BACKGROUND For people with disabilities, chances to find or keep work are negatively affected by multiple problems like lower education, poverty and poor health. Furthermore, although active labour market policies proved to be effective for unemployed in general, success rates are poor for persons who are unemployed due to multiple problems. The present study aims to describe the development of a method as well as professional training to teach its application, and to assess the feasibility of method and training. The Strength-based method (CARm) aims to promote employment of work-disability benefit recipients with multiple problems. METHODS The main principles of the Strength model were redesigned for better applicability in a population of work-disability beneficiaries, resulting in the CARm method. As part of the CARm method, a training module for Labour Experts (LEs) was developed. To assess the new designed method and training, a one-group, pre-post design was used. Data were collected from eight participating LEs, five female and 3 male, aged between 41and 55 years and having 2-17 years working experience. We used self-report questionnaires and a semi-structured discussion meeting after the training sessions with the LEs. RESULTS Eight labour experts (LEs) from the Dutch Social Security Institute participated in the study. Most LEs felt an improvement in their ability to ascertain developmental needs, opportunities and threats in the client's situation. Three months after the training, LEs almost unanimously agreed on the statements 'I expect to use the CARm method more frequently in the future' and 'I use the CARm method in daily practice whenever possible'. The overall rating for the training on a scale from 1 to 10 was 7.6 (range 7-9). The overall satisfaction with the trainers was good. CONCLUSIONS The CARm method and training was found to be a feasible approach to facilitate LEs working at the UWV reintegration service to support clients with multiple problems. Sufficient managerial support for participating LEs is a key factor for successful implementation of CARm. Results show that CARm is worth testing for efficacy in a future trial.

中文翻译：

---

开发和评估一种基于强度的方法，以促进有多个问题的工作残障人士的就业：一项可行性研究。

背景技术对于残疾人来说，找到或保留工作的机会受到诸如低学历，贫困和健康不良等多重问题的不利影响。此外，尽管事实证明，积极的劳动力市场政策通常对失业者有效，但由于多重问题而使失业者的成功率很低。本研究旨在描述一种方法的发展以及教授其应用的专业培训，并评估该方法和培训的可行性。基于强度的方法（CARm）旨在促进存在多种问题的工作残障人士的就业。方法重新设计了强度模型的主要原理，以更好地适用于工作残障受益人群，从而采用了CARm方法。作为CARm方法的一部分，开发了针对劳工专家的培训模块。为了评估新设计的方法和培训，使用了一组前后设计。数据收集自八名参加的LE，五名女性和三名男性，年龄在41至55岁之间，具有2-17年的工作经验。在与LE进行培训之后，我们使用了自我报告调查表和一个半结构化的讨论会。结果荷兰社会保障研究所的八名劳工专家（LE）参与了这项研究。大多数LE认为确定客户情况的发展需求，机会和威胁的能力有所提高。培训三个月后，LE几乎一致同意以下陈述：“我希望将来会更频繁地使用CARm方法”和“ 我会在日常实践中尽可能使用CARm方法”。从1到10的等级，培训的总体评分为7.6（范围7-9）。培训师的总体满意度很高。结论CARm方法和培训被认为是一种可行的方法，可以帮助LE在UWV重返社会服务部门工作，为有多个问题的客户提供支持。对参与LE的充分管理支持是成功实施CARm的关键因素。结果表明，CARm值得在以后的试验中进行功效测试。结论CARm方法和培训被认为是一种可行的方法，可以帮助LE在UWV重新整合服务部门工作，为有多个问题的客户提供支持。对参与LE的充分管理支持是成功实施CARm的关键因素。结果表明，CARm值得在以后的试验中进行功效测试。结论CARm方法和培训被认为是一种可行的方法，可以帮助LE在UWV重新整合服务部门工作，为有多个问题的客户提供支持。对参与LE的充分管理支持是成功实施CARm的关键因素。结果表明，CARm值得在以后的试验中进行功效测试。