Increase In Employment Rates Research Articles

Tracking the long-term outcomes of a supported employment internship programme for autistic adults without a learning disability

Supported employment initiatives with work experience (e.g. internships) can increase employment rates for autistic people. However, such initiatives (a) are often not evidence-based, (b) focus on quantitative outcomes such as employment rates and (c) examine group-level changes without considering individual variability. Considering the effects that (un)employment can have on autistic people's well-being, it is important to examine the wider impact of supported employment initiatives. This study evaluated the long-term employment and wider outcomes of autistic adults who engaged with a supported employment internship initiative at group and individual levels. Autistic adults without a learning disability ( N = 27, ‘interns’; Mage = 23.3) involved in internships across seven organisations, participated in the study. Interns reported on (a) employment-related characteristics, (b) daily living skills, (c) general self-efficacy, (d) quality of life and (e) mental health pre-internship at six and 12–24 months post-internship. The overall employment rate increased from 25.93% to 55.56% from pre- to 12–24 months post-internship, and income and number of hours worked also increased. There were improvements in daily living skills, but other wider outcome measures did not change significantly at a group level, despite individual variability. This evidence has important implications for supporting long-term outcomes for autistic people.

Abstract 4128962: Medicaid Work Requirements and Changes in Insurance Coverage, Employment, Access to Care, and Health Status Overall and Among People with Cardiovascular Disease

Introduction: Medicaid work requirements have been at the forefront of health policy debate. Proponents argue that these policies increase employment, reduce poverty, and improve health. Critics have raised concerns that work requirements lead to loss of coverage and impede access to care. Hypothesis: We hypothesized that Medicaid work requirement implementation would be associated with decreased insurance coverage and healthcare access without impacting employment. Methods: We used the Behavioral Risk Factor Surveillance System (a nationally representative survey administered by the CDC) to estimate the impact of Medicaid work requirements on insurance coverage, employment, access to care, and self-reported health. We used a difference-in-differences (DID) approach to compare changes in outcomes in Arkansas (where work requirements were implemented) versus control states. Outcomes were self-reported and included: 1) insurance coverage, 2) employment, 3) presence of a personal healthcare provider, 4) inability to see a doctor due to cost, and 5) self-reported health. The analysis was conducted among all respondents and among respondents with cardiovascular disease, who were hypothesized to be particularly vulnerable to negative sequelae of insurance loss. Results: The implementation of Medicaid work requirements in Arkansas was associated with decreased insurance coverage compared with control states (adjusted DID estimate -4.3%, CI -8.4%, -0.1%), but no increase in employment rates (-2.2% CI -7.0%, 2.6%). There was a trend toward decreased likelihood of having a personal healthcare provider (-4.7% CI -9.9%, 0.5%). There was no change in inability to see a doctor due to cost or self-reported good health. When this analysis was repeated among participants with cardiovascular disease, work requirement implementation was not associated with changes in any of the outcome variables. Conclusions: The implementation of Medicaid work requirements in Arkansas was associated with decreased insurance coverage and no change in employment. Our findings are particularly relevant given national policy debate about work requirement expansion and the recent implementation of Medicaid work requirements in Georgia. Despite the null findings among respondents with cardiovascular disease (likely the result of a small sample size), this study has important implications for cardiovascular health given the close association between insurance coverage and cardiovascular outcomes.

Research on Strategies to Enhance the Employment Competitiveness of Students Majoring in International Cruise Ship Management

With the rapid development of the cruise tourism industry, enhancing the employment competitiveness of students majoring in International Cruise Ship Attendant Management has become particularly important. This study aims to explore effective ways to improve the employment competitiveness of these students, thereby helping them better adapt to market demands and increase employment rates. Through an in-depth analysis of the current situation of the major, the job market conditions, and the challenges faced by students, this paper proposes targeted improvement strategies and elaborates on various aspects such as curriculum design, practical training, professional quality, and career planning. These strategies are designed to comprehensively enhance students' overall qualities and make them more competitive in the market.

A type 1 hybrid multi-site randomized controlled trial protocol for evaluating virtual interview training among autistic transition-age youth

A number of policies mandate that autistic transition-age youth receive employment services to prepare for the workforce before high school graduation. A key limitation to these services is the job interview component, which relies on non-standardized, resource-intensive, staff-led role-plays to help autistic transition-age youth improve their interview skills. The autism community has called for better job interview preparation. To address this gap in services, our team, collaborated with the autism community to adapt the intervention, Virtual Reality Job Interview Training (VR-JIT; effective among adults with serious mental illness), into Virtual Interview Training for Transition Age Youth (VIT-TAY). This adapted intervention was tailored to meet the needs of autistic transition age youth while maintaining the core components of VR-JIT (i.e., an online job interview simulator with four levels of automated feedback and e-learning content). A pilot randomized controlled trial (RCT) demonstrated VIT-TAY's feasibility and initial effectiveness at improving job interview skills, reducing anxiety, and increasing employment rates within six months when added to transition services or pre-employment transition services (Pre-ETS). Thus, the overarching goal of this Hybrid Type 1 effectiveness-implementation study protocol is to conduct a fully-powered RCT of VIT-TAY across 16 schools in various geographical locations. Our specific aims are to 1) Evaluate whether Pre-ETS (or transition services) with VIT-TAY, as compared to Pre-ETS (or transition services) with an active control intervention (i.e., job interview didactics/e-learning with a series of 3–5 min videos of employed autistic adults talking about their career pathways) enhances employment outcomes; 2) Evaluate mechanisms of employment by nine months post-randomization; and 3) Conduct a multilevel, mixed-method process evaluation of the initial implementation of VIT-TAY across settings (e.g., acceptability, feasibility, and barriers and facilitators of implementation).

The Effectiveness of Teaching High-Risk Cooking Skills with Video Models to Individuals with Intellectual Disability

ABSTRACT The education of individuals with intellectual disability should include professional and safety skills to become qualified for jobs and increase employment rates. The purpose of this study is to examine the effectiveness of teaching these individuals high-risk cooking skills with video models in order to learn to work as assistant cooks. The results show that this approach was effective. In follow-up after one, two, and four weeks, all three subjects retained the nine skills taught by video and generalized them to different settings.

Do Non-Clinical Services Help to Improve Functional Outcomes Among Young Adults With Mental Disorders? A Systematic Review.

Mental disorders during young adulthood can significantly impair functioning in daily activities. Non-clinical support services aim to improve functioning by helping people to build social and life skills, participate in education and employment and improve physical health. This study aims to examine and synthesise the evidence for non-clinical services on improving functional outcomes for young adults with mental disorders. A systematic search was undertaken to identify quantitative and qualitative studies reporting on a non-clinical service component (vocational support, peer support, youth development, lifestyle interventions, family and network support) and examining functional outcomes (e.g., outcomes focussed on work and education, life skills, relationships and healthy behaviours). Seventeen studies met inclusion criteria. Identified studies focussed on vocational support services (n = 9), lifestyle interventions (n = 6) and family and network support services (n = 2). No studies on peer-support services or youth development services were found. More than half of the vocational support service studies reported increased employment rates among young adults (n = 6). Studies focussing on lifestyle interventions included a combination of physical activity, nutrition education, health coaching and motivation and behaviour change. However, the measures of functioning used across studies were too varied to determine whether lifestyle interventions may be useful in improving functional outcomes for young adults. Further research is needed to understand the impact of non-clinical services on functioning. This evidence will provide pragmatic guidance for service planners to invest in supports and interventions that make a meaningful difference to the lives of young adults living with mental disorders.

Examining the Effects of Gender and Work Experience on the Relationship Between Social Intelligence, Job Satisfaction, and Service Employee Engagement

Social intelligence is one of the newest concepts to come up with in management literature. This study provides a thorough framework for examining the mediation role of service employee engagement (SEE) in the relationship between job satisfaction and social intelligence (SI). Accordingly, in this framework, it has used social intelligence as a multifaceted construct within the setting of Saudi society and its hotels. A survey questionnaire was distributed to 485 hotel employees in the KSA via the drop and collect method. Our research findings utilizing Structural Equation Modeling demonstrated that SI is a multidimensional construct. Additionally, the results confirmed that SEE plays a full mediating role between SI and JS. The findings highlight the significance role of the gender and work experience in Saudi society. It was obvious that women in the hotel industry with high SI tend to experience greater JS contributing to increased employment rates for women in KSA.

Dakshinkali: Emerging Rural Tourism Hub - Insights and Growth

Dakshinkali, situated in the southern part of the Kathmandu Valley, has evolved into a prominent rural tourism destination centered around a Hindu temple dedicated to Goddess Kali. As an incarnation of Mother Parvati, the temple's significance surged during the reign of King Pratap Malla, fostering a rise in religious and rural tourism. The increased influx of visitors has stimulated local economic growth by selling their local products, resulting in heightened business activities, increased employment rates, and improved living standards. The growing popularity of Dakshinkali as a rural tourism destination motivates the community to preserve its culture, tradition, and indigenous knowledge. Tourist support motivates locals to safeguard their culture, contributing to the growth of tourism and income. Dakshinkali is popular because it is close to Kathmandu and has a peaceful rural atmosphere. It is considered a sought-after destination, following the global trend of rural tourism. This study explores Dakshinkali's role in rural tourism, using a qualitative research design and historical frameworks. The findings highlight Dakshinkali as the nearest and most significant rural tourism hub in the Kathmandu Valley, set for continued growth. Its increasing popularity, driven by a growing disinterest in modern city life, is evident in its rising appeal. With the world favoring rural destinations, Dakshinkali shows promise for the future of rural tourism in the region.

Labor Market Participation of Persons With Spinal Cord Injury Living in Switzerland Between 2012 and 2022: A Comparison to the General Population.

The aim of the study is to examine labor market participation of individuals with spinal cord injury living in Switzerland over the past decade and in relation to the general population. This is a descriptive study, using longitudinal panel data from the 2012, 2017, and 2022 community surveys of the Swiss Spinal Cord Injury Cohort Study and general population data from the Swiss Labor Force Survey. Employment rates among spinal cord injury responders were 56% in 2012, 61% in 2017, and 64.6% in 2022. Employment gaps between the spinal cord injury and the Swiss general population samples decreased from 22.5% (2012) to 15.4% (2022). This decrease was particularly evident for females, middle-aged individuals, and people with tetraplegia but contrasted with increased employment gaps in Southwestern Switzerland. By identifying increased employment rates among spinal cord injury responders along with decreased employment gaps in relation to the general population, our study indicates improved opportunities for persons with impairments in the Swiss labor market over the past decade. While there is still room to improve the labor market participation prospects among the Swiss spinal cord injury population, particular efforts at the regional level are required to ensure equal labor market participation opportunities for all individuals with spinal cord injury living in Switzerland.

Recruiting refugees to reduce labour shortages in health care professions: experimental evidence on the potential of foreign-language outreach on social media

BackgroundMany high-income countries are grappling with severe labour shortages in the healthcare sector. Refugees and recent migrants present a potential pool for staff recruitment due to their higher unemployment rates, younger age, and lower average educational attainment compared to the host society's labour force. Despite this, refugees and recent migrants, often possessing limited language skills in the destination country, are frequently excluded from traditional recruitment campaigns conducted solely in the host country’s language. Even those with intermediate language skills may feel excluded, as destination-country language advertisements are perceived as targeting only native speakers. This study experimentally assesses the effectiveness of a recruitment campaign for nursing positions in a German care facility, specifically targeting Arabic and Ukrainian speakers through Facebook advertisements.MethodsWe employ an experimental design (AB test) approximating a randomized controlled trial, utilizing Facebook as the delivery platform. We compare job advertisements for nursing positions in the native languages of Arabic and Ukrainian speakers (treatment) with the same advertisements displayed in German (control) for the same target group in the context of a real recruitment campaign for nursing jobs in Berlin, Germany. Our evaluation includes comparing link click rates, visits to the recruitment website, initiated applications, and completed applications, along with the unit cost of these indicators. We assess statistical significance in group differences using the Chi-squared test.ResultsWe find that recruitment efforts in the origin language were 5.6 times (Arabic speakers) and 1.9 times (Ukrainian speakers) more effective in initiating nursing job applications compared to the standard model of German-only advertisements among recent migrants and refugees. Overall, targeting refugees and recent migrants was 2.4 (Ukrainians) and 10.8 (Arabic) times cheaper than targeting the reference group of German speakers indicating higher interest among these groups.ConclusionsThe results underscore the substantial benefits for employers in utilizing targeted recruitment via social media aimed at foreign-language communities within the country. This strategy, which is low-cost and low effort compared to recruiting abroad or investing in digitalization, has the potential for broad applicability in numerous high-income countries with sizable migrant communities. Increased employment rates among underemployed refugee and migrant communities, in turn, contribute to reducing poverty, social exclusion, public expenditure, and foster greater acceptance of newcomers within the receiving society.

Infrastructure, time and labour: movement and suspension along the Abidjan-Lagos corridor

ABSTRACT Africa’s renewed push towards infrastructure development brought with it new forms of territorialisation tied to both capital and labour. Infrastructures are expected to connect specific African hubs to global trade flows, promote industrialisation and increase employment rates, yet they often struggle to fulfil said promises. We explore the relationship between Africa’s ‘infrastructure turn’ and changing labour relations through the case of the Abidjan-Lagos Corridor in West Africa. Drawing from critical infrastructure studies and broader work in labour geography, we use the concept of suspension as a lens to illuminate a variety of processes – occurring across varied temporalities and scales – that are imbricated in the construction of different forms of infrastructural labour. We posit that infrastructure development as currently structured simultaneously (i) reinforces geopolitical inequities in the division of labour in the design and implementation of infrastructure projects; (ii) fosters competition amongst states for value and trade capture; and (iii) prompts contestation and disavowal in the context of the construction of specific projects. These three distinct, yet inter-related ways in which infrastructure development entangles with labour dynamics highlight that the work of imagining and crafting infrastructural promise creates pathways for novel, and often contested, configurations of labour relations.

The Transition of South Korea’s Economic Growth Drivers — From Labor-Intensive to Knowledge-Intensive Industries

This paper examines the remarkable economic transformation of South Korea from the 1960s to the present, focusing on the transition from labor-intensive to knowledge-intensive industries. Initially, South Korea’s economic strategy centered on export-oriented industrialization, leveraging labor-intensive sectors such as textiles, footwear, and electronics assembly. This approach facilitated rapid GDP growth, increased employment rates, and significant urbanization. However, in the 1980s, South Korea began shifting towards more technologically advanced and capital-intensive industries in response to rising wages, global competition, and changing market demands. Strategic government policies, including substantial investments in research and development (R&D) and educational reforms, played a crucial role in this transition. By the 2000s, South Korea had successfully developed a robust innovation ecosystem, with key industries such as information and communication technology (ICT), biotechnology, finance, and cultural industries driving economic growth. The study highlights the importance of strategic government intervention, investment in human capital, and fostering an innovation-friendly environment. The paper concludes with policy implications for other developing economies and suggestions for future research.

Refugee Benefit Cuts

This paper analyzes the effects of Denmark’s Start Aid welfare reform that targets refugees. Implemented in 2002, it enables us to study not only the reform’s immediate effects but also its longer-term consequences and its repeal a decade later. The reform-induced large transfer cuts led to an increase in employment rates, but only in the short run. Overall, the reform increased poverty rates and led to a rise in subsistence crime. Moreover, local demand conditions generate substantial heterogeneity in the reform’s effects on immediate and longer-term employment. (JEL I32, I38, J15, J22, J64, K42)

The Impact of Trade Liberalization on FDI Inflows and Economic Development

This paper investigates the impact of trade liberalization on foreign direct investment (FDI) inflows and economic development in the Czech Republic. Utilizing a mixed-methods approach, the study combines quantitative econometric analysis with qualitative case studies and interviews. The empirical results demonstrate a significant positive correlation between trade openness and FDI inflows, indicating that a 1% increase in trade openness is associated with a 0.5% increase in FDI inflows. Furthermore, the structural equation modeling (SEM) results reveal that a 1% increase in FDI inflows is associated with a 0.3% increase in GDP growth and a 0.2% increase in employment rates. These findings underscore the critical role of an open trade environment in attracting foreign investment and fostering economic development. The study also highlights the importance of other factors such as institutional quality, political stability, and infrastructure development in creating a conducive environment for FDI. Policy implications suggest that maintaining open trade policies, improving institutional frameworks, and investing in infrastructure and innovation are essential strategies for achieving long-term economic development in the Czech Republic and similar transition economies.

Outcome of psychogenic non-epileptic seizures following diagnosis in the epilepsy monitoring unit.

To study the outcome of patients with psychogenic non-epileptic seizures (PNES) after their diagnosis in the epilepsy monitoring unit (EMU). Patients diagnosed in our EMU with definite PNES between January 2009 and May 2023 were contacted by phone, and those who agreed to participate were asked a set of predetermined questions. Comparative analyses were carried out on several variables before and after diagnosis: number of participants with daily PNES, number of visits to the emergency department, number of participants who consulted their general practitioner or a neurologist outside of a scheduled follow-up, number of participants who took antiseizure medications (ASMs) or psychotropic drugs, and employment status. Out of the 103 patients with a definite diagnosis of PNES, 61 patients (79% female) accepted to participate in our study. The median age at PNES onset was 35 years, and the median delay to diagnosis was 3 years. Almost two-thirds (62%) were receiving ASMs and 40% psychotropic drugs. The mean stay at the EMU was 5 days. PNES diagnosis was explained to almost all patients (97%) by the end of their EMU stay and was well-accepted by most (89%). When contacted, 46% of participants no longer had PNES; 32% mentioned that their PNES had ceased immediately upon communication of the diagnosis. The median follow-up duration was 51 months. Fewer patients had daily seizures after the diagnosis (18 vs. 38%; p < 0.0455). Similarly, the median number of emergency department visits was significantly lower (0 vs. 2; p < 0.001). Only 17 patients consulted their general practitioner (vs. 40, p < 0.001) and 20 a neurologist (vs. 55, p < 0.001) after a PNES attack outside of a scheduled follow-up. The use of ASMs was also significantly reduced from 70 to 33% (p < 0.01), with only one still taking an ASM for its antiseizure properties. Significantly more participants were working at last follow-up than at PNES diagnosis (49 vs. 25%; p < 0.001). Our study revealed a relatively favorable long-term outcome of definite PNES diagnosed in the EMU that translated in significant reductions in PNES frequency, health care utilization and ASM use, as well as a significant increase in employment rate.

PANEL ANALYSIS ON THE TOURISM SECTOR OF SELECTED MEDITERRANEAN COUNTRIES

The tourism industry is a dynamic sector for the economies of Mediterranean countries. The aim of this study is to investigate the relationships between tourism revenues, employment rates and economic growth of two selected Mediterranean countries in the 1997-2020 period. In this study, panel data analysis method was used. In the analysis of panel data regression models, it was seen that the random effects model was appropriate. The model was estimated with Driscoll/Kraay resistant standard estimators developed against deviations from the assumptions. The results show that there is a positive relationship between tourism revenues, employment rates and economic growth in the two Mediterranean countries. Accordingly, an 1% increase in tourism revenues increases economic growth by 0.54%, while a 1% increase in employment rates increases economic growth approximately 1.5 times.

Comparative Study on the Low Birth Rate Process in China and Japan and the Impact on University Graduates Employment

The low birth rate is a global phenomenon that cannot be overlooked, having profound implications for the socio-economic conditions of many nations and regions. The declining birth rates in China and Japan have been a significant part of the global discourse on this topic. This paper analyzes the impact of low birth rates on the employment of university graduates, encompassing both positive effects such as an increase in employment rates, and negative effects including a decrease in innovation and increased difficulties in promotions. The study observes that there is a roughly 15-year gap in the shifts in the low birth rate phenomenon and the employment conditions of university graduates between China and Japan. The differences between the two nations mainly manifest in the timeframe and pace of the declining birth rates and the associated time lags. A commonality is that the fundamental cause for the low birth rate in both countries is the high cost of child-rearing. Lastly, the paper proposes suggestions for the Chinese government and university graduates, drawing upon the countermeasures and experiences of Japan. These suggestions helps enhance the employment competitiveness of university graduates and promote sustainable economic and social development, offering valuable references for both governments and university students.

An Accommodation for Whom? Has the COVID-19 Pandemic Changed the Landscape of Flexible and Remote Work for Workers with Disabilities?

At the start of the COVID-19 pandemic, flexible and remote work was viewed as a silver bullet that would increase employment rates among people with disabilities. This view fails to recognize that not all workers with disabilities can obtain jobs that can be done remotely or on a flexible schedule. Data from the 2019 and 2021 years of the Current Population Survey and the American Community Survey were used to examine if disabled workers' gender, race, ethnicity, age, and education, increase (or decrease) their chances of accessing flexible and remote work and if the group of workers with disabilities who access such options expanded since the COVID-19 pandemic. Findings indicate that compared to their non-disabled counterparts, prior to the pandemic, workers with disabilities reported similar rates of flexible and remote work. Workers with disabilities, however, had lower rates of remote work after the start of the pandemic. Regardless of year, flexible and remote work rates vary by demographic group, with disabled workers who are white, female, and college-educated more likely to access these options than multiply marginalized disabled workers.

Implementing evidence-based supported employment within specialty mental health probation: A hybrid type I implementation-effectiveness trial protocol

BackgroundPeople with serious mental illnesses who are involved in the criminal justice system face significant challenges in obtaining meaningful employment. Given the importance of employment in reducing recidivism, the field needs effective interventions to increase employment rates, address mental health needs, and reduce recidivism for justice-involved people with serious mental illnesses. Individual Placement and Support – Supported Employment (IPS-SE) improves employment outcomes among individuals with serious mental illnesses and has shown promising results when implemented with individuals with histories of justice involvement; however, IPS-SE has only been implemented in mental health service settings. Given lower levels of treatment engagement and completion among justice-involved populations, implementation of IPS-SE in specialty mental health probation (SMHP) is an opportunity to increase reach and engagement among justice-involved people with serious mental illnesses. MethodsThis article describes a hybrid type 1 implementation-effectiveness study that aims to: (1) assess the implementation enablers and barriers, as well as the feasibility, appropriateness, and acceptability of IPS-SE embedded within SMHP; (2) identify the multi-level factors (i.e., implementation determinants) that influence IPS-SE implementation within the context of a probation setting; and (3) assess the impact of IPS-SE on employment – our primary endpoint – and the impact of IPS-SE on a number of secondary outcomes and potential treatment mechanisms. The efficacy arm of the study will be a randomized controlled trial of 130 adults on community supervision who will either receive treatment as usual or IPS-SE. The implementation arm of the study will examine implementation determinants and implementation outcomes using qualitative methods.

P18.09.A PROTON THERAPY FOR PATIENTS WITH MENINGIOMA - WHAT ABOUT FINANCIAL TOXICITY AND OCCUPATIONAL STATUS?

Abstract BACKGROUND Patients (pts) with meningioma are commonly treated with proton therapy (PT) in order to minimize integral dose to normal brain parenchyma. Considering the high local control probability, preservation of Quality of Life (QoL) is gaining increasing importance.Potential loss of employment, inability to work or need to reduce working hours may lead to financial worries negatively affecting QoL. We investigated the subjective QoL and disease burden in pts with meningioma treated with PT with regards to income, financial toxicity, inability to resume work before and after PT. MATERIAL AND METHODS Data from prospectively assessed questionnaires (EORTC QLQ-C30) including an item for subjective financial difficulties, scaled from 1-4 (1=“not at all” to 4=”very much”), was collected from pts treated with PT for meningioma. Observed time points were prior to start of treatment (t1) and incrementally thereafter (completion of treatment, at 3months (ms),6ms,12ms,24ms,36ms and 48ms;t2-t8). Employment status was collected and net household income was assessed and ranked into 5 groups ranging from &amp;lt;1300€ to &amp;gt;5000€. RESULTS: RESULTS 171pts (39m/131f) aged 20-88yrs (mean 55.1) with meningioma were included. At a mean observation time of 29.6ms, 991 data sets were collected. 37pts (35.9%) reported health-related inability to work before PT. Over follow up (FU), it decreased to 33.8% at 12ms, 27.3% at 24ms, 15.4% at 36ms, 13.6% at 48ms. 34pts (33%) were employed prior to their diagnosis (14part-time, 18full-time). While rates of full-time employment initially decreased, it steadily increased from 1yr FU (t3-t8: 28.7%-59.1%), rates of part-time remained stable (t3-t8:27.2%-27.3%), see figure 1. Subjective financial burden correlated significantly with occupational situation (Spearman;p&amp;lt;0.001) indicating a reduction in patient-reported financial difficulties after commencement of work / increase in working hours. There were no relevant changes in pts´ income (Friedman:p=0.610); however, pts with lower income prior to PT reported subsequently higher levels of financial difficulties (Spearman:p&amp;lt;0.001). Before PT, 69 pts (40%) reported various levels of financial difficulties. Although rates decreased initially at the end of PT (30.2%), they consistently decreased at all subsequent FUs. This reflects the lower burden of financial toxicity over time. CONCLUSION At a mean observation time of &amp;gt;2 years, this study prospectively analyzed the potential impact of proton therapy in patients treated for meningioma. Patients reported an overall increase in employment rate, significant improvement in their financial situation and preservation and gain in their quality of life over time.