Predictors of return to work intention among unemployed adults with multiple sclerosis: A reasoned action approach

This investigation examined the extent to which components of the reasoned action model predicted the intention to return to work among unemployed adults with multiple sclerosis (MS; N = 381). Examined in a hierarchical regression analysis, four classes of variables (demographic, attitude toward the behavior, subjective norms, and perceived behavioral control) were operationalized from items in a national survey of the employment concerns of Americans with MS. Findings indicated that those most likely to have a greater intention to return to work possessed the following characteristics: African American, having difficulty meeting financial obligations, and not receiving benefits (R² = .17). Some support was observed for including self-perceived MS severity and support from significant others as part of the model. Implications for rehabilitation counselors include helping unemployed adults with MS counter employment discrimination, learn about benefits and insurance, secure adequate finances for daily living needs, and cope with the debilitating effects of chronic illness and poverty.