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Biomedical subjects

S Mattingly

Publications and source records attributed to S Mattingly.

At least 19 recordsLinked to original sources

Team building.

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Communication

Mild conductive hearing loss and language development: a one year follow-up study.

Thirteen children aged 3 to 5 years with mild conductive hearing losses and histories of otitis media were pair-matched with audiologically normal children on age, sex, socioeconomic status, family intactness, and first language (English). The Test for Auditory Comprehension of Language, the Northwestern Syntax Screening Test, and the Developmental Sentence Scoring Procedure were administered. Phonology errors were tabulated from the spontaneous language sample. The language evaluation was repeated after a 1-year interval. All measures differentiated the groups at highly significant levels on the initial assessment. All tests except the Test for Auditory Comprehension of Language continued to show significant differences a year later. The results support the hypothesis that children who experience recurrent middle ear problems are at risk for persistent language delay.

Child

Employment rehabilitation: outcome and prediction.

Several factors have been shown to influence return to work after chronic disability, but little is known about their independent effect. There is also some disagreement about what constitutes successful resettlement in work. To establish the predictors of an early return to stable employment, 1,565 rehabilitees discharged from two employment rehabilitation centers in England were followed for at least 1 year. Nineteen entry characteristics and six outcome measures were analyzed by the canonical correlation method. Results in the two groups of rehabilitees were fairly similar. Three variables contributed most to the outcome measure: getting a job, delay in starting work, and employment status at the time of follow-up. Factors associated with a successful outcome were motivation, a low level of physical disability, short duration of unemployment before rehabilitation, completion of rehabilitation course, and a low level of general unemployment in the home area of the rehabilitee.

Adolescent

Investigating non-response bias in mail surveys.

Losses in follow-up that are biased with respect to outcome invalidate the results. There are many ways of dealing with non-response in follow-up studies. Three separate methods were used to investigate a potential bias in a mail survey of 2471 disabled people. At a response rate of 84%, the non-respondents were significantly different from the respondents with respect to the outcome, return to work and vocational training. The success rate in terms of the outcome was negatively related to the number of reminders. Significant differences were found in response rates according to age, social class, impairments, previous employment record, and completion of rehabilitation courses. There is no safe level of response rates below 100%. However small the non-response, a possible bias as a result of it must be investigated.

Adolescent

Long-term disability and return to work.

In a study of 2,113 physically or mentally disabled adults, an early return to stable employment was found to be largely dependent on two interrelated factors: motivation for work and the duration of unemployment before rehabilitation. If doctors refer such patients for medical and vocational rehabilitation at the earliest opportunity, they can help to reduce the period of unemployment and to restore patients' confidence and motivation.

Adolescent

Unemployment and the disabled.

An analysis of Employment Services Division statistics show a close relationship between the levels of unemployment in the disabled rehabilitated at the Employment Rehabilitation Centres (ERCs) and the rates of unemployment in the general population in the whole of Great Britain (r = 0.90) or in the local areas of the Centres (r = 0.66). There is also a significant association between the levels of unemployment in 749 rehabilitees passing through one ERC and the rates of unemployment in their home areas. The results have practical implications for both the employment and medical rehabilitation services.

Disability Evaluation