Job considerations among individuals with multiple sclerosis

James S. Krause, Kanako Iwanaga, Phillip Rumrill, Karla S. Reed, Deborah Backus, Fong Chan

Research output: Contribution to journalArticlepeer-review


BACKGROUND: Individuals with multiple sclerosis (MS) face multiple barriers to obtaining and maintaining employment. Therefore, we need to understand the job considerations deemed most important by persons with MS as they decide to obtain or maintain employment. OBJECTIVE: Identify: (1) the relative importance of 10 job considerations items from the Job Considerations Scale among participants with MS, and (2) the underlying factor structure of the items. The Job Considerations Scale was previously used with persons with spinal cord injury (SCI). METHODS: Self-reported employment outcomes were obtained from 1333 participants with MS identified through records of a clinical facility in the Southeastern United States specializing in MS treatment. RESULTS: The job considerations identified as most important were having insurance and benefits (4.21), enjoyment from work (4.06), and salary (4.00). Two factors emerged from the factor analysis - tangible and intangible considerations for working. Tangible factors relate to earnings, benefits, and advancement; whereas intangible factors relate more to social and personal aspects of employment. CONCLUSIONS: The tangible and intangible job considerations resulting from the factor analysis are consistent with similar research on SCI, establishing the validity and utility of the Job Considerations Scale with persons with MS.

Original languageEnglish
Pages (from-to)241-248
Number of pages8
JournalJournal of Vocational Rehabilitation
Issue number2
StatePublished - 2020

Bibliographical note

Funding Information:
This publication was supported by the National Institute on Disability, Independent Living, and Rehabilitation Research (NIDILRR; grant no. 90RT5035). NIDILRR is a Center within the Administration for Community Living (ACL), Department of Health and Human Services (HHS). The contents of this publication do not necessarily represent the policy of NIDILRR, ACL, HHS, and you should not assume endorsement by the Federal Government.

Publisher Copyright:
© 2020 - IOS Press and the authors. All rights reserved


  • Job satisfaction
  • Multiple sclerosis
  • Work adjustment

ASJC Scopus subject areas

  • Rehabilitation
  • Occupational Therapy


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