title: 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.
authors: Janus Rehabilitation, Reykjavik, Iceland.|Icelandic Heart Association Research Institute, Reykjavik, Iceland.
authors: Kristin
authors: K
authors: Siggeirsdottir
authors: Janus Rehabilitation, Reykjavik, Iceland.
authors: Ragnheidur Dora
authors: RD
authors: Brynjolfsdottir
authors: Janus Rehabilitation, Reykjavik, Iceland.|University of Stirling, Stirling, Scotland, UK.
authors: Saemundur Oskar
authors: SO
authors: Haraldsson
authors: Janus Rehabilitation, Reykjavik, Iceland.
authors: Sigurdur
authors: S
authors: Vidar
authors: Janus Rehabilitation, Reykjavik, Iceland.
authors: Emanuel Geir
authors: EG
authors: Gudmundsson
authors: Janus Rehabilitation, Reykjavik, Iceland.
authors: Jon Hjalti
authors: JH
authors: Brynjolfsson
authors: Janus Rehabilitation, Reykjavik, Iceland.
authors: Helgi
authors: H
authors: Jonsson
authors: Janus Rehabilitation, Reykjavik, Iceland.
authors: Omar
authors: O
authors: Hjaltason
authors: Janus Rehabilitation, Reykjavik, Iceland.|Icelandic Heart Association Research Institute, Reykjavik, Iceland.|University of Iceland, Reykjavik, Iceland.
authors: Vilmundur
authors: V
authors: Gudnason
mesh_terms: D000328:Adult; D000367:Age Factors; D005260:Female; D006801:Humans; D007182:Income; D008297:Male; D008875:Middle Aged; D010352:Patient Dropouts; D011788:Quality of Life; D012050:Rehabilitation, Vocational; D012737:Sex Factors; D013997:Time Factors; D017211:Treatment Failure
keywords: Financial income; education; employment; longitudinal research; mental health; quality of life