{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T12:29:52Z","timestamp":1753878592123,"version":"3.41.2"},"reference-count":36,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2025,4,10]],"date-time":"2025-04-10T00:00:00Z","timestamp":1744243200000},"content-version":"vor","delay-in-days":9,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000381","name":"Multiple Sclerosis Society","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000381","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Expectations"],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Job retention vocational rehabilitation (VR) interventions for people with multiple sclerosis (MS) can positively impact a person's independence and directly influence health and employment outcomes. However, evaluating the effectiveness of VR interventions can be challenging due to their highly individualised nature and the diverse range of potential health and employment outcomes that may be impacted.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aim<\/jats:title><jats:p>To identify the most important outcomes of a job retention VR intervention from the perspective of people with MS.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>A nominal group technique (NGT) was conducted with people with MS using Microsoft Teams and Microsoft Forms. The study involved completing a demographic questionnaire, being introduced to VR, silently generating ideas, round\u2010robin discussions, ranking outcomes and reaching a consensus. NGT data were analysed using thematic analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>We conducted two NGTs involving 10 participants with MS. Nine outcomes were identified and ranked based on priority, relating to four themes: (1) Employer support and collaboration; (2) Empowerment; (3) Symptom management and progression and (4) Professional well\u2010being and performance.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Improvements in employer support and symptom management were seen as key outcomes for VR interventions that could eventually lead to enhanced work performance and job retention for people with MS. Future research should explore how feasible it is to collect these outcomes to ascertain the impact of VR on employment over time. Due to the complexity of the outcomes identified, there may be a need to develop new outcome measures with improved validity and sensitivity to these interventions.<\/jats:p><\/jats:sec><jats:sec><jats:title>Patient or Public Contribution<\/jats:title><jats:p>This study is part of a larger project co\u2010developed with three people MS. A lead patient and public involvement representative and lay co\u2010author reviewed the study topic guide to improve clarity and study focus and supported the group discussions and data analysis with input from the lead researcher.<\/jats:p><\/jats:sec>","DOI":"10.1111\/hex.70265","type":"journal-article","created":{"date-parts":[[2025,4,11]],"date-time":"2025-04-11T06:32:50Z","timestamp":1744353170000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Key Outcomes for a Vocational Rehabilitation Intervention for People With Multiple Sclerosis: A Nominal Group Technique Study"],"prefix":"10.1111","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5621-9445","authenticated-orcid":false,"given":"Blanca","family":"De Dios Perez","sequence":"first","affiliation":[{"name":"Centre for Rehabilitation and Ageing Research, Queens Medical Centre University of Nottingham Nottingham UK"},{"name":"NIHR Nottingham Biomedical Research Centre Nottingham UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-7527-5596","authenticated-orcid":false,"given":"Caolan","family":"Senior","sequence":"additional","affiliation":[{"name":"Centre for Rehabilitation and Ageing Research, Queens Medical Centre University of Nottingham Nottingham UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8143-7893","authenticated-orcid":false,"given":"Roshan","family":"das Nair","sequence":"additional","affiliation":[{"name":"Mental Health &amp; Clinical Neurosciences School of Medicine, University of Nottingham Nottingham UK"},{"name":"Institute of Mental Health, Nottinghamshire Healthcare Trust (Institute of Mental Health) Nottingham UK"},{"name":"Health Division SINTEF Trondheim Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3603-6542","authenticated-orcid":false,"given":"Denise","family":"Kendrick","sequence":"additional","affiliation":[{"name":"Centre for Academic Primary Care, Lifespan and Population Health School of Medicine, University of Nottingham Nottingham UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2871-0672","authenticated-orcid":false,"given":"Nikos","family":"Evangelou","sequence":"additional","affiliation":[{"name":"Mental Health &amp; Clinical Neurosciences School of Medicine, University of Nottingham Nottingham UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1401-3075","authenticated-orcid":false,"given":"Ian","family":"Newsome","sequence":"additional","affiliation":[{"name":"Lay co\u2010author York UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6246-3180","authenticated-orcid":false,"given":"Kate","family":"Radford","sequence":"additional","affiliation":[{"name":"Centre for Rehabilitation and Ageing Research, Queens Medical Centre University of Nottingham Nottingham UK"},{"name":"NIHR Nottingham Biomedical Research Centre Nottingham UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,4,10]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00415-006-1103-1"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0317167100047351"},{"key":"e_1_2_12_4_1","first-page":"17","article-title":"Multiple Sclerosis and Employment Barriers: A Systemic Perspective on Diagnosis and Intervention","volume":"21","author":"Roessler R. 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