Employability in people with epilepsy: A systematic review

Objectives: People with epilepsy were (PWE) reported to have poorer employment rate. However, the methodologies used differ greatly from one study to another, making global comparison difficult. We aimed to determine the employment rate of PWE globally using a unified definition of employment rate a...

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Main Authors: Wo, M.C.M., Lim, K.S., Choo, W.Y., Tan, C.T.
Format: Article
Published: Elsevier 2015
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Online Access:http://eprints.um.edu.my/19462/
http://dx.doi.org/10.1016/j.eplepsyres.2015.06.016
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spelling my.um.eprints.194622018-09-28T05:26:56Z http://eprints.um.edu.my/19462/ Employability in people with epilepsy: A systematic review Wo, M.C.M. Lim, K.S. Choo, W.Y. Tan, C.T. R Medicine Objectives: People with epilepsy were (PWE) reported to have poorer employment rate. However, the methodologies used differ greatly from one study to another, making global comparison difficult. We aimed to determine the employment rate of PWE globally using a unified definition of employment rate and to summarize the reported positive and negative factors affecting employability in PWE, using a systematic review. Methods: All studies reporting employment rate of PWE were independently assessed. Employment rate was recalculated according to the standard definition by the Bureau of Labor statistics (BLS) of United States and the International Labour Organization i.e. employment rate is the percentage of employed person over the labor force. Results: Of 95 papers reported on employment status of PWE, adjusted employment rate (aER) was shown to be as low as 14% to as high as 89% with a mean adjusted employment rate of 58%. No significant differences in mean of aER was found between continents, or among Asian countries. Employment rate of people with uncontrolled seizures were reported in 16 papers, with a mean adjusted employed rate of 58%. Psychological factors were less frequently reported as compared to clinical and socio-demographical factors, seen in a total of 25 (26%) out of 97 studies. The positive factors leading to successful career in PWE were understudied and needed to be further explored. Conclusion: Employability is multifactorial, including clinical, psychological and social factors. The adjusted employment rate of people with uncontrolled seizures is comparable to those with controlled seizures, supporting the need to explore non-clinical factors. Elsevier 2015 Article PeerReviewed Wo, M.C.M. and Lim, K.S. and Choo, W.Y. and Tan, C.T. (2015) Employability in people with epilepsy: A systematic review. Epilepsy Research, 116. pp. 67-78. ISSN 0920-1211 http://dx.doi.org/10.1016/j.eplepsyres.2015.06.016 doi:10.1016/j.eplepsyres.2015.06.016
institution Universiti Malaya
building UM Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Malaya
content_source UM Research Repository
url_provider http://eprints.um.edu.my/
topic R Medicine
spellingShingle R Medicine
Wo, M.C.M.
Lim, K.S.
Choo, W.Y.
Tan, C.T.
Employability in people with epilepsy: A systematic review
description Objectives: People with epilepsy were (PWE) reported to have poorer employment rate. However, the methodologies used differ greatly from one study to another, making global comparison difficult. We aimed to determine the employment rate of PWE globally using a unified definition of employment rate and to summarize the reported positive and negative factors affecting employability in PWE, using a systematic review. Methods: All studies reporting employment rate of PWE were independently assessed. Employment rate was recalculated according to the standard definition by the Bureau of Labor statistics (BLS) of United States and the International Labour Organization i.e. employment rate is the percentage of employed person over the labor force. Results: Of 95 papers reported on employment status of PWE, adjusted employment rate (aER) was shown to be as low as 14% to as high as 89% with a mean adjusted employment rate of 58%. No significant differences in mean of aER was found between continents, or among Asian countries. Employment rate of people with uncontrolled seizures were reported in 16 papers, with a mean adjusted employed rate of 58%. Psychological factors were less frequently reported as compared to clinical and socio-demographical factors, seen in a total of 25 (26%) out of 97 studies. The positive factors leading to successful career in PWE were understudied and needed to be further explored. Conclusion: Employability is multifactorial, including clinical, psychological and social factors. The adjusted employment rate of people with uncontrolled seizures is comparable to those with controlled seizures, supporting the need to explore non-clinical factors.
format Article
author Wo, M.C.M.
Lim, K.S.
Choo, W.Y.
Tan, C.T.
author_facet Wo, M.C.M.
Lim, K.S.
Choo, W.Y.
Tan, C.T.
author_sort Wo, M.C.M.
title Employability in people with epilepsy: A systematic review
title_short Employability in people with epilepsy: A systematic review
title_full Employability in people with epilepsy: A systematic review
title_fullStr Employability in people with epilepsy: A systematic review
title_full_unstemmed Employability in people with epilepsy: A systematic review
title_sort employability in people with epilepsy: a systematic review
publisher Elsevier
publishDate 2015
url http://eprints.um.edu.my/19462/
http://dx.doi.org/10.1016/j.eplepsyres.2015.06.016
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