title: Workplace barriers encountered by employed persons with systemic sclerosis.
abstract: BACKGROUND
  Systemic sclerosis (SSc) is an auto-immune connective tissue disease characterized by fibrosis of skin, blood vessels, and internal organs that results in significant disability.
  
  
  OBJECTIVE
  To identify the work barriers faced by people with systemic sclerosis (SSc) in maintaining employment.
  
  
  METHODS
  Thirty-six people with SSc who were working more than 8 hours per week completed the Work Experience Survey, which contains lists of potential work barriers, including the ability to travel to and from work; get around at work; perform essential job functions, including physical, cognitive, and task-related activities; work with others; and manage work conditions.
  
  
  RESULTS
  Thirty-three participants completed and returned the questionnaires, most of whom were female, and working full time and in professional careers. Principal disease symptoms included fatigue, Raynaud's phenomenon, esophageal involvement, and leg or hand/wrist pain. All participants reported some barriers with a mean of 18 barriers per participant. At least three quarters of participants cited outside temperature (82%), cold temperatures inside the workplace (76%), and household work (76%), as barriers. The next most common barriers were using both hands (64%), arranging and taking part in social activities (64%), being able to provide self-care (61%) and working 8 hours (58%).
  
  
  CONCLUSIONS
  Participants reported a wide range of barriers, from cold temperatures, to physical job, fatigue related, and non-workplace demands, in maintaining the worker role. The barriers reflect the disease symptoms they reported. Identifying workplace barriers facilitates the creation of job accommodations or adaptations that will allow people with SSc to continue working.
authors.affiliation: Occupational Therapy Graduate Program, University of New Mexico, Albuquerque, NM, USA.
authors.forename: Janet L
authors.initials: JL
authors.lastname: Poole
authors.affiliation: University of New Mexico Hospital, Albuquerque, NM, USA.
authors.forename: Sahar
authors.initials: S
authors.lastname: Anwar
authors.affiliation: College of Nursing, University of New Mexico, Albuquerque, NM, USA.
authors.forename: Cindy
authors.initials: C
authors.lastname: Mendelson
authors.affiliation: College of Health and Rehabilitation Sciences, Boston University, Boston, MA, USA.
authors.forename: Saralynn
authors.initials: S
authors.lastname: Allaire
mesh_terms: D000328:Adult; D006233:Persons with Disabilities / Q000523:psychology*; D004651:Employment / Q000523:psychology / Q000592:standards*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012595:Scleroderma, Systemic / Q000503:physiopathology / Q000523:psychology*; D011795:Surveys and Questionnaires; D017132:Workplace / Q000523:psychology
keywords: Employment; disability; rheumatic disease