hope theory as a motivational model of participation and life satisfaction was...
    The main objective of this study is to evaluate the measurement structure of the Connor-Davidson Resilience Scale (CD-RISC) as a positive psychology measure for people with spinal cord injuries (SCIs) using confirmatory factor analysis.... more
    The main objective of this study is to evaluate the measurement structure of the Connor-Davidson Resilience Scale (CD-RISC) as a positive psychology measure for people with spinal cord injuries (SCIs) using confirmatory factor analysis. The participants consisted of 274 Canadians with SCI living in the community. The result indicated that the 5-factor intercorrelated model fits the data reasonably well (χ2 = 635.20; p value < .001; χ2/df = 2.40; CFI = .90; RMSEA = 0.07). These 5 factors (personal competence, high standards, and tenacity; trust in one’s instincts, tolerance of negative affect, and strengthening effects of stress; positive acceptance of change and secure relationships; control; and spiritual influence) correlated positively with disability acceptance and happiness, and inversely related to depression. The reliability of the 5 subscales was good ranging from .65 to .92. In conclusion, the results of this study confirmed that the 5-factor structure of the CD-RISC obs...
    This selective review provides an overview of salient research findings related to employers' attitudes towards disability and prospective influences on employers to improve employment outcomes of people with disabilities. Research... more
    This selective review provides an overview of salient research findings related to employers' attitudes towards disability and prospective influences on employers to improve employment outcomes of people with disabilities. Research studies included for review are mainly those which investigated employer attitudes towards disability as predispositions to hiring people with disability. Selected studies were classified into three categories including hiring and accommodating employees with disabilities, work performance, and affective reactions and behavioural intentions of employers. Excluded from the review were studies that investigated other factors influencing employer attitudes toward disability. Altogether 34 research studies from the period of 1987 until 2012 were included in the review. Primary databases for the review included ProQuest, Ebscohost, Lexus Nexus, ERICK Database and the Sage Sociology Collection. This review of the demand-side employment literature suggests e...
    The main objective of this study was to examine the mediational and moderational effect of exercise, diet, and stress management on the relationship between functional disability and health-related quality of life. Quantitative... more
    The main objective of this study was to examine the mediational and moderational effect of exercise, diet, and stress management on the relationship between functional disability and health-related quality of life. Quantitative descriptive research design using multiple regression and correlation techniques was used. Participants were 215 individuals with multiple sclerosis (MS). Outcome measure used was health-related quality of life as measured by the Medical Outcomes Study (MOS) Short-Form Health Survey (SF-12v2). Functional disability and health-promoting behaviors including exercise, diet, and stress management were found to be associated with health-related quality of life. Exercise and stress management (but not diet) were partial mediators between functional disability and health-related quality of life. Exercise was found to be a moderator between functional disability and health-related quality of life. Exercise had a stronger effect on health-related quality of life for i...
    ABSTRACT
    Fifty participants with mental illness and a concrete discharge plan were selected from two mental hospitals in Hong Kong and assessed on their Psychosocial support by the Chinese Version of the Significant Others Scale, social vocational... more
    Fifty participants with mental illness and a concrete discharge plan were selected from two mental hospitals in Hong Kong and assessed on their Psychosocial support by the Chinese Version of the Significant Others Scale, social vocational competence using the Workshop Behavior Checklist and the Vocational Social Skills Scale, medical history, work history, and demographic variables. At three months after discharge, the employed participants ( n = 12) were shown to have better psychosocial support and social vocational competence than the unemployed participants ( n = 24) by univariate comparison. The employed and unemployed participants did not differ in their medical and work history, and demographic variables. Implications of the results for rehabilitation programming are discussed.
    The purpose of this study was to examine the psychosocial adjustment patterns of a community sample of persons with spinal cord injury in Taiwan. A total of 102 participants were recruited from the Association of People with Spinal Cord... more
    The purpose of this study was to examine the psychosocial adjustment patterns of a community sample of persons with spinal cord injury in Taiwan. A total of 102 participants were recruited from the Association of People with Spinal Cord Injury in Taipei City. Mean age of participants was 30.8 years (SD=11.39 years), and 77% were men. The participants were asked to complete a research packet containing a demographic questionnaire, the Psychosocial Adjustment to Illness Scale-Self Report Questionnaire, and the Sense of Coherence Questionnaire. Four distinct groups were found, representing different levels of psychosocial adjustment: (i) Well adjusted, (ii) Moderately adjusted, (iii) Moderately adjusted and sexually inexperienced, and (iv) Poorly adjusted. Employment status, age at the time of onset, injury level, and current age, as well as the motivational and behavioural aspects of coping, were identified as the functions discriminating the groups based on the demographic characteristics and sense of coherence, respectively. Vocational, sexual, and leisure areas of adjustment were found to be the most problematic for individuals with SCI in Taiwan. Counseling and other rehabilitation intervention efforts should focus on these identified needs of people with SCI in Taiwan.
    To examine the employment status and determinants of employability for adults with cerebral palsy (CP) in Taiwan. A cross-sectional survey was conducted. Participants were recruited from five main branches of the Cerebral Palsy... more
    To examine the employment status and determinants of employability for adults with cerebral palsy (CP) in Taiwan. A cross-sectional survey was conducted. Participants were recruited from five main branches of the Cerebral Palsy Association. Two hundred and seventy-nine persons over the age of 18 (M = 26.4, SD = 7.7) with a diagnosis of cerebral palsy participated in the current study. Sixty-four of the 279 participants were employed with an employment rate of 22.9%. Of the 64 employed individuals, 67% worked in an integrated setting, 14% in supported employment, and 19% in sheltered employment. Hierarchical logistic regression analyses indicated that having an older age (odds ratio [OR] = 1.05; 95% confidence intervals [CI]: 1.01-1.10), a diagnosis of ataxia (OR = 3.44; 95% CI: 1.29-9.13), a higher educational attainment (OR = 1.86; 95% CI: 1.09-3.18), a higher mobility function in the community (OR = 1.48; 95% CI: 1.04-2.10), and a higher level of independence in daily activities (OR = 1.60; 95% CI: 1.23-2.09) were associated with an increased odds for employment. The employment rate for adults with CP in Taiwan is low. Age, CP diagnosis, educational attainment, and functional performance are important determinants related to employment outcomes for this group. Further research to validate effective medical and vocational rehabilitation interventions to improve the employability of people with CP in Taiwan is warranted.
    Asian students comprise over half of all international students in the United States, yet little is known about their help-seeking behaviors and preferences for mental health professionals. The purpose of this study was to use conjoint... more
    Asian students comprise over half of all international students in the United States, yet little is known about their help-seeking behaviors and preferences for mental health professionals. The purpose of this study was to use conjoint analysis to examine characteristics of mental health professionals influencing Korean international students' preferences when choosing a mental health professional. Korean international students from three universities in the United States were recruited on a volunteer basis to participate in this study (N = 114). Results indicated that mental health professional characteristics, including ethnicity, age, professional identity, and training institution, were significant factors in students' preference formation; however, gender of the mental health professional was not found to be a significant factor in the present study. Ethnic similarity was the most powerful predictor of preference formation. Implications for promoting help-seeking and mental health service utilization among Asian international students are discussed.
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    Abstract. Working Alliance has been described as a collaborative process characterized by shared goals, tasks and attachment bonds The development of a strong working Alliance is desirable in a rehabilitation system that embraces full and... more
    Abstract. Working Alliance has been described as a collaborative process characterized by shared goals, tasks and attachment bonds The development of a strong working Alliance is desirable in a rehabilitation system that embraces full and meaningful involvement from consumers. ...
    Fifty participants with mental illness and a concrete discharge plan were selected from two mental hospitals in Hong Kong and assessed on their Psychosocial support by the Chinese Version of the Significant Others Scale, social vocational... more
    Fifty participants with mental illness and a concrete discharge plan were selected from two mental hospitals in Hong Kong and assessed on their Psychosocial support by the Chinese Version of the Significant Others Scale, social vocational competence using the Workshop Behavior Checklist and the Vocational Social Skills Scale, medical history, work history, and demographic variables. At three months after discharge, the employed participants ( n = 12) were shown to have better psychosocial support and social vocational competence than the unemployed participants ( n = 24) by univariate comparison. The employed and unemployed participants did not differ in their medical and work history, and demographic variables. Implications of the results for rehabilitation programming are discussed.
    EJ560573 - A Model for Enhancing Rehabilitation Counselor-Consumer Working Relationships.
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    Advances in cancer treatment in recent years have extended and enhanced the lives of millions of cancer survivors [1]. As pointed out in many of the earlier chapters in this book, the epidemiology indicates that cancer survivors are... more
    Advances in cancer treatment in recent years have extended and enhanced the lives of millions of cancer survivors [1]. As pointed out in many of the earlier chapters in this book, the epidemiology indicates that cancer survivors are living longer and working longer than ever before. Returning to work and pursing one’s career development has been identified as a critical part of enhancing the cancer survivorship experience [2].
    OBJECTIVES. The purpose of this study was to examine factors influencing occupational therapy students’ context-specific attitudes toward persons with disabilities. METHOD. Attitudes of 128 occupational therapy students toward placement... more
    OBJECTIVES. The purpose of this study was to examine factors influencing occupational therapy students’ context-specific attitudes toward persons with disabilities. METHOD. Attitudes of 128 occupational therapy students toward placement of a residential treatment facility in their community were measured by a conjoint measurement of 16 stimulus cards (representing persons with varying disability types, gender, age, employment history, and history of aggression) and their responses were analyzed using conjoint analysis. FINDINGS. Disability type and threat of violence were significantly higher on important scores compared with the other attributes across all students. Additionally, Year-Three students had significantly higher importance scores for the employment attribute than Year-One students. CONCLUSION. Conjoint analysis can be used effectively, as an indirect measure, to study factors contributing to the formation of attitudes–preferences for persons with disabilities in specifi...
    The purpose of this study was to validate the appropriateness of the Comprehensive Vocational Evaluation System (CVES) for evaluating the work potential and independent living levels of visually impaired and blind individuals. The CVES... more
    The purpose of this study was to validate the appropriateness of the Comprehensive Vocational Evaluation System (CVES) for evaluating the work potential and independent living levels of visually impaired and blind individuals. The CVES was administered to 237 clients of the Texas Commission for the Blind (TCB), and the results were used to predict the vocational placement and independent living levels of these clients as determined by the TCB staff. The results indicated that the CVES is significantly related to work and independent living outcomes for visually impaired and blind people.
    The aim of the study was to test an expanded model of Snyder's hope theory for prediction of participation for individuals with spinal cord injury (SCI). Statistical model testing focused on evaluation of hope theory constructs (i.e.,... more
    The aim of the study was to test an expanded model of Snyder's hope theory for prediction of participation for individuals with spinal cord injury (SCI). Statistical model testing focused on evaluation of hope theory constructs (i.e., agency thoughts and pathways thoughts) as serial mediators of relationships between attachment and community participation. Quantitative, cross-sectional, descriptive design using multiple regression and correlational techniques. The sample comprised 108 persons with SCI recruited from spinal cord injury advocacy organizations in the United States, the United Kingdom, and Canada. Secure attachment, avoidant attachment, anxious attachment, and the hope constructs were significantly related to participation. Significant mediational effects were observed when agency thoughts and pathways thoughts were specified as mediators in series between attachment and community participation for people with SCI (i.e., agency specified as M1 and pathways specified...
    People with a chronic psychiatric disorder (CPD) have low employment rates worldwide. This multicenter retrospective cohort study examined the employment outcomes of an innovative in-house vocational training program for people with CPD... more
    People with a chronic psychiatric disorder (CPD) have low employment rates worldwide. This multicenter retrospective cohort study examined the employment outcomes of an innovative in-house vocational training program for people with CPD in Taiwan and explored which program parameters significantly predicted outcomes. Data were retrieved from the records of 323 participants who completed the training program. Satisfactory employment rates were found at 1 (52.9%), 3 (60.4%), and 6 (65.6%) mo posttraining, and 38.7% of participants demonstrated high employment sustainability (employed throughout the first 6 mo posttraining). Three program parameters significantly predicted employment outcomes: (1) occupational therapists' pursuit of additional training or short-term apprenticeship pertinent to clients' job interests, (2) posttraining vocational counseling provided by community-based occupational therapists, and (3) the duration of 6 mo posttraining to allow clients to prepare f...
    People with chronic pain and related disability often report motivational difficulties with engaging in health-promoting behaviors. Although health promotion models of self-determination theory (SDT) and theory of planned behavior (TPB)... more
    People with chronic pain and related disability often report motivational difficulties with engaging in health-promoting behaviors. Although health promotion models of self-determination theory (SDT) and theory of planned behavior (TPB) have been shown to explain the motivational processes behind health behaviors in the general population, there is limited theoretical research among persons with chronic pain. This study examined the integration of such theories relevant to physical activity and exercise behavior among pain populations. Secondary data analyses were conducted using cross-sectional surveys from 198 participants with chronic musculoskeletal pain recruited from U.S. clinics and community networks. The primary outcome was self-reported physical activity and exercise participation. Predictor variables included pain intensity, functional disability, and SDT and TPB measures. Hierarchical regression analysis was conducted to examine the associations between these variables. Findings demonstrated that in the first step, functional disability was associated with physical activity and exercise; and in the second step, all SDT factors were associated with physical activity and exercise. In the final step of the model, only certain SDT and TPB factors were associated with physical activity and exercise. Despite preexisting pain and functional disability, the findings suggest that health behavior factors from both SDT and TPB are associated with physical activity and exercise participation. This line of research should encourage rehabilitation professionals to recommend regular physical activity and exercise, while simultaneously addressing and monitoring the SDT and TPB factors that are well-timed and appropriate for persons with chronic pain through motivation-oriented rehabilitation approaches. (PsycINFO Database Record (c) 2018 APA, all rights reserved).
    Social effectiveness continues to play a critical role in recovery of people with serious mental illness (SMI), with greater social effectiveness predicting many positive life outcomes. Despite the abundance of literature supporting the... more
    Social effectiveness continues to play a critical role in recovery of people with serious mental illness (SMI), with greater social effectiveness predicting many positive life outcomes. Despite the abundance of literature supporting the relationship between perceptions and behavior, little is known about predictors of perceived social effectiveness of individuals with SMI. The purpose of this study is to examine the predictors of perceived social effectiveness of individuals with SMI. Cross-sectional data of 192 participants with SMI recruited from four psychiatric rehabilitation clubhouses in 2 states in the South and Midwest regions of the United States were used for this study. Self-report data on category of psychiatric disabilities, psychiatric symptoms, cognition, insight, educational attainment, empathy, interpersonal interactions and relationships, self-stigma, disability acceptance, and perceived social effectiveness were collected and analyzed using multiple regression ana...
    ABSTRACT Existing research has indicated an association between resilience and psychosocial adjustment to disability. The purpose of this study was to validate the Brief Resilience Scale (BRS) in a sample of vocational rehabilitation (VR)... more
    ABSTRACT Existing research has indicated an association between resilience and psychosocial adjustment to disability. The purpose of this study was to validate the Brief Resilience Scale (BRS) in a sample of vocational rehabilitation (VR) consumers. Participants were 320 individuals with disabilities receiving state VR services. Findings support the identification of two factors in the BRS, labeled succumbing and resilience by the researchers. The succumbing factor was positively associated with reporting of depression while the resilience factor was associated with well-being. Implications for practice in state VR agencies are provided.
    This study investigated pain coping profiles using theCoping Strategies Questionnaire-24(CSQ-24) in a sample of 171 workers’ compensation clients with chronic musculoskeletal pain from Canada. Cluster analysis identified three distinct... more
    This study investigated pain coping profiles using theCoping Strategies Questionnaire-24(CSQ-24) in a sample of 171 workers’ compensation clients with chronic musculoskeletal pain from Canada. Cluster analysis identified three distinct coping profiles: mixed coping, catastrophising, and positive coping. Multivariate analysis of variance (MANOVA) results revealed that the positive coping group had lower levels of activity interference and depression as well as higher levels of quality of life than the mixed coping and catastrophising groups. Study findings indicate clients with chronic musculoskeletal pain can be categorised according to pain coping strategies, and pain coping strategies used are related to rehabilitation outcomes. The implications of these pain coping profiles for rehabilitation counselling practice are discussed.
    ABSTRACT
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    ABSTRACT
    This study examined data provided by the US Department of Education's Rehabilitation Services Administration (RSA) in an effort to evaluate the relationship between (a) demographic variables and vocational rehabilitation (VR) services... more
    This study examined data provided by the US Department of Education's Rehabilitation Services Administration (RSA) in an effort to evaluate the relationship between (a) demographic variables and vocational rehabilitation (VR) services and (b) the employment outcomes of transition-age youth with traumatic brain injuries. Not applicable. Data for 1546 transition-age youth (ie, 16-25 years of age) with traumatic brain injuries were examined. Purposeful selection of multivariate logistic regression was employed to analyze the data. Not applicable. Receipt of more VR services at higher expenditure levels over shorter periods of time was related to case closure in successful competitive employment status. Also, higher levels of education at the time of enrollment in the VR program (ie, bachelor's degrees or higher); nonreceipt of social security disability benefits at the time of enrollment in the VR program; and receipt of VR services such as occupational/vocational training, job...
    Purpose: To evaluate the measurement structure of the Physical Activity Scale for Individuals With Physical Disabilities (PASIPD) as an assessment tool of lifestyle physical activities for people with severe mental illness.Method: A... more
    Purpose: To evaluate the measurement structure of the Physical Activity Scale for Individuals With Physical Disabilities (PASIPD) as an assessment tool of lifestyle physical activities for people with severe mental illness.Method: A quantitative descriptive research design using factor analysis was employed. A sample of 72 individuals with severe mental illness was used to examine the factorial structure of the PASIPD, which contains 12 items and 5 factors.Results: Principal components analysis results indicate that the 5-factor structure of the PASIPD can be replicated with people with severe mental illness, which include light/moderate recreation and physical activity, housework, vigorous sport and recreation, lawn and garden work, and occupation.Conclusions: The results underscore the importance of increasing lifestyle physical activity levels among this population, which requires increased attention in the development of measurement tools and interventions for these activities.

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