Abstract
Purpose Since the vocational outcomes of people with schizophrenia should be viewed in a holistic way, the second edition of the World Health Organization Disability Assessment Schedule (WHODAS 2.0) might provide an evaluation regarding employment potential. To determine whether the WHODAS 2.0 scores can be used to predict employment status, we examined the probabilistic cut-off values of the scores and analyzed the relationship between work status and demographic characteristics. Methods We selected 31,793 people aged between 18 and 65 with schizophrenia or schizoaffective disorder from the disability evaluation database in Taiwan and separated them into two groups based on employment status (employed and unemployed). We used logistic regression to explore the association between employment and demographic characteristics. Moreover, we conducted a receiver operating characteristic (ROC) analysis to determine the cut-off point to assist in determining employment potential based on the WHODAS 2.0 score. Results Among the 31,793 participants, 3367 were employed and 18,801 were unemployed. The unemployed participants accounted for a higher percentage of disability in each domain of the WHODAS. The ROC analysis revealed that the optimal cut-off point of the WHODAS score to distinguish the people who were employed and unemployed was 25.78 (area under curve = 0.80). Conclusions The present study indicated that work status can be determined by the total score across the six domains of the WHODAS score. Furthermore, the probability of employment may be determined initially by the cut-off point of the WHODAS score in order to economize evaluation time and prepare prevocational training for those with scores above 25.78.
| Original language | English |
|---|---|
| Pages (from-to) | 1-9 |
| Number of pages | 9 |
| Journal | Journal of Occupational Rehabilitation |
| DOIs | |
| Publication status | Published - 2019 |
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Keywords
- Disability and (ICF)
- Employment
- International classification of functioning
- Schizophrenia
- Vocational rehabilitation
- World Health Organization Disability Assessment Schedule (WHODAS 2.0)
ASJC Scopus subject areas
- Rehabilitation
- Occupational Therapy
Cite this
Determinants of Employment Outcome for the People with Schizophrenia Using the WHODAS 2.0. / Lu, Shu Jen; Liou, Tsan Hon; Yen, Chia Feng; Chang, Feng Hang; Chen, Yen Ling; Escorpizo, Reuben; Strauser, David R.; Pan, Ay Woan.
In: Journal of Occupational Rehabilitation, 2019, p. 1-9.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Determinants of Employment Outcome for the People with Schizophrenia Using the WHODAS 2.0
AU - Lu, Shu Jen
AU - Liou, Tsan Hon
AU - Yen, Chia Feng
AU - Chang, Feng Hang
AU - Chen, Yen Ling
AU - Escorpizo, Reuben
AU - Strauser, David R.
AU - Pan, Ay Woan
PY - 2019
Y1 - 2019
N2 - Purpose Since the vocational outcomes of people with schizophrenia should be viewed in a holistic way, the second edition of the World Health Organization Disability Assessment Schedule (WHODAS 2.0) might provide an evaluation regarding employment potential. To determine whether the WHODAS 2.0 scores can be used to predict employment status, we examined the probabilistic cut-off values of the scores and analyzed the relationship between work status and demographic characteristics. Methods We selected 31,793 people aged between 18 and 65 with schizophrenia or schizoaffective disorder from the disability evaluation database in Taiwan and separated them into two groups based on employment status (employed and unemployed). We used logistic regression to explore the association between employment and demographic characteristics. Moreover, we conducted a receiver operating characteristic (ROC) analysis to determine the cut-off point to assist in determining employment potential based on the WHODAS 2.0 score. Results Among the 31,793 participants, 3367 were employed and 18,801 were unemployed. The unemployed participants accounted for a higher percentage of disability in each domain of the WHODAS. The ROC analysis revealed that the optimal cut-off point of the WHODAS score to distinguish the people who were employed and unemployed was 25.78 (area under curve = 0.80). Conclusions The present study indicated that work status can be determined by the total score across the six domains of the WHODAS score. Furthermore, the probability of employment may be determined initially by the cut-off point of the WHODAS score in order to economize evaluation time and prepare prevocational training for those with scores above 25.78.
AB - Purpose Since the vocational outcomes of people with schizophrenia should be viewed in a holistic way, the second edition of the World Health Organization Disability Assessment Schedule (WHODAS 2.0) might provide an evaluation regarding employment potential. To determine whether the WHODAS 2.0 scores can be used to predict employment status, we examined the probabilistic cut-off values of the scores and analyzed the relationship between work status and demographic characteristics. Methods We selected 31,793 people aged between 18 and 65 with schizophrenia or schizoaffective disorder from the disability evaluation database in Taiwan and separated them into two groups based on employment status (employed and unemployed). We used logistic regression to explore the association between employment and demographic characteristics. Moreover, we conducted a receiver operating characteristic (ROC) analysis to determine the cut-off point to assist in determining employment potential based on the WHODAS 2.0 score. Results Among the 31,793 participants, 3367 were employed and 18,801 were unemployed. The unemployed participants accounted for a higher percentage of disability in each domain of the WHODAS. The ROC analysis revealed that the optimal cut-off point of the WHODAS score to distinguish the people who were employed and unemployed was 25.78 (area under curve = 0.80). Conclusions The present study indicated that work status can be determined by the total score across the six domains of the WHODAS score. Furthermore, the probability of employment may be determined initially by the cut-off point of the WHODAS score in order to economize evaluation time and prepare prevocational training for those with scores above 25.78.
KW - Disability and (ICF)
KW - Employment
KW - International classification of functioning
KW - Schizophrenia
KW - Vocational rehabilitation
KW - World Health Organization Disability Assessment Schedule (WHODAS 2.0)
UR - http://www.scopus.com/inward/record.url?scp=85049103719&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85049103719&partnerID=8YFLogxK
U2 - 10.1007/s10926-018-9794-6
DO - 10.1007/s10926-018-9794-6
M3 - Article
SP - 1
EP - 9
JO - Journal of Occupational Rehabilitation
JF - Journal of Occupational Rehabilitation
SN - 1053-0487
ER -