Bits and pieces of fun/interesting facts about PSYchology

I am an PSYchology adjunct instructor and created this blog for my students and other teachers to have fun with the diverse scope of this topic.

Monday, February 11, 2013

Dissertation/2010 One Stop Career Centers: An assessment of satisfaction from customers using service of a disability program navigator

Contact the author of this 2010 dissertation at:  mklecuyer@hotmail.com



    ONE-STOP CAREER CENTERS:  AN ASSESSMENT OF SATISFACTION FROM CUSTOMERS USING SERVICES OF A DISABILITY PROGRAM NAVIGATOR
by
Mary Reicher Noble
(aka Mary K. Lecuyer)

NANCY POMEROY, Ph.D., Faculty Mentor and Chair
PAULA STECHSCHULTE, Ph.D., Committee Member
DEBRA HURD, Ph.D., Committee Member


Charles Tiffin, PhD, Dean, School of Public Service Leadership


A Dissertation Presented in Partial Fulfillment
Of the Requirements for the Degree
Doctor of Philosophy

Capella University
November 2010


Abstract
Created by the Workforce Investment Act of 1998, the one-stop career center system was designed to ensure that effective employment and training services were available to everyone, thereby increasing the available workforce and employment of individuals with and without disabilities (Jobs bill gives power to locals, Barlas, 1998). Measures, calculations of performance levels, and assessment of customer satisfaction were required (Training and employment guidance letter no. 7-99, U.S. Dept. of Labor, Employment & Training Administration, 2000). In 2002, the Disability Program Navigator Initiative was developed to specifically assist individuals with disabilities in one-stop career centers, directly and indirectly (Disability Program Navigator Initiative, U.S. Department of Labor, Employment & Training Administration, 2005). To gain insight on whether the goals of the one-stop career center system were met, levels of satisfaction of one-stop career center customers who used the services provided by a disability program navigator  were assessed. A sample of 41 ranged from 25-74 years of age with educational levels from 9-19 years. More than 50% of respondents scored the disability program navigator service with favorable response ratings on all eight items of the survey used in this study, the Client Satisfaction Questionnaire (The USCF client satisfaction scales, Attkisson & Greenfield, 1999). Data analysis results indicated no significant differences in total customer satisfaction scores between women and men or between participants who self-identified as having a disability and those who did not. There were no significant differences in total customer satisfaction scores between participants who found out about the disability program navigator from the one-stop career center, from a website/online, from the Social Security office, unemployment office, or from family/friends. Older respondents gave lower total client satisfaction scores. Higher total client satisfaction scores were given by participants with more years of education, who met with the disability program navigator sooner, and those who spent more time in their meetings. A low percent of shared variance and small overlap between age, years of education, number of days until customers’ meetings with the disability program navigator, or minutes in the meeting, and total customer satisfaction scores, explained little of the variance in customer satisfaction scores.


Dedication
This academic milestone is dedicated to several individuals. The most important person was my loving, supportive, and understanding husband, Scott, who was instrumental in starting my academic journey and vital to finishing it, and was always there for me. My caring parents, Beatrice and Jacob, encouraged and supported my education pursuits in more ways than one. Lastly, I hope that my sons, Kevin and Rob, accepted and understood all the time I spent on this endeavor.


I acknowledge and offer my sincere gratitude to my advisors, Dr. Wendy Andberg and Dr. Nancy Pomeroy, for their ongoing encouragement, guidance, support, and advice. I am grateful to my dissertation committee, Dr. Paula Stechschulte and Dr. Debra Hurd, several of my former college professors, Paige Berry, Dr. Amy Armstrong, Dr. Allen Lewis, and Dr. Christine Reid, as well as Dr. Joann Richardson, who inspired me to continue my education. I am thankful to several colleagues, Laurie Meadows, Richard Kriner, Dr. Joe Ashley; to the staff at the Richmond Career Advancement Center in Virginia; as well as Dr. Beth Bader, Sarah Littlebear, and Margaret McCall, who listened to me, and provided feedback and/or encouragement. A special thank-you to Patty and the deceased Dr. D. Dale Kleppinger, and in particular, Patty’s never-ending commitment to me. I acknowledge, too, my family’s support, Peggy, Denise, Eric, April, my in-laws, Sue and Ray, my parents, Beatrice and Jacob, and especially my wonderfully supportive husband, Scott. I extend a sincere thank-you to each of these individuals.
 
Table of Contents
          Acknowledgments                                                                                                           v
          List of Tables                                                                                                                  ix
          List of Figures                                                                                                                xi
CHAPTER 1.  INTRODUCTION                                                                                              1
     Introduction to the Problem                                                                                                   1
     Background of the Study                                                                                                        3
     Statement of the Problem                                                                                                       6
     Purpose of the Study                                                                                                              8
     Rationale                                                                                                                              10
     Research Questions                                                                                                              12
     Significance of the Study                                                                                                     13
     Definition of Terms                                                                                                             15
     Assumptions                                                                                                                        18
     Limitations                                                                                                                          18
     Nature of the Study and Theoretical Framework                                                                20
     Organization of the Remainder of the Study                                                                       22
CHAPTER 2.  LITERATURE REVIEW                                                                                 23
     People with Disabilities                                                                                                       23
     Federal Legislation Targeting People with Disabilities                                                      27
     One-Stop Career Centers                                                                                                    37
     Customer Satisfaction                                                                                                         40
     Customer Satisfaction in the One-Stop Career Center System                                          43
     Disability Program Navigator Initiative                                                                             54
CHAPTER 3.  METHODOLOGY                                                                                         62
     Researcher’s Philosophy                                                                                                   62
     Theoretical Framework                                                                                                      63
     Research Design Strategy                                                                                                 66
     Sampling Design                                                                                                               66
     Measures                                                                                                                           67
     Description of the Client Satisfaction Questionnaire (CSQ-8)                                        68
     Data Collection Procedures                                                                                              71
     Data Analysis Procedures                                                                                                 73
     Limitations of Methodology                                                                                            75
     Expected Findings and Ethical Issues                                                                             76
CHAPTER 4.  DATA COLLECTION AND ANALYSIS                                                    80
     Introduction                                                                                                                     80
     Description of the Sample                                                                                               80
     Summary of Results                                                                                                         85
     Details of Analysis and Results                                                                                      86
     Client Satisfaction Questionnaire Sample Characteristics                                             95
     Conclusion                                                                                                                     115
CHAPTER 5. RESULTS, CONCLUSIONS, AND RECOMMENDATIONS                  119
     Introduction                                                                                                                   119
     Summary of the Results                                                                                                119
     Discussion of the Results                                                                                             123
     Limitations                                                                                                                   126
     Recommendations for Further Research                                                                     127
     Conclusion                                                                                                                   125
REFERENCES                                                                                                                 133
Appendix A.  disability program navigator position description                                     145
Appendix B.  BACKGROUND INFORMATION SHEET                                             150


Table 1.   Responses to Item 1. How would you rate the
                quality of service you received.                                                           

Table 2.   Responses to Item 2. Did you get the kind
                of service you wanted.                                                                             
Table 3.   Responses to Item 3. To what extent has the
                program met your needs.                                                                          

Table 4.   Responses to Item 4. Would you recommend
                the program to a friend.                                                                            

Table 5.   Responses to Item 5. How satisfied are you
                with the amount of help received.                                                      

Table 6.   Responses to Item 6. Have the services helped
                with your problems.                                                                                     

Table 7.   Responses to Item 7. Overall general
                satisfaction with service.                                                                       

Table 8.   Responses to Item 8. Would you come back
                to the program.                                                                                            

Table 9.   Descriptive Statistics 8 Items on Client
                Satisfaction Questionnaire (CSQ-8).                                                    

Table 10. Pearsons Correlation Results for Age and Total
                Client Satisfaction Questionnaire (CSQ-8) Scores.                      

Table 11. Pearsons Correlation Results for Years of
                Education and Total Client Satisfaction
                Questionnaire (CSQ-8) Scores.                                                     

Table 12. Pearsons Correlation Results for Days until Meeting
                with Disability Program Navigator and Total Client                 
                Satisfaction Questionnaire Scores.                                                 

  Table 13. Pearsons Correlation Results for Minutes Spent
                in Meeting with Disability Program Navigator and
                Total Client Satisfaction Questionnaire Score.                     

Table 14. Independent Samples Test for Means of Total
                Client Satisfaction (CSQ-8) Scores for
                WOMEN AND MEN.                                                                                                                                                                                                                             
Table 15. Independent Samples Test for Means of Total Client     
                Satisfaction (CSQ-8) Scores and Participants who
                Self-Identified a Disability.                                                                                                                             
Table 16. Independent Samples Test for Means of Total Client             
                Satisfaction (CSQ-8) Scores and Participants Who
                Found Out About Disability Program
                Navigator From One-Stop Career Center.                           

Table 17. Independent Samples Test for Means of Total Client                  
                Satisfaction (CSQ-8) Scores and Participants Who
                Found Out About Disability Program
                Navigator From a Website/Online.                                                                                                                                                        
Table 18. Independent Samples Test for Means of Total Client     
                Satisfaction (CSQ-8) Scores and Participants Who
                Found Out About Disability Program
                Navigator From the Social Security Office.                      

Table 19. Independent Samples Test for Means of Total Client
                Satisfaction (CSQ-8) Scores and Participants Who
                Found Out About Disability Program
                Navigator From the Unemployment Office.                       

Table 20. Independent Samples Test for Means of Total Client  
                Satisfaction (CSQ-8) Scores and Participants Who
                Found Out About Disability Program Navigator
                From Family/Friends.                                                                                                                                                                                     
Table 21. Coefficients of Determination for Client
                Satisfaction Scores.                                                                        

Table 22. Mean and Standard Deviation on 8 Items on
                Client Satisfaction CSQ-8.                                                                                                                                                                           
List of Figures
Figure 1.   Ages of participants.                                                                                 83

Figure 2.   Years of education of participants.                                             84

Figure 3.   Box-and-whiskers plot of ages of participants.                    88

Figure 4.   Box-and-whiskers plot of years of
                 education of participants.                                                                     89

Figure 5.   Box-and-whiskers plot for number of days until          
                 participants’ meeting with disability program
                 navigator. Outlier at 14-day mark.                                                   90

Figure 6.   Box-and-whiskers plot for minutes in participants’
                 meeting with disability program navigator.
                 Outliers at 2-minute mark and 45-minutes mark.                       91

Figure 7.   Box-and-whiskers plot for participants’ total
                 Client Satisfaction Questionnaire (CSQ-8) scores.                     92

Figure 8.   Number of days until meeting with disability
                 program navigator.                                                                                   93

Figure 9.   Minutes in meeting with disability
                 program navigator.                                                                                   95

Figure 10. Distribution of Client Satisfaction Questionnaire
                 (CSQ-8) scores. Histogram shows bimodal shape.                        96




In 1998, the one-stop career center system was created by the Workforce Investment Act to ensure that effective employment and training services were available to all individuals, including people with disabilities (Barlas, 1998). Measures and calculation of performance levels regarding core and customer satisfaction in the one-stop career centers were required under the Workforce Investment Act (U.S. Dept. of Labor, Employment & Training Administration, 2000). The levels of performance standards that were expected, however, had considerable bearing on the ability of each state’s workforce system to include people with significant disabilities (Bader, 2003). To address this problem, the Department of Labor and the Social Security Administration established the Disability Program Navigator Initiative in 2002 (U.S. Dept. of Labor, Employment & Training Administration, 2005). This initiative was specifically designed to assist individuals with disabilities to secure the most favorable employment outcomes in the one-stop center career center system, through a variety of ways, both directly and indirectly.
The Disability Program Navigator Initiative provided an individual with expertise on workforce development issues, not only to assist people with disabilities in the one-stop center career centers and to facilitate their access to disability services, but to increase the capacity of the one-stop career center to serve this population (Emery et al., n.d., Holcomb & Barnow, 2004). This was accomplished by working directly with customers, referring them to other relevant programs and services, training one-stop career center staff, and conducting community outreach (Emery et al., n.d.). Through funding in state grants, disability program navigators also were utilized in the 2005 Disability Program Navigator Hurricane Initiative, which provided temporary assignments of workforce professionals for people with disabilities in the Gulf Coast area (U.S. Dept. of Labor, Office of Disability Employment Policy, n.d.; U.S. Dept. of Labor, Employment & Training Administration, 2005).  
Although the one-stop career center system has been in existence since 1998, there is limited information regarding the experiences and satisfaction of its customers who used the services provided by a disability program navigator. Customers who met with a disability program navigator included individuals, one-stop career center staff, community organizations, employers, and local businesses (Emery et al., n.d.). More specifically, customers included people with multiple employment challenges, and who had non-visible, undiagnosed, and non-reported disabilities, such as psychiatric, learning or other cognitive disabilities, or traumatic brain injuries. This also consisted of people who were not only disabled, but were youth in the foster care and juvenile justice systems, ex-offenders, TANF recipients, disabled veterans, older workers, customers in need of English as a Second Language services, and customers who were illiterate and/or homeless (Federal News Service, 2009). Despite the fact that in 2009, the Office of Workforce Investment with the Employment and Training Administration reported 450 disability program navigators across 42 states, the District of Columbia, Puerto Rico, the U.S. Virgin Islands and Guam (Federal News Service, 2009), there is a significant deficit of data regarding the utilization of the services of a disability program navigator by one-stop career center customers. Therefore, customer satisfaction levels with the Disability Program Navigator Initiative cannot be determined, or to what extent customers were satisfied.
Assessment of satisfaction from one-stop career center customers who used the services of a disability program navigator would provide insight and understanding for improvement and modifications of the Initiative, as well as future funding for it. Findings would contribute to a greater understanding of the needs of people with disabilities, and ultimately, possibly increase the employment of individuals with disabilities in the workforce. Obtaining information regarding the levels and differences of customer satisfaction with the services of a disability program navigator could also be used to determine how effectively the Disability Program Navigator Initiative accomplished the goals of both the one-stop career center program and the Workforce Investment Act. This would allow for modifications by decision-makers and policy-makers, as well as continued and future funding.

President Clinton signed the Workforce Investment Act as Public Law 105-220 on August 7, 1998 (U.S. Dept. of Labor, Employment & Training Administration, 1998). The intentions of the Workforce Investment Act were to consolidate funds into the Workforce Development System, thereby replacing a number of smaller federally supported employment programs, and to combine, coordinate, and improve employment, training, literacy, and vocational rehabilitation programs in organized labor (National Council on Disability, 2005). The Workforce Investment Act is organized into five titles concerning job training; adult education; amendments to both previous employment acts and vocational rehabilitation acts; and general provisions targeting all adults ages 18 and older, dislocated workers, and youths aged 14-21 with low incomes (U.S. Dept. of Labor, Employment & Training Administration, 1998). Title I of the Workforce Investment Act specifically established the one-stop career center delivery system as an access point for employment-related and training services (Dept. of Labor, Employment & Training Administration, 1998). The one-stop career center system was also designed to integrate, collaborate, and upgrade relevant community programs and resources, and to provide employers with a larger pool of qualified, skilled workers (Rutgers, 2002). Federally mandated partnerships in one-stop career centers provided individuals with meaningful and seamless access to information, services, and opportunities in the world of work. 

The Workforce Investment Act expired on September 30, 2003, and the Job Training Improvement Act, House Bill H.R. 27, was passed on March 2, 2005, reauthorizing the Act (Lordeman, 2006). The bill also contained amendments to Title I of the Workforce Investment Act of 1998 that affected the one-stop career center system (Lordeman, 2006). The bill affected the one-stop career center systems by increasing the role and flexibility of the State Workforce Investment Board, streamlining funding and bureaucracy, eliminating duplication, strengthening resource allocation, and improving accountability.

Despite the efforts of the Workforce Investment Act and the one-stop career center system, only about 37% of people with disabilities are reported in the national workforce (U.S. Census Bureau, 2006). Six percent of adults aged 16 to 64 with a disability report the presence of a condition that makes it difficult to remain employed or to find a job (U.S. Census Bureau, 2006). Average earnings of workers with disabilities are lower; they are under-represented in the workforce, and experience both higher rates of poverty and limited access to employee benefits (Timmons, 2002; U.S. Census Bureau, 2006).

The Workforce Investment Acts Standardized Record Data revealed a significant decrease from 2001 to 2003 in percentages of people with a disability successfully exiting the one-stop career center program (National Council on Disability, 2005). A case study of one-stop career centers in six states also found that the number of people with disabilities who used the one-stop career centers was lower than what was expected (Hamner & Timmons, 2005). Reasons suggested for the underutilization were that data collection systems lacked the ability to clearly identify people with disabilities; non-disclosure of a disability by customers; insufficient appropriate services for people with more significant disabilities; and limitations of staff time to assist them in accessing services (Bader, 2003; Hamner & Timmons, 2005). Other reasons that one-stop career centers were not used by more individuals with disabilities were the customers’ lack of ability and personal comfort levels in using the one-stop career center’s self-directed services (Bader, 2003; Hamner & Timmons, 2005). There was also reluctance by the one-stop career center staff to serve people with disabilities because investment of the additional time and support required to assist those with disabilities could possibly result in inadequate outcomes to meet mandatory performance measures (Bader, 2003; Hamner & Timmons, 2005). It was found that employers who were aware of one-stop career centers and used its services were more likely to be large and medium-sized employers (U.S. Government Accountability Office, 2005). Reasons given by employers for not using the one-stop career centers’ services were a lack of information on the services offered or the breadth of services available, and/or the use of other training/hiring resources  (U.S. Government Accountability Office, 2005). 

In an effort to streamline services and create seamless service delivery among the one-stop career center partners, one of the additions jointly developed by the U.S. Department of Labor and the Social Security Administration was the Disability Program Navigator Initiative. Established in 2002, the Initiative provided an expert in the one-stop center career centers who had knowledge and experience on workforce development issues relative to people with disabilities (U.S. Dept. of Labor, Employment & Training Administration, 2005). Appendix A provides a description of the disability program navigator position. In 2004, there were approximately 227 disability program navigators who facilitated access to disability services to secure the most favorable employment outcome for one-stop career center customers with disabilities (Holcomb & Barnow, 2004; U.S. Dept. of Labor, Employment and Training Administration, 2005). On June 30, 2006, additional U.S. Department of Labor grant monies were awarded to both fund disability program navigators in 13 states and to maintain the program in 17 states (U.S. Dept. of Labor, 2006). This study assessed the satisfaction of one-stop career center customers who utilized the services of the disability program navigator in two one-stop career centers, thereby providing insight on the program’s effectiveness in meeting its goals.

Performance accountability for customer-focused results in the one-stop career center system was required by the Workforce Investment Act of 1998, which involved data collection, tracking of performance, analysis of information, and modification of strategies for improvement (D’Amico, Kogan, Kreutzer, Wiegand, Baker, Carrick & McCarthy, 2001). A Training and Employment Guidance Letter (TEGL 7-99) issued by the U.S. Department of Labor, Employment and Training Administration (2000) addressed core and customer satisfaction measures in one-stop career centers required under the Workforce Investment Act. A survey approach was mandated, using a small set of questions to form a customer satisfaction index, and based on the American Customer Satisfaction Index (U.S. Dept. of Labor, Employment & Training Administration, 2000). History of usefulness of the American Customer Satisfaction Index in tracking change over time, indicated it assessed performance accountability for customer-focused results required by the Workforce Investment Act of 1998 (U.S. Dept. of Labor, Employment & Training Administration, 2000).

The performance standards of the Workforce Investment Act, however, did not address employment issues of any special populations, such as individuals with a disability (Bader, 2003). Furthermore, although significant studies are available on one-stop career center customer satisfaction, limited research has been conducted addressing satisfaction of one-stop career center customers. Initially, the disability program navigator’s role in the one-stop career centers was to assist people with disabilities navigate through the challenges of the job search process and develop comparable disability expertise in other one-stop career center staff (Virginia Commonwealth University, 2005; Emery et al., n.d.).

As the program grew, disability program navigators’ responsibilities expanded to include developing links, providing assistance to employers with recruitment needs, conducting outreach to organizations serving people with disabilities, and serving as a resource on federal disability incentives and benefits; thereby improving the coordination of one-stop career centers’ resources for people with disabilities (Institute for Community Inclusion, 2004). Nevertheless, only a few studies are presently available regarding customers’ levels of satisfaction with the services provided by a disability program navigator. Since implementation in 2002, the Disability Program Navigator Initiative continued to evolve, and information from the individuals it was designed to assist is valuable to determine if, in fact, it has satisfactorily met the needs of its customers.

One of the best practices found at one-stop career centers serving people with disabilities was an individual with expertise in disability issues, termed a disability program navigator, and previously referred to as a disability resource specialist (Bader, 2003). The Disability Program Navigator Initiative provided funding for such an expert, who could provide on-site disability consultation, screenings, assistance in identification, coordination, and facilitation of communication among the one-stops, community disability providers, and disability resources (U.S. Dept. of Labor, Employment & Training Administration, 2005). Often opportunities, participation, and involvement of people with disabilities are frequently denied or limited due to agency regulations, lack of accessibility, inadequate supports, and stereotypical attitudes (Kosciulek, 2004). Assumptions are frequently made that limit choices by people with disabilities, and are based on the avoidance of undesirable or unavailable alternatives and/or a lack of knowledge of capabilities and desires (Kosciulek, 2004). The Disability Program Navigator Initiative sought to address the lack of informed choices for people with disabilities. In addition to serving as a point of contact for people with disabilities, disability program navigators assisted one-stop career center staff, management, and partner agencies with disability-related issues (Bader, 2003).
The purpose of this quantitative study was to assess and analyze levels of customer satisfaction at one-stop career centers that participated in the Disability Program Navigator Initiative, in an effort to augment the limited research in this area. The survey used in this study allowed for a determination of customer satisfaction levels and incorporated the “voice of the customer.” The “voice of the customer” has been a frequent focus of business research to improve customer satisfaction and develop a more competitive edge (Stank, Daugherty, & Ellington, 1997). A tenet of management approaches, such as Deming’s Total Quality Management, Quality Function Deployment, and the Kano Model of customer satisfaction, the “voice of the customer” indicates that assumptions are not made regarding the customer wants (Spencer, 2000; Stank et al., 1997). Rather, it is what the customers themselves want that drives service development and delivery, and it is achieved through measurement of their perceptions of services as they are, not as the organizations imagine services are, or as they believe customers want (Fournier-Bonilla, 1998; Spencer, 2000). A basic rule of business and an age-old adage is that if you do not measure it, you cannot manage it (Customer Focus Consulting, 2003). A customer-driven focus enables an organization to maximize limited funding and resources to provide what the customers want, and to determine what is not needed (Spencer, 2000).
Findings in this study contributed to increased insight as to what extent the Initiative has achieved the goals of the one-stop career center system. The study could be replicated in future studies for evaluations and research with programs that have a disability program navigator.

The Department of Labor, Office of Disability Employment Policy (2001) indicated that key goals of the one-stop career center approach, in its application to people with disabilities, were to streamline services, empower individuals, and provide universal accessibility. Streamlined services from all partners enabled activities and information to be co-located, coordinated, and integrated as a whole (Dept. of Labor, Office of Disability Employment Policy, 2001). Financial empowerment for individuals was achieved with Individual Training Accounts  that allowed eligible adults to purchase training services, in conjunction with advice, guidance, and support through the one-stop career center system (Dept. of Labor, Office of Disability Employment Policy, 2001). Universal accessibility to core employment-related services ensured that any individual was able to access a variety of employment services (Dept. of Labor, Office of Disability Employment Policy, 2001; Timmons, Fesko & Cohen, 2004). Accessibility included physical access to a center, as well as virtual and computer-based resources, programs, and services (Funaro & Dixon, 2002; Hoff, 2002). Universal accessibility in all aspects of the one-stop career center enables use by diverse populations, including people with a disability, such as physical, sensory, and learning disabilities, mental retardation, mental health issues, and head injuries (Hoff, 2002).

Other goals of the one-stop career center system were to develop an accurate performance assessment of its responsiveness to people with disabilities (Hall & Parker, 2005), and to create meaningful and seamless service delivery between the workforce and disability systems (Cohen, Timmons, & Fesko, 2005). Seamless service delivery consists of a streamlined delivery of services by different agencies, and is smooth, coordinated, and efficient, reduces paperwork, avoids duplication, and links multiple programs into one system (Cohen et al., 2005). Therefore, a person with a disability would not need to navigate multiple services systems in order to access a variety of necessary services, which can be overwhelming (Cohen et al., 2005). Instead, the partner agencies of the one-stop career center negotiate with each other to collaborate and coordinate their services, resulting in improved consumer outcomes and simplification of the process for customers (Cohen et al., 2005).

If the one-stop career center system was successful in achieving the goal of increasing the employment rate of people with disabilities, economic statistics would reflect this, and should likewise, reflect an increase in their employment. Evaluation of the performance of the one-stop career center’s employment services, however, revealed that Workforce Investment Act customers with disabilities were typically less likely to enter employment and retain employment when compared to peers without disabilities (Hall & Parker, 2005). Holcomb & Barnow (2004) found that, although the program enrolled a number of people with disabilities, only a small proportion of them were actually served. Furthermore, people with disabilities who exited the program had lower employment and earnings than other exiting customers (Holcomb & Barnow, 2004). The Center for an Accessible Society (2005) has also indicated that the percentage of people with disabilities in the workforce remains at 30%, the same as when the Americans with Disabilities Act became law.

The rationale for this study was that it is crucial to obtain an assessment as to what extent the Disability Program Navigator Initiative has met the needs of its customers. An evaluation of the Initiative’s customer satisfaction levels allows the one-stop career centers, decision makers, and policy makers to identify whether the program provided quality services and achieved the one-stop career center system’s goals. Obtaining information on these issues enables future modifications to increase customer satisfaction levels and use, improve the services provided by the disability program navigator in the one-stop career centers, and obtain future funding. In light of the implications of three major trends for the future of work; which are shifting demographic patterns, the pace of technological change, and the path of economic globalization; it is imperative that there is greater labor force recruitment and participation by people with disabilities (Rand Labor & Population, 2004). Due to advances in medical care, improvements in the prevention and treatment of disease, and improved workplace conditions that have reduced the physical demands of labor, disability subsequently is less of a health concern for working age men and women (Wilson, Burton, & Howell, 2005).

            The purpose of this quantitative study was to assess customer satisfaction and examine the factors that influence customer satisfaction of individuals who were referred to, and used the services of a disability program navigator in a sample of one-stop career centers. The quantitative research design was descriptive and included a survey of customer demographics and levels of satisfaction, allowing for a systemic analysis and description of the data and characteristics of the one-stop career center’s customers (Simon, 2001). There was no manipulation of variables or attempts to establish causality (Simon, 2001). The survey in this study was used to elicit respondents’ rated opinions of relevant satisfaction concepts, and since these were ordinal measures of internal states in terms of less and more to classify and/or rank them (Bernard, 2000), statistical data was obtained indicating differences in satisfaction levels (Sproull, 2002).
            The following research questions were addressed.
  1. To what extent are customers satisfied with the services of the disability program navigators in one-stop career centers?
  2. What are the areas that customers identify as needing improvement?
  3. How do the customers’ levels of satisfaction with services received from the disability program navigator relate to age, gender, education, how they found out about the disability program navigator, how quickly they were able to meet with the disability program navigator, and the amount of time spent in their meeting?

Significance of the Study
The rationale for this study’s research problem was based on the national emphasis toward assisting more people with disabilities to obtain employment, and the continuing desire and drive to utilize the one-stop career center system more efficiently and effectively. The one-stop career center system continues to experience substantial developments and changes, which have contributed toward the lack of studies regarding the Disability Program Navigator Initiative. Neither the levels of satisfaction by customers who received services under the Initiative, or the success of the Initiative in achieving the goals of the one-stop career program can be determined. This study addressed this deficiency by providing data and information for future studies, and contributed to greater insight and understanding of the needs of people with disabilities in the job-seeking process.

A change in approximately 58.3% of the state vocational rehabilitation agencies had a significant impact on the referrals of people with disabilities to the one-stop career centers (Anderson, Boone, & Watson, 2002). The nationwide change was the “order of selection.” Under Title I of the Rehabilitation Act, all states receive federal funds to provide vocational rehabilitation services to people with disabilities. However, if a state determines there will be insufficient resources to provide vocational rehabilitation services to all eligible individuals who apply, an order of selection process can be implemented (United States Code, 29 USC, 721). In the order of selection process, eligible individuals with the most significant disabilities are served first, and then eligible individuals with a significant disability may be served next, on a first-applied, first-served basis (United States Code, 29 USC, 721). The procedure established categories of priorities based on the significance of the disability and the associated functional limitations, thereby creating a waiting list for eligible individuals who fall into categories that cannot be served until funding is available (Virginia Dept. of Rehabilitation Services, 2004).
Individuals on the Order of Selection waiting list are entitled to appropriate referrals to other state and federal programs, including other providers within the state workforce investment system, such as the one-stop career centers (United States Code, 29 USC, 721). If an individual qualifies for services from a vocational rehabilitation agency, under the Workforce Investment Act, he or she can choose not to utilize these services, since it is not mandated that an individual must use vocational rehabilitation (Hoff, 1992-2005). Alternatively, the individual can use a combination of both vocational rehabilitation and one-stop career center services (Hoff, 1992-2005). Past studies have found that the one-stop career center system alone has not met the needs of its customers with disabilities, and the Disability Program Navigator Initiative was subsequently created to address this deficiency.
In light of the order of selection process implemented by over one-half of state vocational rehabilitation departments, as well as the deficit in research on people with disabilities in the one-stop career center system, it is imperative to determine whether the Disability Program Navigator Initiative met this population’s needs. Therefore, an assessment of customer satisfaction was crucial for obtaining information that can be used to ascertain this.

                Terms used in this study are defined as follows.
               Customer. An individual who directly benefits from the serviced provided (Deese, 2002).
               Customer Satisfaction. The degree to which an agency meets or exceeds the expectations of the individual (Deese, 2002).
               Individual With a Disability. An individual with any disability, as defined in section 
3 of the Americans with Disabilities Act of 1990 (42 USC, 2102). The Act defines a person with a disability as an individual with a physical or mental disability that substantially limits a major life activity, or has a record of such a disability, or is regarded as having such a disability.
               Informed Consent. A principle that was first included in the Rehabilitation Act Amendments of 1992, enabling a person to make meaningful decisions and choices (Kosciulek, 2004). In the informed consent process, a person can achieve his or her goals because he or she has been provided the information required in order to consciously consider all the available options. During the informed consent process, information is presented in an environment that facilitates an understanding by the person as to options available, the services needed to achieve desired outcomes, and how the services will be provided (Kosciulek, 2004). Thus, the informed consent allows for full and active involvement by the individual (Kosciulek, 2004).
               One-Stop Career Center. The federal term given to the states' creation of comprehensive centers for employment and training access and information (Deese, 2002). A comprehensive one-stop career center provides a full or complete range of employment and benefit services, which included career counseling, training and education offerings, job search, job matching, and financial aid applications.                
               One-Stop Career Center Partner. An entity that is participating, with the approval of the workforce local board and chief elected official, in the operation of a one-stop career center program delivery system  (U.S. Dept. of Labor, Employment & Training Administration, 1998).  
               Reasonable Accommodation. Modification of an environment and conditions to enable individuals with disabilities to participate on an equal basis (Social Security Administration, 2000).
               Universal Accessibility. Services, products, and environments that are designed to enable use to the greatest extent possible by any individual, without the need for adaptation, special design, or assistive technology (Adaptive Environments, 2006).
               Vocational Rehabilitation Agency. An agency that provides employment-related services to people with disabilities to achieve their vocational and economic goals (U.S. Dept. of Labor, Employment & Training Administration, 1998).  
               Workforce Investment Act. The federally-funded legislation authorizing the state and local communities to develop a new workforce delivery structure through one-stop career centers (Deese, 2002). One-stop career centers are located in a community business that has met federal criteria and receives funding under the Workforce Investment Act for the purpose of providing employment-related services under one roof. The community businesses may be a state or local government agency, a nonprofit organization, community colleges, or a for-profit firm (Holcomb & Barnow, 2004).       
  
The following assumptions were made for the purpose of this study.
  1. Voluntary respondents were solicited by the contact person in participating research sites following instructions provided in the researcher’s instructions.
  2. Participants answered questions on the surveys honestly.
  3. Participating one-stop career centers and their disability program navigators were able to facilitate reasonable accommodation to allow an individual with a disability to complete the surveys if it was requested.
            The following were the limitations of this study.
  1. Limitations of the use of a self-administered questionnaire included lack of control over how the questions were interpreted or answered, and the researcher’s inability to administer it to all types of disabilities, such as those who are illiterate because of a disability (Bernard, 2000).
  2. Due to the number of one-stop career centers nationwide with a disability program navigator, it was not possible to survey each one. Participating one-stop career centers were chosen from a sample of nationwide one-stop career centers that serve people with disabilities that were identified by a panel of experts (Bader, 2003). This limited the generalizability of the study’s findings.
  3. Respondents were limited to those who actually met with the disability program navigator at participating one-stop career centers. This allowed for a sample that possessed characteristics important for this study (Sproull, 2002).
  4. Respondents were further limited to those whom the contact person at the one-stop career centers solicited for participation, were able and willing to participate, and voluntarily completed and returned the surveys. Additionally, survey respondents were limited to one-stop career center customers who met with the disability program navigator and were capable of understanding and completing the surveys.
  5. Another limitation was the time period during which data was collected, which was not a randomly determined time period, but based on time, convenience, and availability of both the disability program navigators and their customers. Therefore, the months during which the surveys were collected may have had an effect on the study.                
  6. Under Title I of the Workforce Investment Act, a service delivery framework is created for the fundamentals and principles of the one-stop career center system (Deese, 2002; Morris, 2002). Each state, however, has the flexibility to develop and implement specific strategies, activities, and interventions that meet the community’s needs (Deese, 2002; Morris, 2002). Therefore, variations in implementation of the Disability Program Navigator Initiative among one-stop career centers limited the ability to generalize this study’s findings to other one-stop career centers and their customers (Bader, 2003). 
            This study was a descriptive study of customer satisfaction based on previous survey instruments and the goals of the one-stop career center system. The primary focus was to survey the levels of satisfaction from customers who utilized the services of a disability program navigator. The quantitative data collection included selected demographics, such as, gender, age, and education level, and was used to segment groups (Sproull, 2002). The survey design enabled assessment of the relationship among the levels of satisfaction and demographic data, and provided information for improvement of services (Sproull, 2002). The one-stop career centers’ assistance with administration of the survey sent an important message to their customers (Deese, 2002), which was that customer satisfaction is not only desirable and valuable to the system, but that customers’ perspectives and input are paramount (Deese, 2002).
            This study was based on the theoretical framework of work and employment, specifically the theory of work adjustment. The focus of the one-stop career center system is to assist its customers to find and obtain employment, a significant vocational goal of adult career development (Jepsen & Sheu, 2003). Considering the amount of time most individuals spend working, the overall attitude of liking or disliking of a job, that is, job satisfaction, is a significant marker of adult vocational adjustment, as well as a major indicator of quality of life (Jepsen & Sheu, 2003; Witte, Philips & Kakela, 1998). Work and career theories are used to explain, understand, and predict an individual’s vocational behavior and job satisfaction (Swanson & Fouad, 1999). Vocational behaviors include career choice, work adjustment, and life span career progress, as well as the trait-and-factor theory (Swanson & Fouad, 1999). Also referred to as person-environment fit or congruence, trait-and-factor theories focus on the match between individual traits and work environmental factors (Swanson & Fouad, 1999).
            The person-environment fit theoretical foundation assumes that when individuals are more satisfied, their work performance is better, the employing organizations are more effective, workers’ organizational commitment is higher, and employee turnover is less, thus resulting in enhancement of vocational adjustment, individual positive experience, and environmental compatibility (Kristof-Brown, Jansen, & Colbert, 2002; Ostroff & Rothausen, 1997). Judge and Bretz (1992) have also reported literature and findings on person-organization fit indicating that employees who match job or organizational values are more satisfied and less likely to leave the company. One of the significant person-environment fit theories addressing the degree of match between an individual and environment is the Theory of Work Adjustment (Lawson, 2002; Lyons, 2004; Swanson & Fouad, 1999a).
            Developed by Dawis, England, and Lofquist, the Theory of Work Adjustment has also been used as a model for people with disabilities in the workforce (Dawis, England, & Lofquist, 1964; Dawis, 2005; Lyons, 2004; Strauser & Lustig, 2003). The concepts of the Theory of Work Adjustment concern the individual, the work environment, and the unique interaction between the two, and predict job satisfaction, success, and tenure (Swanson & Fouad, 1999). Using a dual focus, the Theory of Work Adjustment describes the relationship between an individual and his or her work environment, and how there is continual interaction, or “correspondence,” between them in harmoniously meeting each other’s needs and requirements (Lyons, 2004; Swanson & Fouad, 1999). The dynamic process of meeting these dual demands is called “work adjustment,” and consists of both satisfactory coworker relationships and satisfactory job performance (Dawis, England, & Lofquist, 1964). Stronger correspondence and congruence lead to increased job retention and tenure, that is, the length of time that an employee remains in an organization (Lyons, 2004).
            According to Lofquist & Dawis’ Theory of Work Adjustment (1964), a match between a worker and rewards of a job will result in job satisfaction and subsequent employment stability (Vandenberg & Scarpello, 1990). Job satisfaction also predicts attendance, participation, morale, and overall life satisfaction (Bolton & Brookings, 1991). The Theory of Work Adjustment was the theoretical foundation for this study in that achievement of employment and subsequent work adjustment and job satisfaction are goals of both the one-stop career center system and the Disability Program Navigator Initiative.
            Chapter 2 reviews the literature on people with disabilities, customer satisfaction, one-stop career centers, customer satisfaction in the one-stop career center system, and the Disability Program Navigator Initiative. Chapter 3 describes the methodology design, the sample population, the survey instruments, data collected, anticipated findings, and ethical issues. Chapter 4 identifies the data analysis strategy and findings of the research. Chapter 5 contains a discussion on the findings, implications, and recommendations for further study.            

            Significant research exists on customer satisfaction and customer satisfaction of people with disabilities. There is a substantial gap, however, on the research of customers who used the services of a disability program navigator in one-stop career centers, whether or not the customer had a disability. This chapter reviews applicable literature on people with disabilities and relevant federal policy, one-stop career centers, and customer satisfaction. Also included in this chapter are discussions of literature on customer satisfaction and assessment in the one-stop career centers, and the Disability Program Navigator Initiative.

Several definitions of a person with a disability currently exist in data collection, measurement, and eligibility criteria of public, private, and governmental programs. Capturing the concept of disability for the purpose of measurement is, and has been, an ongoing challenge, and influences the goals of programs assisting people with disabilities (U.S. Census Bureau, 2004). Challenges have included collecting statistics to match a survey’s purpose, development and suitability of the measurement approach, and reporting of the statistics, which reflect inadequate flexibility in the data to distinguish among mild, moderate, and severe disability (Eustis, Clark, & Adler, 1995; U.S. Census Bureau, 2004). These challenges are discussed in the following section.

According to Moore and Feist-Price (as cited in Bruyere, 1999), three perspectives have been identified in defining disability; they are the medical model, the economic model, and the sociopolitical model. The medical model considers disability as a deficiency within an individual, emphasizes the functional limitations of disability, and influenced the structure of the Social Security Administration’s benefits programs (Burkhauser & Stapleton, 2004; Bruyere, 1999; Social Security Advisory Board, 2003). Two disability programs of the Social Security Administration providing cash benefits to individuals are Social Security Disability Insurance  and Supplemental Security Income (Silverstein, 2002). The same definition of disability is used for both programs, that is, the inability to engage in substantial gainful activity by reason of a medically determinable physical or mental impairment that is expected to last for a continuous period of not less than 12 months or to result in death (Silverstein, 2002).

The economic perspective of disability focuses on the limiting effects of a disability in the amount of work an individual can do (Bruyere, 1999). The sociopolitical model focuses on the fact that it is an individual’s societal environment that labels them as different, and not the actual disability itself (Bruyere, 1999). A more recent model of disability views the environmental barriers and attitudes of other people as the “handicap” of the disability (Bruyere, 1999).
The Americans With Disabilities Act and the Rehabilitation Act of 1973 both used the definition of handicap to define disability (National Council on Disability, 2004; Office of Disability Employment Policy, n.d.; U.S. Dept of Labor). The two federal acts broadly define a person with a disability as an individual who has a physical or mental disability that substantially limit a major life activity, or who has a record of such a disability, or is regarded as having such a disability (U.S. Dept of Labor, Office of Disability Employment Policy, n.d.). The definition, based on the Nagi framework, recognizes the interaction of the environment and impairments in the cause of disabilities, and views disability as a difficulty in performing socially expected activities (Livermore & Goodman, 2009).
Two questions about disability in the Census 2000 were based on daily functional limitations, and subsequently used to define six specific subpopulations of disability (Livermore & Goodman, 2009). An individual was considered to have a disability if he or she answered yes  to either question. According to the Census 2000, which used a functional limitation of disability to identify the total population with disabilities, there are 49.7 million people aged 5 and over with a disability in the United States (U.S. Census Bureau, 2002). 

“Disability” is defined by the Current Population Survey as a person with a disability who has a health problem or disability which prevents him/her from working or which limits the kind or amount of work he/she can do (U.S. Census Bureau & Bureau of Labor Statistics, 2002). The Current Population Survey, sponsored jointly by the U.S. Census Bureau and the U.S. Bureau of Labor Statistics, is one of the oldest, largest, and most well-recognized surveys in the United States. It provides information on labor force statistics and extensive social, economic, and demographic data (U.S. Census Bureau & Bureau of Labor Statistics, 2002). The Current Population Survey is a multistage stratified sample consisting of individuals 15 years of age or over, who are not in the Armed Forces, or in any institution, such as prisons, long-term care hospitals, or nursing homes (U.S. Census Bureau & Bureau of Labor Statistics, 2002).
Work limitation questions appear in the American Community Survey, National Health Interview Survey, Medical Expenditure Panel Survey, Panel of Income Dynamics, Survey of Income and Program Participation, and the Health and Retirement Survey (Livermore & Goodman, 2009). Bagenstos (2004) indicated that none of these organizations measure disability according to the definition used by the Americans With Disability Act, and this has resulted in identification of none or only some of the same population. Houtenville and Burkhauser (2004) also agreed that a representative sample of the population with disabilities is nonexistent due to the lack of a data source that captures all aspects of a disability. Moreover, an individual must report that he or she has a disability in order to be counted in data collection of people with a disability. Parker and Hoff (2004) reported that unfamiliarity with the definitions of disability, or the fear of stigma or discrimination, might cause individuals not to disclose that they have a disability, further resulting in an under-counting of this population.

In an effort to provide a unified standard language and framework to describe disability, functioning, and health, an international classification was developed by the World Health Organization (U.S. Census Bureau, 2004). The classification reflects the more current perspective of disability as a complex interaction between a person and his or her environment, and considers not only the individual’s impairment, but also barriers in the environment that prevent full social participation (U.S. Census Bureau, 2004). Schur, Kruse, and Blanck (2005) wrote that “No matter what the definition, employment levels of people with disabilities remain well below those of non-disabled people, and the majority of non-employed people with disabilities would prefer to be working” (p 5).

The federal government has enacted many laws, programs, and incentives targeting people with disabilities to assist them in obtaining and maintaining employment. An overview of applicable federal legislature relevant to this study is discussed in the following sections.

The Rehabilitation Act of 1973 was the first federal requirement for removal of discriminatory barriers in employment for people with disabilities, and also provided vocational rehabilitation benefits to people with disabilities (Stefan, 2002). Section 501 of the Act required affirmative action by federal agencies in hiring and advancement of qualified people with disabilities (U.S. Dept of Labor, Office of Disability Employment Policy, n.d.). Section 503 required employers with federal contracts exceeding $10,000 to take affirmation action in employing individuals with disabilities, and Section 504 prohibited discrimination by employers and organizations receiving federal financial aid (U.S. Dept of Labor, Office of Disability Employment Policy, n.d.).

Modeled after the Rehabilitation Act of 1973, the Americans With Disabilities Act became law on July 26, 1990 (U.S. Dept. of Labor, Office of Disability Employment Policy, n.d.). The Americans With Disabilities Act prohibited discrimination based on disability in the private sector and state and local governments in employment, public accommodations, services, and transportation provided by public and private entities (U.S. Dept. of Labor, Office of Disability Employment Policy, n.d.). Five titles comprise the Americans With Disabilities Act. Title I specifically prohibited discrimination in all employment practices of employers with 15 or more employees if an individual is qualified to perform the essential job functions (U.S. Dept. of Labor, Office of Disability Employment Policy, n.d.). Title I also mandated that an employer must provide reasonable accommodations or modifications for a qualified individual with a disability, provided such accommodation does not present an undue hardship on the business’ operation (U.S. Dept. of Labor, Office of Disability Employment Policy, n.d.).
A qualified individual is defined as a person with the education and/or experience to perform the essential functions of a job with or without reasonable accommodation (National Center on Workforce and Disability, 1998). Essential job functions are fundamental job duties that an employer considers during the selection process, and do not include marginal functions that the employer would prefer and/or like an employee to perform (Campbell, 2002). Undue hardship is an action that is excessive, substantial, disruptive or extensive so that it fundamentally alters the natural operation of a business (Bruyere, 2002). The Equal Employment Opportunity Commission enforces the Americans With Disabilities Act, and in 1999, comprehensive policy guidance and documents were released on reasonable accommodations and undue hardship (Bruyere, 2002; Social Security Administration, 2000). The year 2010 marked the 20th anniversary of the Americans With Disabilities Act of 1990, and has resulted in renewed efforts towards greater workforce participation by people with disabilities.
Ticket to Work and Work Incentives Improvement Act of 1999
The purpose of the Ticket to Work and Work Incentives Improvement Act of 1999 was to provide more resources and control by beneficiaries over the resources, and to increase the number of employment service providers, including the one-stop career center (Burkhauser & Stapleton, 2004; Silverstein, 2002). The Act provided other services that encouraged federal disability benefit recipients to seek employment, which included counseling to assist in understanding the impact of earning on benefits, applying for and receiving available work incentives, as well as the extension of medical benefits while an individual is working (Silverstein, 2002; U.S. Dept of Labor, Office of Disability Employment Policy, n.d.). Implemented in 2001, a Ticket to Work is issued by the Social Security Administration to people with disabilities 18 through 64 years old who receive federal disability benefits and meet criteria for voluntary participation (Silverstein, 2002). The holder of a Ticket can then assign it to any eligible service provider, called an employment network, which includes the state vocational rehabilitation system and one-stop career centers. Social Security Administration compensates the employment network for employment service costs of a specified amount when the individual is no longer entitled to federal disability cash benefits (Silverstein, 2002). A Ticket holder can re-assign the Ticket to another employment network of his or her choice if they wish, as long as the employment network is willing to accept the assignment (Silverstein, 2002). An employment network must apply to participate in the Ticket to Work program and provide documentation of monthly earnings of program individuals in a timely and efficient manner (Silverstein, 2002). As of May 31, 2005, there were 1,320 employment networks, and out of 10,669,219 tickets issued nationwide, 7,493 tickets have been assigned to employment networks (Social Security Online, 2005).
An evaluation of the first five months of implementation and statistics of the Ticket to Work program was conducted in 2004 (Mathematica Policy Research, 2004). The survey reported low Ticket rates and beneficiary participation, concentrated assignments among a few employment networks and state vocational rehabilitation agencies, and general dissatisfaction and variety in other employment networks (Mathematica Policy Research, 2004). Factors contributing to low participation by one-stop career centers included high risk, low payments, and long delays in payments (Holcomb & Barnow, 2004).
Additional federal policy regarding individuals with disability include the Uniform Federal Accessibility Standards and ADA Accessibility Guidelines, developed pursuant to the Architectural Barriers Act of 1968 (U.S. Dept of Labor, Office of Disability Employment Policy, n.d.). The Standards and Guidelines required buildings built with federal funds or leased by federal agencies to be accessible for people with disabilities. Likewise, the Telecommunications Act of 1996 ensured that telecommunications equipment is designed to be accessible and usable by people with disabilities (U.S. Dept of Labor, Office of Disability Employment Policy, n.d.). The Family and Medical Leave Act of 1993 allowed up to 12 weeks of unpaid leave a year for a worker to care for family members with serious health conditions, to recover from serious health conditions, or care for newborn children (U.S. Dept of Labor, Office of Disability Employment Policy, n.d.). The Assistive Technology Act of 1998 addressed additional assistive technology needs of people with disabilities (U.S. Dept of Labor, Office of Disability Employment Policy, n.d.).
The Presidential Task Force on Employment of Adults With Disabilities was created to coordinate national policy to increase the employment of people with disabilities, and consisted of 17 federal agencies (Bruyere, Erickson & Horne, 2002). The Task Force provided support to Cornell University to conduct research on how federal agencies responded to the employment disability nondiscrimination requirements of the Rehabilitation Act of 1973 and the Americans With Disabilities Act. In collaboration with the Society for Human Resource Management (SHRM), Cornwell University conducted a telephone random survey of 813 human resource professionals who also were SHRM members (Bruyere, 2002). A 10-page questionnaire on employer practices in response to the Americans With Disabilities Act’s employment provisions covered questions on recruitment, interviewing, job screening, testing, hiring, promotion, staff development, accommodation practices, grievance, termination, and disability management processes (Bruyere, 2002). Findings showed a significant amount of uncertainty concerning interplay of the Americans With Disabilities Act and other employment legislation, and recommendations included a follow-up study of federal agency supervisors and managers (Bruyere, 2002; Bruyere et al., 2002).
A follow-up survey of 1001 federal agency supervisors and managers conducted in 2001-2002 by Cornell University paralleled the previous Task Force 1999 survey. The telephone survey described respondents’ experience and perceptions of the effectiveness of resources, as well as their awareness of executive orders issued in 2000 concerning employment and accommodation of individuals with disabilities in the federal workforce (Bruyere et al., 2002). The executive orders referred to three specific orders that related to the hiring of 100,000 qualified individuals over a five-year period, the Equal Employment Opportunity Commission’s written procedures on reasonable accommodation, and the July 2000 Federal Initiative on telecommuting and telework for people with significant disabilities (Bruyere et al., 2002). Even though respondents reported significant involvement in the recruitment process, over a third of them were not aware of any of the three executive orders, while only one in five was aware of all three orders (Bruyere et al., 2002).
Federal tax incentives are available to encourage the recruitment and hiring of individuals with disabilities. These include the Disabled Access Credit available to small businesses regarding “eligible access expenditures” and the Work Opportunity Tax Credit in hiring and employing people with disabilities (U.S. Dept of Labor, Office of Disability Employment Policy, n.d.; U.S. General Accounting Office, 2002). If a business makes its facility or public transportation vehicle more accessible and usable by people with disabilities, it is entitled to the Architectural and Transportation Barrier Removal Deduction, under Section 190 of the Tax Reform Act (U.S. Dept of Labor, Office of Disability Employment Policy, n.d.). If specific criteria are met, the deductions can result in a reduction of overall employment costs, improved employee morale, and enhancement of customer base.
In a report by the U.S. General Accounting Office (2002), it was found that tax incentive credits encouraging the hiring, retention, and accommodation of workers with disabilities was reported by only a very small proportion of 1999 corporate and business taxpayers. The report concluded that actual information at the time was limited and inconclusive regarding the tax incentives’ effectiveness, perhaps due to a lack of awareness.
Further efforts of the federal government to improve employment services for people with disabilities included the New Freedom Initiative. The New Freedom Initiative was described as a comprehensive set of guidelines and strategy that allowed full integration of people with disabilities into all aspects of American life (U.S. Dept. of Health & Human Services, 2003). Announced by President Bush in 2001, the New Freedom Initiative was an effort to eliminate barriers to equality faced by Americans with disabilities, and included the  Integrating Americans with Disabilities into the Workforce Initiative (U.S. Dept. of Health & Human Services, 2003).
The Department of Labor and the Social Security Administration jointly established the Disability Program Navigator Initiative in 2002 (U.S. Dept. of Labor, 2005). The initiative provided an expert on workforce development issues for people with disabilities in the one-stop center career centers, who also facilitated access to disability services to secure the most favorable employment outcome (Holcomb & Barnow, 2004).
On May 8, 2005, the House passed H.R.1261 (New York State Workforce Investment Board, n.d.) The legislation clarified the methodology for determining funds that one-stop career center partners contributed to infrastructure costs (New York State Workforce Investment Board, n.d.). A major job training reform plan as part of the fiscal year 2006 was proposed by President Bush. The budget request gave governors the flexibility to combine resources into their state grants for vocational rehabilitation that provided services to people with disabilities in the workforce (U.S. General Accounting Office, 2002). Several additional federal programs were directed at employers in hiring, retaining, and accommodating workers with disabilities. These programs included the Business Leadership Network, Disability and Business Technical Assistance Centers, Employer Assistance Referral Network, Job Accommodation Network, Project EMPLOY, Projects With Industry, Ticket to Hire, and Workforce Recruitment Program (U.S. General Accounting Office, 2002).
Goals of the U.S. Department of Labor’s Strategic Plan for Fiscal Years 2006-2011 included prior year’s results and long-term targets, which were; A prepared workforce; a competitive workforce; safe and secure workplaces; and strengthened economic protections (U.S. Dept. of Labor, 2006a). One of the performance goals under “a competitive workforce” recognized that the employment rate for people with disabilities has not increased significantly in the past twenty years (U.S. Dept. of Labor, 2006a). The plan implemented an approach to increase the capacity of the workforce investment system by comprehensively addressing this issue in developing policies and strategies affecting people with disabilities and employers (U.S. Dept. of Labor, 2006a).
On Feb. 13, 2009, Congress passed the American Recovery and Reinvestment Act of 2009. This Act contained areas affecting people with disabilities, including recovery funding for the Social Security Administration application processing system, recovery funding to the Individuals With Disabilities Education Act (IDEA), recovery funding for vocational rehabilitation services to help with job training, education and placement, and monies to states to fortify their Medicaid programs (Recovery Accountability and Transparency Board, 2009).
            H.R.146, the Omnibus Public Land Management Act of 2009, was signed on March 30, 2009 by President Barack Obama, which included the Christopher and Dana Reeve Paralysis Act focusing on improving the quality of life of Americans living with paralysis (The White House, 2009). On July 26, 2010, President Barack Obama issued a Proclamation reaffirming the Americans With Disabilities Act. The Presidential Proclamation identified the steps that were being implemented towards achieving the goals of the Act, and included consistent and effective enforcement of the Act by eliminating discrimination in employment, housing, public services, and community accommodations; expanded funding for the Individuals With Disabilities in Education Act (IDEA); health care reforms enacted in the Affordable Care Act; and joining the international community to sign the United Nations Convention on the Rights of Persons With Disabilities in 2009 (The White House, 2010). President Obama’s Executive Order--Increasing Federal Employment of Individuals With Disabilities, was also issued on July 26, 2010. In this Order, the President established the “Federal Government as a model employer of individuals with disabilities” (The White House, 2010a). In light of the fact that there are more than 20 federal agencies and approximately 200 programs that provide a variety of services and assistance to people with disabilities, for a more comprehensive list of 192 of the programs, reference is made to the Appendix II. Federal Programs Serving People With Disabilities, in a report by the U.S. Government Accountability Office (2005a).

Published studies by IBM, Sears, and Dupont, which are major companies employing people with disabilities, have reported a lower turnover employee rate and equal to, or better, attendance rate than that of employees without disabilities (Dew, McGuire-Kuletz & Alan, 2001). The Economic Impact Study in 2002 by Chicago’s Mayoral Task Force on the Employment of Individuals With Disabilities examined the costs and benefits associated with workers who had disabilities. The three-year study found that costs associated with workers with disabilities were minimal, employees with disabilities were dedicated and reliable; they had fewer scheduled absences, had nearly identical job performance ratings, the difference in amount of supervision required ratings were relatively minor among employees with and without disabilities, and the workforce was more diverse (DePaul University, 2007). Nonetheless, there was a persistence of manager bias towards employees with disabilities, a lack of promotion opportunities, and that disability employment agencies and/or disability advocates had to be used in recruiting and hiring workers with disabilities (DePaul University, 2007).

Although the employment rate of working-age people with a disability increased from 37.9% in 2003 to 37.5% in 2004, the gap between the employment rates of working-age people with and without disabilities increased from 39.7 percentage points in 2003 to 40.3 percentage points in 2004 (Rehabilitation Research and Training Center, 2004). Despite federal interventions, unemployment rates continue to be higher for individuals with disabilities and their average earnings are lower (Timmons, Schuster, Hamner, & Bose, 2002). People with disabilities represents the largest unemployed minority in the United States, which continues to remain relatively unchanged since the Americans With Disabilities Act of 1990 (The Center for an Accessible Society, 2005).

The one-stop career center system was specifically established in 1998 by Title I of the Workforce Investment Act as an access point for employment-related and training services (Dept. of Labor, Employment & Training Administration, 1998). The one-stop career center system has been described as a “no-wrong door” because it allows individuals with disabilities to choose, receive, and blend a variety of employment and training services through a single door (Dew, McGuire-Kuletz, & Alan, 2001). Productive and effective partnerships in one-stop career centers also provide individuals with meaningful and seamless access to information, services, and opportunities in the world of work. 

To achieve the goal of a comprehensive statewide workforce investment system, at least one local career center providing core and more intensive services, together with access to mandated partnership agencies’ services, was required in areas where the population exceeded 200,000 (Barlas, 1998; Dew et al., 2001). In 2004, the total number of functioning one-stop career centers in the United States was over 3,000 (Holcomb & Barnow, 2004).

One-stop career centers are obligated to ensure that their facility and services are universally accessible to any individual seeking employment (Rutgers, 2002). In addition, the Nondiscrimination and Equal Opportunity Regulations for the Workforce Investment Act stated that people with disabilities have a right to use the one-stop system, and are entitled to reasonable accommodations and modifications when using its services (Hoff, 2002). Section 188 of the Workforce Investment Act contained the requirements for equal opportunity and anti-discrimination for the one-stop career centers, which included a description of discrimination on the basis of disability (U.S. Government Accountability Office, 2004). A Section 188 checklist was available that assessed a center’s nondiscrimination obligations and performance, increased accessibility, and identified resources to ensure compliance with these requirements (National Council on Disability, 2005). Unfortunately, many one-stop career centers were not equipped to serve people with disabilities, and automatically referred these individuals to the public vocational rehabilitation system (Hoff, 2002).

Goals of the One-Stop Career Center System
The Department of Labor, Office of Disability Employment Policy, (2001) indicated that in its application to people with disabilities, key goals of the one-stop career center approach were to streamline services, empower individuals, and provide universal accessibility. Streamlined services were to be provided by all partners to programs, while activities and information were to be co-located, coordinated, and integrated as a whole (Dept. of Labor, Office of Disability Employment Policy, 2001). Financial choices to empower individuals through Individual Training Accounts allowed eligible adults to purchase training services, in conjunction with advice, guidance, and support through the one-stop career center system, (Dept. of Labor, Office of Disability Employment Policy, 2001). Universal accessibility to core employment-related services ensured that any individual was able to access a variety of employment services (Dept. of Labor, Office of Disability Employment Policy, 2001; Timmons, Fesko & Cohen, 2004). Universal accessibility to all aspects of the one-stop career center allowed for use by diverse populations, including people with physical, sensory, and learning disabilities, mental retardation, mental health issues, and head injuries (Hoff, 2002). Accessibility included physical access to a center, as well as access to its virtual and computer-based resources, programs, and services (Funaro & Dixon, 2002; Hoff, 2002). 
            Other goals of the one-stop career center system were to develop an accurate performance assessment of its responsiveness to people with disabilities (Hall & Parker, 2005), and to create seamless service delivery between the workforce and disability systems (Cohen, Timmons & Fesko, 2005). Seamless service delivery consists of a smooth, coordinated, and streamlined delivery of services by different agencies, is efficient, links multiple programs into one system, and reduces paperwork and duplication (Cohen et al., 2005). Therefore, a customer with a disability would not be required to physically seek and navigate multiple services to access a variety of needed services (Cohen et al., 2005). Seamless services delivery simplifies the process for the customer, since partnering agencies in the one-stop career center negotiate each other’s agencies to collaborate and coordinate services, resulting in improved consumer outcomes (Cohen et al., 2005).  
            The roots of customer satisfaction research were established in the healthcare and business fields over 30 years ago (Capella & Turner, 2004). Aspects of customer satisfaction studied have included perceived performance, customer expectations, service quality, delivery, and the gaps and relationships between these concepts (Davis, 2003). Customer satisfaction questionnaires are the most common way of collecting satisfaction data, and are used as an outcome measure, a basis for reforming or improving services, and a determination of best practice and best value (Atwal & Caldwell, 2005). Additionally, Saroki (2002) pointed out that customers “bring unique perceptions and expectations that can be used to evaluate service quality and satisfaction” (p 10).
            Similar to the variety of definitions of disability, differences exist not only in definitions of customer satisfaction and measurement of its concepts and variables, but also in application to diverse and dissimilar settings (Giese & Cote, 2000). The resulting numerous measures and variables for customer satisfaction have resulted in no single definition that accommodates all consumer views and circumstances (Giese & Cote, 2000).
            Further evidence of the inconsistency in definitions of consumer satisfaction can be located in research that addresses the characteristics constituting a quality service. Patterson (1992) wrote that four characteristics comprise a quality service that meets or exceeds customer expectations. Parasuraman (1988), however, stated that service quality is formed by five characteristics that address both the consumer’s expectations and evaluation, and that there is a relationship between service quality opinions and satisfaction. Anton believed that customer satisfaction refers to several aspects of a relationship with a customer, while Karten argued that both the product and service process are equally important (Rutgers, 2002).
            Deese (2002) discussed the difference between customer service and customer satisfaction, and indicated that customer service involves measurement of the standards established by authorities, boards, or experts. Customer satisfaction, on the other hand, is measured by the customers’ standards in meeting their expectations (Deese, 2002). Expectations contributing to the customer’s experience include availability, responsiveness, timeliness, comprehensiveness, pleasantness, and reliability of the services provided, as well as overall satisfaction with the services (Deese, 2002).
            It has been recommended that customer satisfaction data collection not only assess past performance, but consider the ultimate purpose of the information and how it can be used in shaping the future (McColl-Kennedy & Schneider, 2000; Rutgers, 2002). This involves a positivistic and objective approach, as well as classical science measurement of the isolated parts of a phenomenon (McColl-Kennedy & Schneider, 2000). The use of Likert scales is also suggested when surveying customer satisfaction with service delivery (Rutgers, 2002). Likert scales supply a numerical scale to the question of an individual’s agreement, approval, and/or opposition (Rutgers, 2002) and enable respondents to rate variables that measure attitudes, emotions, perceptions, and expectations for various issues (Bernard, 2000).
            Due to a developing interest in quality assurance and continuous quality improvement, client satisfaction in social service programs has increased, as it not only provides insight, but information useful for improvement of services (Harris & Poertner, 1997). In a review of client satisfaction literature by Harris and Poertner (1997), two overall approaches were identified. One approach considered the client’s response to satisfaction with the service, and the other approach considered the specific features of a service. Consumer satisfaction research in the human services also indicated a need for increased consumer involvement, and to achieve this, determination of how the client defines satisfaction is necessary (Harris & Poertner, 1997; Richard, 2000).
            Harris and Poertner (1997) defined client satisfaction as the client’s perspectives on aspects of the service transaction important to them; thus, the clients are the most important sources of identification of the service’s features. In a study of perceptions of consumers with disabilities and staff in a community-based rehabilitation program, Hagen-Foley, Rosenthal, and Thomas (2005) found greater satisfaction and outcomes were related to consumers’ perceptions of informed choice. Richard (2000) suggested that to ascertain whether consumers’ needs have been met or not is to just ask them. He recommended that customer satisfaction surveys use a multidimensional questionnaire that measures the items the customers themselves use to arrive at their opinions of satisfaction. Such a strategy would result in measures that more accurately reflect customers’ concerns (Harris & Poertner, 1997).
                         Customer Satisfaction in the One-Stop Career Center System
Performance accountability for customer-focused results required by the Workforce Investment Act of 1998 have included data collection, tracking of performance, analysis of information, and modification of strategies for improvement (D’Amico et al., 2001). A Training and Employment Guidance Letter (TEGL 7-99) issued by the U.S. Department of Labor, Employment and Training Administration in 2000, addressed core and customer satisfaction measures for one-stop career centers required under the Workforce Investment Act. The TEGL 7-99 provided technical guidance and a detailed description of methodology in the implementation of required measures and calculation of performance levels regarding customer satisfaction for both participants and employers (U.S. Dept. of Labor, Employment & Training, 2000). A survey approach was mandated, using a small set of questions to form a customer satisfaction index, and is based on the American Customer Satisfaction Index (U.S. Dept. of Labor, Employment & Training, 2000).

The widely used American Customer Satisfaction Index is a statistical computerized model that measures and predicts customer satisfaction with goods or services provided by industries and governmental agencies (Claes Fornell International Group, 2003). The Index produces scores for causes, consequences, relationships, and levels of customer satisfaction (American Consumer Satisfaction Index, n.d.). Scores ranging from 1 to 100 predict customer experiences with products, services, and key behavioral consequences of satisfaction (American Consumer Satisfaction Index, n.d.). In turn, organizations can use the American Customer Satisfaction Index to assess customer loyalty, pinpoint potential barriers, predict returns, and identify areas in which customer expectations are not met.

The Index enables tracking of progress and continual improvement within the workforce system and organizations, as well as industries outside of the system (U.S. Dept. of Labor, Employment & Training, 2000). The model that was provided concerned respondents’ experience with the one-stop career centers’ programs and services and contained three questions that were required in the surveys. A Likert scale of 1 to 10 was used for each response. The first question concerned overall satisfaction with services, or the respondent could indicate don’t know or refused to answer (U.S. Dept. of Labor, Employment & Training Administration, 2000). The second question concerned the extent to which services met the respondent’s expectations, and the third question asked how well the respondent thought the services compared with the ideal set of services for an individual in the same circumstance (U.S. Dept. of Labor, Employment & Training Administration, 2000). The American Customer Satisfaction Index was chosen because it enabled performance assessment both within the workforce system and organizations, as well as industries outside of the system (U.S. Dept. of Labor, Employment & Training, 2000). It also has a history of usefulness in tracking change over time, which allows for tracking of continual improvement and progress (U.S. Dept. of Labor, Employment & Training, 2000).

Scores from the three questions were combined with The American Customer Satisfaction Index to address different dimensions of customers’ experiences. One score was obtained for each participant and employers’ customer groups (U.S. Dept. of Labor, Employment & Training, 2000). Details on customer satisfaction measures were given in the TEGL 7-99 for both participants and employers on who was to be surveyed, the size of the sample, the methodology, timing of surveys, and questions were to be asked. Telephone surveys randomly included adults, dislocated workers, youths aged 14-21, and employers who received services from one-stop career center (U.S. Dept. of Labor, Employment & Training, 2000). The model required in the telephone surveys consisted of three questions about a respondent’s experience with the one-stop career centers’ programs and services. A Likert scale of 1 to 10 was used for the three questions concerning overall satisfaction with services, the extent to which services met the respondent’s expectations, and how well the respondent thought the services compared with the ideal set of services for an individual in the same circumstance (U.S. Dept. of Labor, Employment & Training, 2000). Respondents also had the option of answering don’t know or refusing to answer (U.S. Dept. of Labor, Employment & Training, 2000).

The American Customer Satisfaction Index is the proprietary property of the University of Michigan and Claes Fornell International owns the software (U.S. Dept. of Labor, Employment & Training, 2000). Therefore, the U.S. Department of Labor created a license agreement with the University of Michigan that allowed the states to use the American Customer Satisfaction Index for a statewide sample. If a state chose to utilize it, an independent contract was consequently required with the University (U.S. Dept. of Labor, Employment & Training, 2000). States were invited to make arrangements with Claes Fornell International for additional assistance in measuring, analyzing, and understanding of the American Customer Satisfaction Index data.
           Surveys have been conducted to comply with governmental requirements since the implementation of the one-stop career center system. The federal Employment and Training Administration did not establish specific criteria for evaluating customer satisfaction, and allowed the states to define customer satisfaction broadly, that is, the result of how well performance meets customer expectations (Rutgers, 2002). Therefore, initial surveys conducted by the states and local areas often assessed other elements of the one-stop career center system as well. Requirements and attempts to measure the responsiveness of the one-stop career center program toward job seekers with disabilities, and programmatic and physical accessibility, are limited in their scope (Hall & Parker, 2005).
            An overview of research to assess customer satisfaction in one-stop career centers is provided in the following section.
            Social Policy Research Associates. The U.S. Department of Labor awarded a contract to Social Policy Research Associates to evaluate the progress of implementation of the Workforce Investment Act of 1998, which included the one-stop career center service delivery system (D’Amico et al., 2001). Data from approximately 16 states was collected over a three-year period and reported in a final interim report in 2001. Survey respondents described the system that was used to measure customer satisfaction for job seekers and employers, how the data was evaluated and disseminated locally, and how they were used to improve services and customer satisfaction (D’Amico et al., 2001). If a state did not have a customer satisfaction assessment system in place, a description of its plan and timeframe regarding incorporation were requested (D’Amico et al., 2001). Findings showed that all states except one had established a system to measure customer satisfaction (D’Amico et al., 2001). A procedure for the assessment of satisfaction of customers had not been entirely developed in several sites, although all of the states acknowledged this information was useful in program evaluation (D’Amico et al., 2001). Surveys used in customer satisfaction assessment varied, and included annual point-of-service surveys, mail surveys, contracted surveys, and three- or four-point question surveys based on the Department of Labor’s requirements (D’Amico et al., 2001). There was no mention of whether the surveys included information on any one-stop career center customers who had a disability.       
            Rutgers, State University of New Jersey. It was not until a year later that a major nationwide survey conducted by Rutgers at the State University of New Jersey assessed one-stop career centers and included people with disabilities. The survey found that 99% of one-stop career centers provided career counseling, 96% provided job placement, 91% provided job coaching, 90% provided occupational training, and 95% provided post-employment services (Rutgers, 2002). Results indicated that one-stop career center partners provided additional services in both core and intensive services.
            The majority of respondents felt accessibility issues and outreach to both employers and people with disabilities required improvement. More specific inclusive planning and implementation regarding streamlined performance management, accessibility, and outreach were recommended in Rutgers’ (2002) report. The Workforce Investment Act required specific performance measures from one-stop career centers to track usage by people with disabilities, and Rutgers (2002) found that 60% of survey respondents did collect these data. Only 50% of respondents actually tracked customer satisfaction, however, and the data did not include assessment of satisfaction of customers with disabilities, but rather only disability-related access or accommodation issues (Rutgers, 2002).
 Gloucester County One-Stop Project. The Gloucester County One-Stop Project in New Jersey assessed customer satisfaction and participation rate of people with severe disabilities in a 12-week study in 2003. Matched-pairs of subjects, that is, persons with disabilities and persons without disabilities, completed three customer satisfaction questionnaires, which were referred to as the One-Stop Customer Report Card (Gervey, Gao, & Rizzo, 2004). Developed by The Law, Health Policy and Disability Center of the College of Law at the University of Iowa, the One-Stop Customer Report Card has been used in one-stop accessibility studies (Gervey et al., 2004). The customer satisfaction questionnaires in the Report Card included an initial customer report card, weekly follow-up report cards, and an exit interview customer report card (Gervey et al., 2004). Items on the questionnaires pertained to customer satisfaction on disability-related issues, treatment by staff, condition of the facility, access to services, obtaining services, work area, equipment, materials, communication with staff, and overall impression (Gervey et al., 2004).

Results of the Gloucester County One-Stop Project revealed that out of 2994 customer visits, approximately 21%, or 446 customer visits, involved delivery of one-stop services to people with a disability (Gervey et al., 2004). Respondents with a disability reported less customer satisfaction than individuals without disabilities who also had used the one-stop career centers’ services, self-service work area, equipment, and/or written materials (Gervey et al., 2004). Initial impressions by respondents with disabilities remained consistent throughout the study, and customers with disabilities believed they were treated no differently than customers without disabilities (Gervey et al., 2004). The study also reported that people with disabilities expressed a lack of awareness regarding services offered at the one-stop career center and the availability of free equipment and computer job searches (Gervey et al., 2004). Furthermore, staff at the one-stop career center believed that very few individuals with severe disabilities were actually served by the center (Gervey et al., 2004).

It was concluded that responsibility and accountability for customer satisfaction were shared by the one-stop career center and its partner agencies, which operated independently of each other (Gervey et al., 2004). The differences in shared accountabilities and responsibilities by one-stop career centers and its partners made it challenging to obtain accurate assessment of customer satisfaction and mutual achievement of seamless service goals in the one-stop career center system.
            With the implementation of the Disability Program Navigator Initiative, it was realized that the Iowa University Law, Health and Policy and Disability Center One-Stop Customer Satisfaction Survey was not an adequate psychometrically sound, universal-friendly customer satisfaction instrument suitable for larger studies (Gervey & Gao, 2009). Significant revisions to the customer satisfaction survey were made, reducing it from 87 to 37 items, and the item scaling was also made uniform using a 5-point Likert type scale. The revised survey, the Universal One-Stop Career Center Customer Satisfaction Questionnaire, had four factors that measured physical accessibility, equipment and resource room, staff services, and overall impression of services, and was easier to use and score (Gervey & Gao, 2009). When administered to a sample of 100 persons with psychiatric disabilities, it appeared that customer satisfaction scores were not affected by demographic variables and that customer satisfaction did not differ between individuals with and without disabilities (Gervey & Gao, 2009). More satisfaction was reported by customers who had the greatest number of visits to the one-stop career center than by customers who attended it less (Gervey & Gao, 2009). Data was not provided as to length of time it took for an individual to complete the customer satisfaction questionnaire, or whether a customer met with the disability program navigator. The report indicated that having a customer satisfaction questionnaire that was easy to use and score would assist one-stop career centers to evaluate the impact of the disability program navigator program, but it did not include recommendations on how this could be achieved.
            Social Policy Research Associates and TATC Consulting. Social Policy Research Associates and TATC Consulting (2004) conducted a national evaluation of the implementation of the Workforce Investment Act, which included the one-stop career center service delivery system. Progress by eight states was discussed on two measures of customer satisfaction for performance accountability required by the Department of Labor. The two measures of customer satisfaction were participant customer satisfaction and employer customer satisfaction (Social Policy Research Assoc. & TATC, 2004). States reported a variety of sampling and data collection methodologies, and difficulty in the collection of information about customer satisfaction measurements for local areas and the state as a whole (Social Policy Research Assoc. & TATC, 2004). Five states contracted customer service data collection to an institute or university, while several local areas gathered their own customer satisfaction data (Social Policy Research Assoc. & TATC, 2004). All states included the required American Customer Satisfaction Index questions; one added questions to the American Customer Satisfaction Index; other states were in the process of developing their own survey instruments; and some sought assistance with its creation from a contractor (Social Policy Research Assoc. & TATC, 2004).
A reported issue of concern by the researchers was the use of appropriate sampling and data collections for reliable customer satisfaction measurement at the state and local levels. Despite a lack of consistency in data collection and strategies by the states and local areas, the report recognized that serious and determined efforts had been made to follow the requirements of the Workforce Investment Act (Social Policy Research Assoc. & TATC, 2004). As with several previously discussed studies, however, there was no specific mention of assessment of satisfaction from one-stop career center customers with disabilities.

The Institute for Community Inclusion. Case studies were conducted by The Institute for Community Inclusion to examine the nature of service delivery to one-stop career center customers with a disability, and to assess strategies utilized by three states (Timmons, Fesko, & Cohen, 2004). Findings on innovative strategies and practical solutions to support customers with disabilities in one-stop career centers were presented in a series of briefs (Timmons, Fesko, & Cohen, 2003; Hamner & Timmons, 2005). The study concluded that, although useful strategies were developed to enhance services to people with disabilities in the one-stop career centers, the actual impact the strategies had on customers with disabilities was not clearly understood (Timmons et al., 2004).
            Another case study report of the same three states discussed policy conflict and policy ambiguity influences on seamless service delivery in the one-stop career centers (Cohen, Timmons & Fesko, 2005). It reported that the lack of common collaborative goals between the one-stop career center partners contributed toward an exclusion of all possible opportunities available to customers with disabilities (Cohen et al., 2005).
            In another case study exploring the characteristics of services based on the individuals’ experiences in state employment agencies, the one-stop career center was mentioned by several participants (Timmons et al., 2002). Five items in the state employment agency services were found to be central to success and high customer satisfaction. These elements were a comfortable agency culture, consumer-directed service delivery model, accessible resources, reliable and supportive personnel, and effective service coordination (Timmons et al., 2002). A combination of the elements contributed to the likelihood of satisfaction and a successful outcome of a customer’s experience with the state employment agency, that is, employment that the individual found satisfactory (Timmons et al., 2002). A deficiency in any of these services resulted in customer dissatisfaction, disappointment, and unsatisfactory experiences (Timmons et al., 2002). Personal interviews were done only with adults with disabilities who had a successful outcome, and the study did not state the duration or timing of the interviews.
            Berkeley Policy Associates. Berkeley Policy Associates’ (2001) evaluation of the one-stop career centers recommended promotion of effective use of customer satisfaction data to ensure program responsiveness to the needs of people with disabilities. A mystery shopper program that collects qualitative “real-life” data from a customer’s perspective was proposed to evaluate the responsiveness by one-stop career centers toward people with disabilities (Boeltig, Brugnaro, Gandolfo, & Gelb, 2004). This technique provided a more dynamic picture of the typical customer service, identified key areas for improvement, and evaluated how a business responds to its customers. A sample one-stop career center customer report card for such a program was developed that specifically focused on responses from individuals with a disability in assessing satisfaction with services, as well as building accessibility, overall environment, computers, orientation, and workshops (Boeltig, Brugnaro, Gandolfo, & Gelb, 2004).
            Subsequently, the mystery customer investigation technique, together with focus groups, were used by Hall and Parker (2005) to obtain customer feedback concerning accessibility, services, and disability awareness of staff at one-stop career centers. Results indicated that the needs of the customers with disabilities in the community were not being entirely met (Hall & Parker, 2005). Hall and Parker (2005) indicated that the issues and concerns identified in their study were widespread, and six initial specific recommendations were provided to improve accessibility and customer orientation. The recommendations included staff interaction with customers with disabilities, staff knowledge about disabilities and disability etiquette, physical and programmatic accessibility, and marketing to both employers and consumers (Hall & Parker, 2005). The report by Boeltig, Brugnaro, Gandolfo, & Gelb (2004) on the mystery shopping program recommended that customer feedback should also be gathered through other methods, such as customer satisfaction surveys.

In an effort to streamline services and create seamless service delivery, an addition to the one-stop career center system was jointly developed by the U.S. Department of Labor and the Social Security Administration. Initially established in 2002, the Disability Program Navigator Initiative provided a professional with expertise on workforce development issues for people with disabilities in the one-stop center career centers (U.S. Dept. of Labor, Employment & Training Administration, 2005a). When this study was begun, there were approximately 260 disability program navigators nationwide who facilitated access to disability services to secure the most favorable employment outcome for one-stop career center customers with disabilities (Holcomb & Barnow, 2004; U.S. Dept. of Labor, Employment &Training Administration, 2005a). Approximately 30 states formed cooperative agreements to sponsor the Disability Program Navigator Initiative, and in 2009, it was reported that there were over 450 Navigators in 45 states, DC, and Puerto Rico (Federal News Service, 2009).
            Goals of the Disability Program Navigator Initiative were similar to those of the one-stop career center system, that is, to provide seamless and comprehensive services to people with disabilities, increased employment and self-sufficiency for Social Security beneficiaries and others with disabilities, facilitation of access to programs and services, and linkages to the employer community (U.S. Dept. of Labor, Employment & Training Administration, 2005a). Specific and multiple outcomes for the Disability Program Navigator Initiative were to improve access to the Workforce Investment Act’s services for people with disabilities in the one-stop career centers, to increase this population’s employment and customer satisfaction, to expand relationships with one-stop career program partners and employers, and to increase the use of the Ticket to Work (U.S. Dept. of Labor, Employment & Training Administration, 2005a). Other expectations for the disability program navigator’s role were to increase the one-stop career centers linkages with employment networks; to use federal tax incentives regarding hiring people with disabilities; to use benefits counselors; to use Medicaid by people with disabilities; and to develop assets for customers with disabilities (U.S. Dept. of Labor, Employment & Training Administration, 2005a). Additional outcomes included facilitating access for people with disabilities to technology and self-employment resources, blending funding support, and improving service and funding collaboration efforts (U.S. Dept. of Labor, Employment & Training Administration, 2005a). The Disability Program Navigator Initiative has also facilitated a partnership between IRS and VETS, as well as developed and implemented effective solutions for transportation connections to the workplace for its customers (U.S. Dept. of Labor, Employment & Training Administration, 2010).

The disability program navigator was established by Project WIN in all of the workforce regions in Colorado’s one-stop career centers since 2000 (Emery et al., n.d.). Project WIN was a five-year systems’ change project funded through the U.S. Department of Education, Rehabilitation Services in 1998 (University of Colorado Health Sciences Center, n.d.). An evaluation report on its disability program navigator project included questions on accessibility by people with disabilities, the effect of the disability program navigator on accessibility, and whether consumers were satisfied with the one-stop career center services (Emery et al., n.d.). Specifically, whether the consumers believed services to be useful and how satisfaction compared between those who did and did not use the disability program navigators was mentioned (Emery et al., n.d.). The job characteristics of job seekers who reported disabilities revealed differences in demographic information, higher use by veterans, that some disability program navigator customers did not report a disability, and customers with disabilities received more services than those without disabilities (Emery et al., n.d.). The report, however, did not provide further information on whether customers were satisfied or how useful they felt the services were. It also referred to a plan for conducting longer-term evaluation of the workforce system and developing a mechanism to systematically collect and analyze data on customers with disabilities (Emery et al., n.d.).
            Bader (2003) reported that disability program navigators (also called disability resource specialists or consumer navigators) were frequently used by staff, management, and partner agencies in the one-stop career centers to assist people with disabilities. A primary recommendation in Bader’s (2003) study was to continue the disability program navigator program in the one-stop career centers, as it was found to be an integral part of service delivery. The majority of Colorado’s Workforce Center directors also felt that the disability program navigators contributed positively to their centers, improved relationships and coordination with other agencies, raised awareness of services, served as an expert and resource to staff, and prevented clients from falling through the cracks (Emery et al., n.d.). Considering the core competencies, extensive training, and comprehensive knowledge on disability issues required in the disability program navigator position, it was reasonable and logical that a disability expert would enhance and coordinate services, and significantly contribute to seamless delivery for customers with disability in the one-stop career centers (Bader, 2003).
Assessments of the Disability Program Navigator Initiative were conducted using a quarterly evaluation report instrument, a telephone survey, an in-depth study, and a comparison of individual outcome data (U.S. Dept. of Labor, Employment & Training Administration, 2005a). Participants in the assessment included the workforce directors, senior management staff, supervisor of the disability program navigator, one-stop career center director, employer liaison case manager or career director, vocational rehabilitation representative, area work incentives coordinator, Social Security Administration field office representative, BPAO (benefits, planning, assistance, and outreach) specialist, and the disability program navigator (U.S. Dept. of Labor, Employment & Training Administration, 2005a). Although overall satisfaction with the Disability Program Navigator Initiative was very high from assessment participants and exceeded expectations, other than the one-stop career centers’ customer satisfaction surveys, people with disabilities were not included in any program assessments (U.S. Dept. of Labor, Employment & Training Administration, 2005a).

What data that has been collected pertinent to the disability program navigators concerned time allocation for specific activities by the disability program navigators; changes in their time allocations; levels of activity and outcomes for program relationships; outreach and training activities; and referrals to and from the disability program navigator (U.S. Dept. of Labor, Employment & Training Administration, 2005a). Specific examples were requested in each area for successful outcomes, as well as skills or knowledge areas that the disability program navigators felt would improve their own performance (U.S. Dept. of Labor, Employment & Training Administration, 2005a). Statistics were also obtained for performance measures and program participants, similar to those of the one-stop career center system, including the percent of program exiters with disabilities served, an entered employment rate measure, wage gain, and an efficiency measure of earning change (U.S. Dept. of Labor, Employment & Training Administration, 2005a). As with the one-stop career center system, this information was necessary for establishing and achieving goals for continued support for federal program funding (U.S. Dept. of Labor, Employment & Training Administration, 2005a).

 Four-State Study. National Overview Report

            Between February and July 2005, the Iowa City Law, Health Policy & Disability Center and University of Iowa College of Law conducted face-to-face interviews with 117 individuals to obtain information on their experiences with the disability program navigator’s services in four states. The four states had 27% of nationwide disability program navigators and exemplified diverse approaches to implementation of the Disability Program Navigator Initiative (Emery & Bryan, 2005). One of the evaluation questions was, How satisfied are persons with disabilities with a navigator intervention strategy? The total number of actual customers with a disability in all four states that were interviewed was 16, which was only 14% of total interviewees. Specific information asked from these customers concerned employment information; the point at which they encountered the navigator; introduction and navigator experience; services received; what difference the navigator made; public assistance benefits and status; discrimination experiences; and suggestions for improvement (Emery & Bryan, 2005). Customers’ assessments on the quality on services received from the disability program navigator were not addressed. The report indicated that the majority of non-customer respondents felt that Disability Program Navigator Initiative was a “successful example of the Federal government providing funds, structure, the tools and training needed to make an important initiative work…the DPN Initiative has proven its point” (Emery & Bryan, 2005, p 19).

   Navigator Initiatives
            The U.S. Department of Labor and Training released a Training and Employment Notice 1-10 on the Employment and Training Administration’s quantitative evaluation of the Disability Program Navigator Initiative in four states during program years 2002-2007 (Livermore & Colman, 2010). Prepared by Mathematica Policy Research and through the use of the One-Stop Career Center system by Supplemental Security Income and Social Security Disability Insurance beneficiaries, the report focused on employment outcomes of adults age 21 and over who used the one-stop career centers during the four-year period. One of the research issues concerned determining if utilization and outcomes differences over this time period could be attributed to the Disability Program Navigator Initiative. The report suggested that having a disability program navigator in the one-stop career centers could have contributed to the findings of a significant and marked increase over time in the percentage of one-stop career center users receiving federal benefits who disclosed their disabilities, even though this disclosure wasoptional (Livermore & Colman, 2010). Reasons given for these findings were that disability program navigators facilitated the disclosure of disability information, perhaps by raising staff’s awareness of disability issues, improving administrative processes, conducting outreach, developing linkages with organizations, and creating an environment in which users were more likely to disclose their disabilities (Livermore & Colman, 2010). Data found that individuals who more likely disclosed their disabilities had sensory disabilities, that is, hearing, visual, or speech impairments (Livermore & Colman, 2010).
            Data collected also showed that the one-stop career centers were probably serving many more people with disabilities than was implied by the self-reported disability information. Thus, the findings indicated that there was an important role for the Disability Program Navigator Initiative to continue addressing the needs of one-stop career center customers who receive federal benefits, as well as other users with disabilities (Livermore & Colman, 2010). However, due to data limitations and the variety of implementation by the states of the Disability Program Navigator Initiative, a more rigorous assessment of the specific impact of the services provided by the disability program navigator was not feasible. Nevertheless, the report stated that if the disability program navigators were assisting the one-stop career centers to make their serrvices more accessible to people with disabilities and  impacting systems change in ways that generally improved employment services to this population, the end result could lead to improved employment outcomes for people with disabilities (Livermore & Colman, 2010).
            Although the one-stop career center system has been in existence since 1998, there continues to be a significant gap regarding customers’ actual experiences in the use of the one-stop career centers and services provided by a disability program navigator. Therefore, an increase in research to obtain the perceptions and satisfaction of one-stop career centers customers, including those with disabilities, would allow for monitoring changes and provide insight and understanding for improvement, modifications, and future funding. This would further enable development of customized survey questionnaires on customer preferences, result in greater feedback to inspire improved performances of the one-stop career centers, and an increase in additional one-stop career center customers with disabilities (McColl-Kennedy & Schneider, 2000). Taking into account potential future public spending cuts, research results can be used to document customer satisfaction for continued state and federal support as well (Bryant et al., 1998). It is hoped that higher participation and involvement of people with disabilities in one-stop career centers would enhance and increase their employment in the workforce, and ultimately, contribute to an improved quality of life (Kosciulek, 2004; McColl-Kennedy & Schneider, 2000).


            The purpose of this section is to explain how the responses and data from the participants was collected, studied, and analyzed. The data for this study originated from a self-administered survey of the satisfaction levels of customers who received services from a disability program navigator in a one-stop career center. The survey was given to a purposive sample from two one-stop career centers. A purposive sample is a sample that possesses specific characteristics important for a study (Sproull, 2002). The following research questions were addressed.
  1. To what extent are customers satisfied with the services of the disability program navigators in one-stop career centers?
  2. What are the areas that customers identify as needing improvement?
  3. How do the customers’ levels of satisfaction with services received from the disability program navigator relate to age, gender, education, how they found out about the disability program navigator, how quickly they were able to meet with the disability program navigator, and the amount of time spent in their meeting? 
Although quantitative research methods limit the ability to measure social context of phenomena, they are valuable in contributing to the foundation of knowledge and understanding of the reality of phenomena (Bernard, 2000; McColl-Kennedy & Schneider, 2000). A classical science design, the positivistic approach assumes that the whole of a phenomenon can best be understood by dividing it into isolated parts (McColl-Kennedy & Schneider, 2000). The phenomenon in this study was customer satisfaction in one-stop career centers, and the isolated part of the phenomenon studied was the customers with disabilities who received services from the on-site disability program navigator. A quantitative and descriptive approach to measure levels of customer satisfaction and a description of the sample was taken, using a customer satisfaction rating survey and a background information sheet.  A copy of the Background Information Sheet developed for this study is shown in Appendix B.  
        Theoretical Framework
            The Theory of Work Adjustment, developed by Dawis, England, and Lofquist (1964), was the basis for this study. The theory’s framework describes how individual and work environmental factors interact to predict perceived job satisfaction and conceptualizes the interaction in terms of person-environment fit and match. The person-environment theoretical foundation assumes that when individuals are more satisfied, their performance is better, the organizations are more effective, organizational commitment is higher, turnover is less, and there will be greater vocational adjustment and individual positive experiences, as well as compatibility with multiple systems (Kristof-Brown, Jansen, & Colbert, 2002; Ostroff & Rothausen, 1997). The Theory of Work Adjustment has also been used as a model for people with disabilities in the workforce (Lyons, 2004; Strauser & Lustig, 2003). The Federal’s government’s desire to increase the employment of people with disabilities was addressed in the goals of the one-stop career center system, that is, to provide additional services that focused on the unique needs of these individuals, and to match them with satisfying jobs. According to Lofquist & Dawis’ Theory of Work Adjustment (1964), a match between a worker and rewards of a job will result in job satisfaction and subsequent employment stability (Vandenberg & Scarpello, 1990). Job satisfaction also predicts attendance, participation, morale, and overall life satisfaction (Bolton & Brookings, 1991).
            Hershenson (2001) indicated that unless a Workforce Investment Act consumer attains a satisfactory level of work adjustment, the mandated function of the Act regarding job training and placement could not be fulfilled. A Systems Model of Work Adjustment Development proposed by Hershenson (2001) presented major sources of work adjustment problems and interventions to address them that can be applied in the Workforce Investment Act setting. In this model, the foundation for work adjustment for an individual first requires the development of work personality, work competencies, and work goals (Hershenson, 2001). According to Hershenson’s model (2001), work adjustment, that is, a person’s work role behavior, task performance, and worker satisfaction, is also affected by the behavioral expectations of an individual’s work setting, skill requirements of the job, and rewards and opportunities offered by the work setting. The Workforce Investment Act’s service delivery system can both facilitate and impede a consumer’s work adjustment through a cultural, economic, and political context, which can result in work impairments, or barriers (Hershenson, 2001). These work barriers subsequently interact with an individual’s living environments, such as family, peer relationships, and support, thereby further affecting work adjustment. Hershenson (2001) advocated that his model provided an integrated framework in the Workforce Investment Act setting to assess, evaluate, and develop interventions to mitigate or eliminate work barriers, thereby facilitating a positive and satisfactory work adjustment for an individual.

            The Theory of Work Adjustment was an appropriate theoretical framework for this study, in that achievement of employment and job satisfaction are goals of both the one-stop career center system and the Disability Program Navigator Initiative. As part of the Initiative, the disability program navigator served as an expert and resource in disability issues. People interested in job seeking, hiring, or job maintenance use one-stop career centers as a workforce resource. As with the predictive model of the Theory of Work Adjustment, the one-stop career centers are “used to help people identify and choose among work possibilities that will likely bring them satisfaction” (Brown & Lent, 2005, p 20). Furthermore, the Theory of Work Adjustment “can be generalized to apply to any work environment” (Brown & Lent, 2005, p 20). The disability program navigator addresses issues affecting the job satisfaction and work adjustment by a job seeker, employee, or employer on disability-related issues. Providing appropriate services for satisfactory work adjustment, in turn, can have a significant impact on achieving job satisfaction. The disability program navigator “listens” to a customer’s “voice” by effectively facilitating services, resources, and assistance in achieving a satisfactory work adjustment. Therefore, it can be concluded that a customer’s satisfactory work adjustment leads to subsequent job satisfaction, and would result in a satisfied customer of the one-stop career center who used the services provided by a disability program navigator.


            Fitzgerald, Rumrill, and Schenker, (2004) noted that investigation of the relationships of variables in the lives of people with disabilities is an important basic foundation of all social science disciplines and provides a deeper understanding of connections among human phenomena. A quantitative descriptive research design was used in this study to investigate the phenomena of customer satisfaction through assessment of satisfaction and examination of the factors influencing it (Gall, Gall, & Borg, 2003). There was no manipulation of variables or attempts to establish causality. Variables that could not be manipulated in this study included the gender, years of education, and age.
            The customer satisfaction survey in this study was used to elicit respondents’ rated opinions of relevant satisfaction concepts, which were ordinal measures of internal states in terms of less and more to classify and rank them (Bernard, 2000). Statistical data was obtained to indicate differences in satisfaction levels (Sproull, 2002). Data collection on customer demographics and levels of satisfaction allowed for a systemic analysis and description of the characteristics of the one-stop career center’s customers (Gall et al., 2003). Calculation of the correlation coefficient provided both a precise way of measuring the magnitude and direction of the relationship between two or more variables, as well as an explained variance for prediction (Gall et al., 2003).
            Due to the number of one-stop career centers nationwide that have an on-site disability program navigator, it was not possible to survey every one. Therefore, a non-probability sampling design, was used, specifically, a purposive sample of one-stop career centers in the United States that had an on-site disability program navigator. A purposive sample is a sample that is selected because they possess characteristics that are desired by the researcher; however, it limited the external validity in generalizing the results to other one-stop career centers (Sproull, 2002). The purposive sample consisted of two one-stop career centers serving people with disabilities that were identified by a panel of experts in a previous study (Bader, 2003), and that agreed to participate in the study.
            The participants were selected by the contact person at the participating one-stop career centers using the solicitation method. Fifty surveys were sent to each one-stop career center, for a total of 100 surveys. Originally, a random sampling method had been planned using the total number of returned customer surveys to reduce bias. Due to the length of time in obtaining surveys and resultant usable surveys, it was not possible to further narrow down the limited number of surveys for a random sampling.
            Because the one-stop career center system has only been in existence since its creation by the Workforce Investment Act of 1998, there is limited recent research on it, as well as appropriate customer satisfaction surveys involving people with disabilities (Barlas, 1998). Questionnaires assessing client satisfaction with services in human services agencies are plentiful, ranging from generic satisfaction surveys and specially developed surveys, to standardized instruments with published data on reliability and validity. An instrument in the published literature that measures global satisfaction and direct measures of an individual’s personal experiences with a specific service received by individuals is the Client Satisfaction Questionnaire (CSQ-8; Attkisson & Zwick, 1982; Attkisson & Greenfield, 1994; Attkisson & Greenfield, 1999). The questionnaire has been used in quality assurance, evaluation research, program planning, scientific work, and service research studies in a variety of settings in health and human services with a wide range of client groups and service types (Sederer & Dickey, 1996). The Client Satisfaction Questionnaire (CSQ-8) developed by Attkisson and Greenfield (1994) was used in this study.
            A background information sheet was developed to obtain demographic information from each respondent on age, gender, and educational level, and included questions on whether the customer self-disclosed a disability, where the customer was referred from, length of time until the individual met with the disability program navigator, and length of the appointment. The Flesch-Kincaid grade level for readability statistics of the background information sheet that was developed by the researcher for this study indicated that it was a grade 6.3 level. A copy of the Background Information Sheet is shown in Appendix B. Survey packets were mailed to participating one-stop career centers using the United States Postal Service, enabling objectivity that was distant and interest-free on the part of the researcher, a criterion for classical research (McColl-Kennedy & Schneider, 2000).  
            The Client Satisfaction Questionnaire (CSQ-8) is a popular, structured, self-administered questionnaire directly assessing consumer satisfaction with a health or human service (Attkisson & Greenfield, 1999; Sederer & Dickey, 1996; World Health Organization, 2000). It has been used in studies of comparison measures for alternative approaches to assess satisfaction, evaluation studies, and clinical research in various populations in both the United States and abroad since 1973 (Attkisson & Greenfield, 1994; Attkisson & Greenfield, 1999). Developed by Attkisson and Larsen in 1975, the questionnaire considers the opinion and perspective of a consumer and assesses aggregate satisfaction levels of a group of respondents (Sederer & Dickey, 1996).
            The Client Satisfaction Questionnaire (CSQ-8) was designed to be used with a wide and diverse range of client groups and types of services, and found to have clear and consistent meanings across contexts and settings on global satisfaction, making it a suitable instrument to assess customer satisfaction in the one-stop career centers (Sederer & Dickey, 1996). Furthermore, the Client Satisfaction Questionnaire (CSQ-8) is the shorter form of a 31-item instrument, which made it even more appropriate for ease of use and administration with the study’s participants (Attkisson & Greenfield, 1994; Attkisson & Greenfield, 1999; Sederer & Dickey, 1996). The Client Satisfaction Questionnaire (CSQ-8) has been standardized, thoroughly investigated, validated in mental health settings and addict populations, and combines internal consistency with other solid psychometric properties (DeWilde & Hendriks, 2005).
            Nine conceptual domains of client satisfaction are addressed in the Client Satisfaction Questionnaire (CSQ-8), which are physical surroundings; procedures; support staff; type or kind of service; treatment staff; quality of service; amount, length, or quantity of service; outcome of service; and general satisfaction (Sederer & Dickey, 1996). An 8-item 4-point Likert scale, the Client Satisfaction Questionnaire (CSQ-8) is easily scored, and optional identification by a respondent has not been found to result in lower response rate or higher reported satisfaction (Sederer & Dickey, 1996). Scoring involves an unweighted sum of all responses to compute a total scale score (Attkisson & Zwick, 1982; Attkisson & Greenfield, 1994; Attkisson & Greenfield, 1999). Higher total customer satisfaction scores indicate higher levels of customer satisfaction.
            The recommended approach by Attkisson and Greenfield (1994) for the questionnaire’s administration was a point-of-service survey. This was the approach taken in this study, that is, surveys were given at the each of the research sites where services were received. According to Capella (2002), a desired reading level in consumer satisfaction instruments should be 5th to 6th grade. The Flesch-Kincaid grade level for readability statistics of the Client Satisfaction Questionnaire indicated it was a grade 4.7 level (Attkisson & Zwick, 1982; Attkisson & Greenfield, 1994; Attkisson & Greenfield, 1999). This was an appropriate level of reading ease for any participant in this study that may have a disability. Formal permission was obtained from its researcher for use in this study; applicable fees were paid; and no modifications or changes were made to the questionnaire, which was a requirement by the researcher.
            The internal consistency of the Client Satisfaction Questionnaire is very high, measuring 0.83-0.93 (Cronbach’s coefficients). Moderately high item-correlations for the questionnaire are reported, which supported its use as a one-dimensional and general satisfaction measure (Sederer & Dickey, 1996). Inter-item correlations among scale items are also moderately high (Sederer & Dickey, 1996). Construct validity of the Client Satisfaction Questionnaire is enhanced by high correlations (.6 to .8) between it and other client satisfaction instruments (Attkisson & Zwick, 1982; Attkisson & Greenfield, 1994; Attkisson & Greenfield, 1999). A low relationship has been typically observed between satisfaction and other variables of the Client Satisfaction Questionnaire, contributing to its favorable discriminant validity (Attkisson & Greenfield, 1994). Due to its highly desirable psychometric properties, the Client Satisfaction Questionnaire (CSQ-8) allowed for comparability and external reporting use, reduced costs, and more easily guaranteed reliability and validity (McColl-Kennedy & Schneider, 2000; Sederer & Dickey, 1996).   

            A survey data collection process was chosen for this study because it allowed for a representative sample from the population, as well as the the likelihood that customers would be willing to participate, the likelihood of avoiding social desirability bias, a medium response rate, and cost effectiveness (Dillman, 1978). Data collection was done through the use of two questionnaires, the anonymous Customer Satisfaction Questionnaire (CSQ-8) and an original background information sheet, using the following procedure. The researcher initially mailed a letter to four one-stop career centers that were identified as suitable. The letter requested voluntary participation, and asked to identify a contact person at each one-stop career center. The two one-stop centers that agreed to participate were then mailed a survey package. The package contained a cover letter to the contact person and 50 participant packets in separate envelopes. The cover letter detailed how to identify, administer, and collect survey packets for each participant. Each research participant packet contained the following items; a cover letter with information about the research; a request for voluntary participation; explanation of risks, benefits, privacy, and confidentiality; researcher contact information; consent to participate by completion of the questionnaires and instructions of completion; an anonymous background information sheet; a Customer Satisfaction Questionnaire (CSQ-8); and a self-addressed stamped envelope. Each survey, background information sheet, and envelope were coded with a number that only the researcher knew and tracked. The code included a letter for the site, and a number for each survey. In addition, the researcher called and emailed the contact person at each participating one-stop career center to follow-up with reminder notifications and status updates.
            The identity of the respondents was not recorded and the questionnaires were administered by the pen-and-paper method. A participant was orally requested to agree to participate before given access to the questionnaires. The participant was then requested to complete the questionnaires immediately after the meeting with the disability program navigator. After completion of the questionnaires, the participant was asked to place them in the self-addressed stamped envelope and return it to the one-stop career center’s front desk, where it was be put in the mail by the contact person to the researcher.
When the surveys were returned to the researcher, the data was entered into the Statistical Package for the Social Sciences for evaluation and data management. The data management allowed for access and transformation of data collected, organization of the data, analysis, and presentation of the results, as well as a secure data file storage (Gall et al., 2003). Data was then stored on a computer flash drive and on paper hard copies that were kept in a locked file cabinet. Only the researcher had access to the locked file cabinet, computer software programs, computer flash drive, and paper hard copies. All data from the study, whether written or computerized, will be stored in a locked file cabinet that is only accessible by the researcher, and will be protected for seven years after the publication of the dissertation results. At the end of seven years, any personal identifying data will be destroyed in a shredding machine by the researcher.

            The purpose of statistical analyses is to summarize the data of the characteristics of the sample population and determine the extent and degree of any relationships among chosen variables. The statistical analyses used for this study’s research design and research questions are discussed in this section.
            Standard screening techniques were performed before the actual data analysis was conducted. These procedures included a visual inspection of the surveys and data file for missing data, data entry errors, gaps in the sampling plan, and whether there was a pattern for omitted data. Surveys were scored and all data gathered from the surveys and background information sheet was coded and entered in the Statistical Package for the Social Sciences program for statistical analyses. Surveys were given identification numbers and were not used if there were missing values or information.
            A univariate analysis was done by examining the information obtained from the Background Information sheet. Numbers were assigned to categories and frequency distribution tables were developed for the raw data results for each item (Sproull, 2002). Frequency distribution tables included percentages and allowed for collapsing the results into categories or groups, which assisted in examining the data and identifying unanticipated findings (Gall, Gall, & Borg, 2004; Sproull, 2002).
            Descriptive statistics were conducted to summarize the sample characteristics, which included the number in the sample, the minimum, maximum, mean, mode, and median. Distributions were displayed with histograms for nominal variables (gender, disability) and box plots for interval variables (age, education, amount of time until appointment with the disability program navigator, amount of time spent with the disability program navigator, and scores from the Client Satisfaction Questionnaires). This aided in interpreting and understanding whether data was symmetrical, bimodal, or skewed (Gall, Gall, & Borg, 2004).
            Next, measures of variability were conducted on the raw data to identify how homogeneous or heterogeneous they were, and the spread of the data (Gall, Gall, & Borg, 2004; Sproull, 2002). The measures included the range in the distribution of scores, standard deviation, and variance. A greater variability of the set of scores indicated a greater deviation from the mean (Gall, Gall, & Borg, 2004). Therefore, an additional cross-reference to examine the data dispersion, obtain a visual impression, and locate any outliers, was performed, which was to calculate box-and-whiskers plots using SPSS (Brase & Brase, 1999).                                                                                                         
            The study also examined the relationship between two or more quantifiable variables. The degree of the relationship between the demographic variables (age, gender, and education), the amount of time until the appointment with the disability program navigator, and amount of time spent in the appointment with the disability program navigator, and the customers’ levels of satisfaction were expressed as a bivariate coefficient of correlation, that is, the Pearson correlation coefficient. The Pearson correlation coefficient measured the association between two variables, furnished a numerical expression of the strength of relationship, and established the significance level, which was determined by the final size of the sample (Gall, Gall, & Borg, 2003). Coefficients of determination were calculated, and assisted in explaining the proportion of variance in one variable accounted for by another variable, that is, the amount of variance in customers’ satisfaction levels between each variable.
Several limitations existed in the study. First, in quantitative methodology, the existence of a relationship among variables must be determined, and any established relationship is not proof of a cause-effect relationship (Szymanski, 1993). Second, variables not controlled may suggest causation where there is none (Sproull, 2002; Weinbach & Grinnell, 2004). Uncontrolled variables in the study included gender, educational level, and age, as well as whether individuals in the sample had sufficient knowledge and understanding to express a meaningful opinion (Gall et al., 2003) or whether the participants were able to easily respond to them (Sproull, 2002). Third, implementation and aspects of the Disability Program Navigator Initiative have varied between the two sample sites, which posed a threat to statistical and test scores, as well as external validity, that is, generalizability (Parker, 1993). Fourth, the disability-friendliness of the community of the sample one-stop career centers may have impacted the accessibility of individuals with disabilities to the sites. Fifth, the Client Satisfaction Questionnaire (CSQ-8) assumed an equal value of each item, since scoring resulted in a sum for all items (Sproull, 2002). Sixth, although timing of the study’s satisfaction measures were planned to result in the highest response rate, results taken at the end of a treatment tend to be skewed toward higher levels of satisfaction (Maruish, 1999). In this study, data was not collected as to whether the customers’ meeting with the disability program navigator was their first, last, or only meeting. Lastly, it is possible that findings from the study may not generalize to one-stop career centers in different geographic regions of the country, due to the size of the sample and that it was not a random study.
It was expected that findings from the study would provide an indication of whether the Disability Program Navigator Initiative was meeting the goals of the one-stop career center system. Unique feedback from customers with a disability and patterns of customer satisfaction levels for different disability categories were gained, as well identification and insight of other needs required by customers with disabilities at the one-stop career centers (Capella, 2002).
            Ethical issues in research involving human subjects are a significant concern, and include obtaining informed consent, protecting participants from harm, maintaining confidentiality, and professional honesty in reporting research findings (Gall et al., 2003). All data from the study, whether written or computerized, was stored in a locked file cabinet that was only accessible by the researcher and protected for seven years. After seven years from completion of the study, any personal identifying data will be destroyed by use of a shredder.
In clear, nontechnical language at an appropriate reading level, the informed consent process advised participants of the nature of the study; provided an overview of the study’s procedures and how participants were selected; explained risks and benefits; assured participants that participation was voluntary; and described procedures on confidentiality, privacy, and anonymity. The informed consent process also included contact information for the researcher and the Institutional Review Board of Capella University; alternative procedures to complete the survey; and how to obtain a summary of the study’s findings, if desired or required (Gall et al., 2003; Sreenivasan, 2003).
The research did not violate participants' privacy. Protection of anonymity involved the use of procedures that prevented communication of participants' identity throughout the research study, on the questionnaires, and in reporting results. These procedures included refraining from collecting identifying information, and only distinguished participants by demographic information, that is, gender, age, and educational level, and results were reported in the aggregate only. All participants’ confidentiality were maintained by using procedures to protect the integrity of any information that could be used to identify participants, as well as restricted access to the information to unauthorized persons (Gall et al., 2003).
A second issue in the ethical conduct of research is the protection of participants from physical harm, psychological abuse, and legal jeopardy (Gall et al., 2003). Because the study was not an experiment, participants were not subjected to any potential physical, psychological, mental, social, financial, or legal risks. Individuals were advised that they were free to refuse to participate. If an individual chose to participate, he or she was advised that no compensation was provided, and that the study’s results may be obtained as aggregate results with no personal identifiers through Capella University (Sreenivasan, 2003). Safeguards and special precautions were included to protect the rights and welfare of any possible vulnerable populations and minimize risk. These included the use of experts to solicit appropriate research sites and participants; the researcher’s training, education, and certification in knowledge about the particular vulnerabilities of people with disabilities; the disability program navigator’s training required in his or her employment, and ensuring that disability accommodations were available to participants if requested. The two participating research sites were identified by a panel of experts as one-stop career centers serving people with disabilities to meet criteria necessary to properly serve this population, and which included the availability of disability accommodations (Bader, 2003).
Sreenivasan (2003) wrote that not only does an individual have the greatest motivation to weigh correctly in his or her own case, but are also the most familiar with the details of his or her own situation, and to deny he or she the right to make an “ignorant decision” to participate or refuse to participate is morally wrong. A one-stop career centers is operated as a self-service facility and if an individual with a disability is able to both use the one-stop career center and consents to meeting with the disability program navigator, it was a reasonable expectation that any participant’s disability was not an obstacle to minimal comprehension for consent to participate in the study.
As with participating customers, a letter was sent to the participating one-stop career centers giving assurances of anonymity and confidentiality that the name of the one-stop career center, the state in which it is located, and the names of any staff and contacts involved in the study would not be revealed. Each one-stop career center was requested to provide a letter granting permission to the researcher, and consent to participate, provide a contact person’s information, and to return the permission and consent to the researcher. Anonymity of the two research sites were maintained and identifying information was not included in reporting results or in any of the appendices of the research.
The study used personal resources for funding, which eliminated the concern with restrictions in the honest communication of research results. Credit was given to other researcher’s work and reported findings were not misrepresented. Approval of this study was obtained from the Institutional Review Board at Capella University.


            This chapter describes the data collection and results of the research to assess and analyze levels of one-stop career center client satisfaction participating in the Disability Program Navigator Initiative. Following a discussion of the study’s sample characteristics and descriptive statistics for both the Background Information Sheet and Client Satisfaction Questionnaire (CSQ-8), the results of the correlational analysis are reported for the purpose of answering the research questions. The research questions in this quantitative study addressing the factors that influence customer satisfaction were;
  1. To what extent are customers satisfied with the services of the disability program navigators in one-stop career centers?
  2. What areas do customers identify as needing improvement?
  3. How do the customers’ levels of satisfaction with services received from the disability program navigator relate to age, gender, education, how they found out about the disability program navigator, how quickly they were able to meet with the disability program navigator, and the amount of time spent in their meeting?
            The adults who participated in this study were recruited from two one-stop career center sites located in the U.S.A. Fifty survey packets were sent to each research site, for a total of 100 survey packets, with specific instructions for soliciting voluntary participation. The individual chosen by the contact person at each research site to handle the survey packets and instructions was the on-site disability program navigator. This data collection method was chosen to decrease limitations of a mailed survey and administration bias, and to increase response rate (LeVois, Nguyen & Attkisson, 1981; Nguyen, Attkisson & Stegner, 1983). The data collection method also sent a message to the participants of the importance of their satisfaction and opinions, since the Client Satisfaction Questionnaire (CSQ-8) “explicitly reflects the perspective of the client” (Attkisson & Greenfield, 2004, p 808).
            Immediately after their meeting with the disability program navigator, customers were read the standardized script and given a survey packet with a letter indicating why the data was being collected, what the data would be used for, and how the data would be stored. In the letter, an assurance was given as to confidentiality of their responses and maintenance of anonymity, and also requested their voluntary participation in the study. Data collection was conducted and completed at one research site at a time, in order to obtain surveys at different times of the year.
            Although it was planned to complete all data collection within three months at each site, delays were encountered that required additional time for data collection. Delays included flooding in one of the research sites’ area, changes in the disability program navigators’ responsibilities, and hiring and training of a replacement disability program navigator. Since data collection at only one research site was done and completed at a time before initiating data collection at the second site, completion of data collection from both research sites took 14 months (June 1, 2007 through July 31, 2008). Data was securely stored until collection from both research sites was finalized.
            A total of 63 surveys out of the 100 sent to both sites was returned to the investigator via the U.S. Postal Service, for a response rate of 63%. Data was visually inspected for missing data, gaps in the sampling, and patterns for omitted data. A visual screening of the returned survey documents conducted to separate those that were usable resulted in 41 usable research packets, that is, all questions on the Background Information Sheet and Client Satisfaction Questionnaire (CSQ-8) were completely filled out and answered. A high number of unusable surveys from Research Site 2 was noted (16 total), which included those not completely filled out or all questions were not answered. The Statistical Packages for Social Sciences was used for coding, inputting, computing, and analyzing the resultant usable data.
Background Information Sheet Survey Sample Characteristics and Descriptive Statistics
            A univariate analysis was conducted on the information obtained from the Background Information Sheet. The Background Information Sheet asked four questions regarding a participant’s demographic information on gender, age, educational level, and whether a disability was disclosed. A copy of the Background Information Sheet is shown in Appendix B. The purpose for asking these questions was to obtain information on how representative of the population the sample participants were, and to provide a description of who they were. The total sample of 41 participants was comprised of 16 men (39%) and 25 women (61%). The total number of participants who self-identified that they had a disability was 29 (70.7%).
            Participants were given five different referring sites to choose from; the one-stop career center, a website/online, the Social Security Office, the unemployment office, or from family and friends. Twenty (48.8%) respondents indicated they found out about the disability program navigator services from the one-stop career center, 4 (9.8%) from a website or online, 6 (14.6%) from the Social Security Office, and 17 (41.5%) from the unemployment office, while 10 (24.4%) found out from a friend or family member. The majority of participants found out about the disability program navigator from the one-stop career center (48.8%) and the unemployment office (41.5%).
            The ages of the combined samples from both research sites ranged from 25 years to 74 years, and is shown in Figure 1.
Figure 1. Ages of participants.
            The mean was 45, the mode was 51, the median was 47, and the standard deviation was 10.80.  Although a wide age distribution existed within the sample, a slight majority of the sample fell between the ages of 25 and 58 years.  Of note was the nonexistence of any respondents between ages 60 and 70, and one outlier at age 74. 
            The sample range for the participants’ educational level was 9 to 19 years, shown in Figure 2.
Figure 2. Years of education of participants.
            The mean was 13.73, mode was 12, median was 13, and standard deviation was 2.32. Figure 2 displays a histogram of the frequencies of the participants’ educational levels, indicating the majority of participants completed 12 to 14 years of education. Of note was the nonexistence of any respondent with an educational level of 17 years. 

            A brief summary of the results and findings of the research data analysis organized around the research questions is presented in this section. 
            Research Question 1.  To what extent are customers satisfied  the services of the disability program navigators in one-stop career centers?  Total client satisfaction scores ranged from 16 to 32.  The majority of Client Satisfaction Questionnaire scores from both sites fell between 24 and 32, with a mean of 27.49.
            Research Question 2.  What areas do customers identify as needing improvement?  More than 50% of respondents scored the disability program navigator service with favorable response ratings on all eight items on the Client Satisfaction Questionnaire (CSQ-8). Lowest scores were on Item 3; To what extent has the program met your needs?  Highest scores were on Item 4;  If a friend were in need of similar help, would you recommend our program to him or her? and Item 8;  If you were to seek help again, would you come back to our program?
            Research Question 3.  How do the customers’ levels of satisfaction with services received from the disability program navigator relate to age, gender, education, how they found out about the disability program navigator, how quickly they were able to meet with the disability program navigator, and the amount of time spent in their meeting?  Results of the Pearsons correlation coefficient calculations indicated that older respondents tended to have lower total client satisfaction scores, participants with more years of education tended to have higher total client satisfaction scores, participants who met with the disability program navigator sooner tended to have higher total client satisfaction scores, and participants that spent more time in their meeting with the disability program navigator tended to have higher total client satisfaction scores. Independent-samples t tests to evaluate the degree of the relationship between a participant’s total client satisfaction score and gender, whether a disability was disclosed, and where the individual found out about the disability program navigator, showed no significant differences. Coefficients of determination results in the amount of variance between age, years of education, number of days until a participant’s meeting with the disability program navigator, and minutes in the meeting, and total client satisfaction scores were low, with little overlap.
            In this section, a detailed presentation of the data analysis and results will be provided.
            The study initially planned to randomize the convenience sample; however, due to the small sample of 41 returned usable surveys, this was not feasible. Therefore, after visually examining the histograms, further exploration was done to determine if the sample used in this study had a fairly normal distribution, to allow for reliability of inferences, and check for any violations of the assumptions required in statistical techniques (Brase & Brase, 1999; Pallant, 2007). In addition to the mean, the mode, and the median, another statistical cross-reference of the data spread was done to locate extreme values (Brase & Brase, 1999). Using the frequency distributions previously prepared, the variations chosen to examine the data dispersion further were the range, the variance, the standard deviation, and the interquartile range, which is the spread of the middle half of the data. To obtain a visual impression of the data range and location of the middle half of the data for age, years of education, number of days until meeting, total minutes in meeting, and Client Satisfaction Questionnaire (CSQ-8) scores, SPSS was used to develop box-and-whisker plots (Brase & Brase, 1999). Box-and-whisker plots show high and low outliers that fall beyond the limits of the interquartile range, and provide the five-number summary, that is, the lowest value, Quartile 1, median, Quartile 3, and highest value, which is used in creating a graphic sketch of data (Brase & Brase, 1999). From this five-number summary, calculations were done to find the Interquartile Range (IQR) and limits to locate outliers that would need to be discarded to avoid distorting the statistics (Brase & Brase, 1999).
            Box-and-whisker plots were developed for the sample’s age, years of education, number of days until a participant met with the disability program navigator, total minutes in the meeting with the disability program navigator, and participants’ total scores on the Client Satisfaction Questionnaire (CSQ-8). Five-number summaries of the minimum value, maximum value, median, Quartile 1, Quartile 3, and Interquartile Range (IQR) are reported for each in the following figures. Additionally, lengths of the whiskers for each boxplot were calculated using the five-number summary to identify extreme outliers that should be removed, to avoid values that would distort the statistics (Pallant, 2007). Calculating the boxplot’s whisker lengths was done by multiplying the Interquartile Range (IQR) by 1.5, and then subtracting this number from Quartile 1, as well as adding it to Quartile 3. These values were the endpoints of the boxplot’s whisker lengths, and values beyond these endpoints were the sample’s outliers to be considered.
            Figure 3 is a box-and-whiskers plot for participants’ ages that shows the five-point summary and whisker lengths.
Figure 3. Box-and-whiskers plot of ages of participants.
            The minimum value was 25, the maximum value was 74, and the median was 46. The Quartile 1 was 38, the Quartile 3 was 54, and the Interquartile Range (IQR) was 16. Endpoints of the whisker lengths were 14 and 78. There were no outliers higher than 78 or lower than 14; therefore, no data was removed.
            Figure 4 is a box-and-whiskers plot for the years of education reported by the participants that shows the five-point summary and whisker lengths.
Figure 4. Box-and-whiskers plot of years of education of participants.

            The minimum value was 12, the maximum value was 19, and the median was 13. The Quartile 1 was 9, the Quartile 3 was 15, and the Interquartile Range (IQR) was 6. Endpoints of the whisker lengths were 0 and 21. There were no outliers higher than 21 or lower than 0; therefore, no data was removed.
            Figure 5 is a box-and-whiskers plot for the data for the number of days until a participant met with the disability program navigator that shows the five-point summary and whisker lengths.


Figure 5. Box-and-whiskers plot for number of days until participants’ meeting with disability program navigator. Outlier at 14-day mark.



            The minimum value was 0 (on the same day), the maximum value was 14, and the median was 1 day. The Quartile 1 was 0 days, the Quartile 3 was 3 days, and the Interquartile Range (IQR) was 3. Endpoints of the whisker lengths were 4.5 and 7.5. There was one outlier of 14 days, which was removed to avoid distorting the statistics.
            Figure 6 is a box-and-whiskers plot for the number of minutes participants were in their meeting with the disability program navigator, and shows the five-point summary and whisker lengths.
Figure 6. Box-and-whiskers plot for minutes in participants’ meeting with disability program navigator. Outliers at 2-minute mark and 45-minutes mark.


                   
                    The minimum number of minutes was 2, the maximum was 90 minutes, and the median was 44 minutes. The Quartile 1 was 13, the Quartile 3 was 60, and the Interquartile Range (IQR) was 47. Endpoints of the whisker lengths were 0 and 130.5. There were no outliers higher than 130.5 minutes or lower than 0 minutes; therefore, no data was removed.
            Figure 7 is a box-and-whiskers plot showing the five-point summary and whisker lengths for participants’ total scores on the Client Satisfaction Questionnaire (CSQ-8).

Figure 7. Box-and-whiskers plot for participants’ total Client Satisfaction Questionnaire (CSQ-8) scores.

            The minimum score was 16, the maximum was 32, and the median was 28. The Quartile 1 was 16, the Quartile 3 was 31, and the Interquartile Range (IQR) was 15. Endpoints of the whisker lengths were 0 and 53.5. There were no outliers higher than 53.5 minutes or lower than 0 minutes; therefore, no data was removed.
            Based on the box-and-whiskers plot, five-point summaries, and calculations identifying outliers, the SPSS data was modified to eliminate the case with the 14-day outlier.
            In addition to demographic questions, other questions asked on the Background Information Sheet related to where participants found out about the one stop career centers’ disability program navigator from, how many days it was until they met with the disability program navigator, and how many minutes they spent in their meeting. The purpose for asking these questions was to obtain information on factors that might be related to customers’ satisfaction levels in order to answer research question 1; To what extent are customers satisfied  the services of the disability program navigators in one-stop career centers, and research question 2; What areas do customers identify as needing improvement?  The majority of participants found out about the disability program navigator from the one-stop career center (48.8%) and the unemployment office (41.5%).
            A frequency analysis was conducted on how many days it was after participants asked to meet with the disability program navigator until they were actually able to meet with him or her. A frequency histogram of the days is provided in Figure 8.
            Figure 8. Number of days until meeting with disability program navigator.
            The results indicated by participants regarding the number of days until a participant met with the disability program navigator were; 0 days = 14 (34.1%; that is, met on the same day), 1 day = 10 (24.4%); that is, within 24 hours), 2 days = 5 (12.2%; that is, within 48 hours), 3 days = 5, (12.2%; that is, within 72 hours), 5 days = 2 (4.9%), 6 days = 1 (2.4%), 7 days = 3 (7.3%), and 14 days = 1 (2.4%). The majority from both sites fell between 0 days and 3 days. As indicated in Figure 8, the sample ranged in dates until an actual meeting with the disability program navigator from 0 to 14 days, the mean was 2.1, the mode was 1, and the standard deviation was 2.84. Of note was that there were no days reported for 4 days or 6 days, there was only one reporting of 5 days and 7 days, and there was an absence of any days between 7 and 14 days.

            A frequency analysis for how much time participants spent in their first meeting with the disability program navigator is shown in Figure 9.

Figure 9. Minutes in meeting with disability program navigator.
            The number of minutes in their meeting indicated by participants were 2 minutes = 1 (2.4%), 15 minutes = 1 (2.4%), 20 minutes = 5 (12.2%), 30 minutes = 12 (29.3%), 45 minutes = 12 (29.3%), 55 minutes =  1 (2.4%), 60 minutes = 7 (17.1%), and 90 minutes = 2 (4.9%).  The majority of the sample ranged between 20 minutes and 45 minutes.
            The Client Satisfaction Questionnaire (CSQ-8) consisted of eight questions about satisfaction with services received, each of which was rated using a Likert scale of 1 through 4, and then are added together, for a total satisfaction score that could range from 8 to 32.  The highest score that could be given on any one item was a 4. A frequency analysis of the distribution of total satisfaction scores is shown in Figure 10.
Figure 10. Distribution of Client Satisfaction Questionnaire (CSQ-8) scores. Histogram shows bimodal shape.

           
            The sample ranged in client satisfaction scores from 16 to 32.  The mean was 27.49, the median was 28, the mode was 32, and the standard deviation was 3.97. The majority of Client Satisfaction Questionnaire scores from both sites fell between 24 and 32. Of note were an outlier of 16, and the lack of any scores between 17 and 21. The histogram of the distribution of Client Satisfaction Questionnaire (CSQ-8) scores indicates a bimodal shape. Brase & Brase (1999) stated that bimodal shapes indicate sampling from two different populations.  
            Results for each of the 8 items of the Client Satisfaction Questionnaire are shown in the following tables. Table 1 shows the results of the responses to item 1; How would you rate the quality of service you received?  The majority of respondents (58.5%) replied with an excellent rating, and 95.1% rated the quality of service as good or excellent.

Table 1. Responses to Item 1. How would you rate the quality of service you received


Rating


Frequency

Percent


Fair

2

4.9
36.6
58.5
100.0

Good
15
Excellent
24
Total
41








            Table 2 shows the results of the responses to item 2; Did you get the kind of service you wanted? 
Table 2. Responses to Item 2. Did you get the kind of service you wanted



Frequency

Percent

Valid Percent

Cumulative
Percent


no, not really

1

2.4

2.4

2.4

yes, generally
22
53.7
53.7
56.1

yes, definitely
18
43.9
43.9
100.0

Total
41
100.0
100.0








            The majority of respondents (53.7%) replied with a yes, generally rating, for a total of 97.5% yes respondents indicating satisfaction with the quality of service.
            Table 3 shows the results of the responses to item 3; To what extent has our program met your needs?

Table 3. Responses to Item 3. To what extent has the program met your needs


Frequency

Percent

Valid Percent

Cumulative Percent


none of needs met

2

4.9

4.9

4.9

only a few needs met
7
17.1
17.1
22.0

most of needs met
22
53.7
53.7
75.6

almost all of needs met
10
24.4
24.4
100.0

Total
41
100.0
100.0




            The majority of respondents (53.7%) replied that most of needs met. A total of 78.1% of respondents appeared to have received the kind of service they wanted from the disability program navigator, and that most or almost all of their needs were met.

            Table 4 shows the results of the responses to item 4; If a friend were in need of similar help, would you recommend our program to him or her?
Table 4.  Responses to Item 4. Would you recommend the program to a friend



Frequency

Percent

Valid Percent

Cumulative Percent


no, don't think so

1

2.4

2.4

2.4

yes, I think so
14
34.1
34.1
36.6

yes, definitely
26
63.4
63.4
100.0

Total
41
100.0
100.0



            The majority of respondents (63.4%) replied yes, definitely. A total of 97.5% respondents appeared willing to recommend the disability program navigator’s services to a friend.
            Table 5 shows the results of the responses to item 5; How satisfied are you with the amount of help you received?
Table 5. Responses to Item 5. How satisfied are you with the amount of help received


Frequency

Percent

Valid Percent

Cumulative Percent


quite dissatisfied

1

2.4

2.4

2.4

indifferent or mildly dissatisfied
2
4.9
4.9
7.3

mostly satisfied
15
36.6
36.6
43.9

very satisfied
23
56.1
56.1
100.0

Total
41
100.0
100.0



            The majority of respondents (56.1%) replied with a very satisfied rating. Of note is the percentage of respondents who replied that they were mostly satisfied (36.6%), indicating that 92.7% of respondents were mostly satisfied or very satisfied with the amount of help they received from the disability program navigator. There were no respondents who reported they were mildly dissatisfied.
            Table 6 shows the results of the responses to item 6; Have the services you received helped you to deal more effectively with your problems? 
Table 6. Responses to Item 6. Have the services helped with your problems


Frequency

Percent

Valid Percent

Cumulative Percent


no, really didn't help

2

4.9

4.9

4.9

yes, helped somewhat
16
39.0
39.0
43.9

yes, helped a great deal
23
56.1
56.1
100.0

Total
41
100.0
100.0



               The majority of respondents (56.1%) replied yes, helped a great deal. A total of 95.5% of respondents indicated that services provided by the disability program navigator helped with their problems.
            Table 7 shows the results of the responses to item 7; In an overall, general sense, how satisfied are you with the service you received?

Table 7. Responses to Item 7. Overall general satisfaction with service


Frequency

Percent

Valid Percent

Cumulative Percent




indifferent or mildly dissatisfied

3

7.3

7.3

7.3

mostly satisfied
16
39.0
39.0
46.3

very satisfied
22
53.7
53.7
100.0

Total
41
100.0
100.0


           
            The majority of respondents (53.7%) answered that they were very satisfied overall with service from the disability program navigator. The percentage of respondents that were mostly or very satisfied overall with service from the disability program navigator was 92.7%. Of note, was that 3 respondents were indifferent or mildly dissatisfied with the service.

            Table 8 shows the results of the responses to item 8; If you were to seek help again, would you come back to our program?

Table 8. Responses to Item 8. Would you come back to the program



Frequency

Percent

Valid Percent

Cumulative Percent



no, don't think so

1

2.4

2.4

2.4

yes, think so
18
43.9
43.9
46.3

yes, definitely
22
53.7
53.7
100.0

Total
41
100.0
100.0



            The majority of respondents (53.7%) replied yes, definitely, for a total of 97.6% of respondents indicating they would come back to the program.
            Descriptive statistics were obtained for each of the eight items on the Client Satisfaction Questionnaire (CSQ-8), which are shown in Table 9.
Table 9. Descriptive Statistics 8 Items on Client Satisfaction Questionnaire (CSQ-8)



N

Minimum

Maximum

Mean

SD






  1. Quality of service
41
2
4
3.54
.596
  1. Did you get kind of service wanted
41
2
4
3.41
.547
  1. To what extent program met needs
41
1
4
2.98
.790
  1. Would you recommend program to friend
41
2
4
3.61
.542
  1. How satisfied with amount of help received
41
1
4
3.46
.711
  1. Have services helped with problems
41
2
4
3.51
.597
  1. Overall general satisfaction with service
41
2
4
3.46
.636
  1. Would you come back to program
41
2
4
3.51
.553
        






            Mean ratings on the eight items ranged from 2.98 on Item 3 to 3.61 on Item 4. Standard deviations ranged from .542 to .790. The lowest rating of 1 was given on Item 3; To what extent has the program met your needs? and Item 5; How satisfied are you with the amount of help you received?
            In summary, more than 50% of respondents scored the disability program navigator service with favorable response ratings on all eight items on the Client Satisfaction Questionnaire (CSQ-8). The lowest mean score of 2.98 on any item, the lowest rating score of 1, and the lowest percentage of favorable responses (78.1%) was on Item 3; To what extent has the program met your needs? The highest mean score of 3.61 was on Item 4; If a friend were in need of similar help, would you recommend our program to him or her?  The highest total of respondent percentages (97.6%) was on Item 8; If you were to seek help again, would you come back to our program?

            A visual inspection of the histograms did not indicate any violations of the assumptions of normality, linearity, and homoscedasticity (Pallant, 2007). The histograms inspected included participants’ total Client Satisfaction Questionnaire (CSQ-8) scores, their age, years of education, number of days until they met with the disability program navigator, and number of minutes they spent in their meeting.
            To evaluate the variables with respect to each other, and determine if one variable influenced or caused the resultant total satisfaction scores, t tests were run, and the Pearsons correlation coefficient (r) was determined. These results assisted in answering research question 3;  How do the customers’ levels of satisfaction with services received from the disability program navigator relate to age, gender, education, how they found out about the disability program navigator, how quickly they were able to meet with the disability program navigator, and the amount of time spent in their meeting?  The Pearsons correlation coefficient (r) was used to explore the relationship between the ratio scale variables, that is, the participants’ total Client Satisfaction Questionnaire (CSQ-8) scores and their age, years of education, number of days until they met with the disability program navigator, and number of minutes they spent in their meeting. Results of the SPSS calculation for the participants’ age and total client satisfaction scores are shown in Table 10.
Table 10. Pearsons Correlation Results for Age and Total Client Satisfaction Questionnaire (CSQ-8) Scores




Age of person

Total CSQ-8 score


Age of person

Pearsons Correlation

1

-.096
Sig. (2-tailed)

.554
N
40
40
Total CSQ-8 score
Pearsons Correlation
-.096
1
Sig. (2-tailed)
.554

N
40
40


            The Pearsons correlation coefficient calculation for the relationship between the participants’ age and total client satisfaction score revealed a weak negative relationship that was not significant (r(38) = -.096, p > .05). Older respondents tended to have lower total client satisfaction scores.
            Results of the SPSS calculation for the participants’ years of education and total client satisfaction scores are shown in Table 11.

Table 11. Pearsons Correlation Results for Years of Education and Total Client Satisfaction Questionnaire (CSQ-8) Scores




Total CSQ-8 score

Years of education


Years of education

Pearsons Correlation

1

.247
Sig. (2-tailed)

.119
N
41
41
Total CSQ-8 score
Pearsons Correlation
.247
1
Sig. (2-tailed)
.119

N
41
41


           
            The Pearsons correlation coefficient calculation for the relationship between the participants’ years of education and total client satisfaction score revealed a weak positive relationship that was not significant (r(39) = .247, p < .05). Participants with more years of education tended to have higher total client satisfaction scores.
            Results of the SPSS calculation for the number of days until a participant met with the disability program navigator and total client satisfaction scores are shown in Table 12. The data used in this calculation omitted the 14-day outlier.

Table 12. Pearsons Correlation Results for Days until Meeting With Disability Program Navigator and Total Client Satisfaction Questionnaire (CSQ-8) Scores




Days until meeting

Total CSQ-8 score


Days until meeting with disability program navigator

Pearsons Correlation

1

-.163
Sig. (2-tailed)

.321
N
39
39
Total CSQ-8 score
Pearsons Correlation
-.163
1
Sig. (2-tailed)
.321

N
39
39


            The Pearsons correlation coefficient calculation for the relationship between the participants’ years of education and total client satisfaction score revealed a weak negative relationship that was not significant (r(39) = -.163, p < .05).  Participants who met with the disability program navigator sooner tended to have higher total client satisfaction scores.
            Results of the SPSS calculation for minutes that participants spent in their meeting with the disability program navigator and total client satisfaction scores are shown in Table 13.
Table 13. Pearsons Correlation Results for Minutes Spent in Meeting With Disability Program Navigator and Total Client Satisfaction Questionnaire (CSQ-8) Score




Minutes of meeting


Total CSQ-8 score

Minutes of meeting with disability program navigator

Pearsons Correlation

1

-.145
Sig. (2-tailed)

.373
N
40
40
Total CSQ-8 score
Pearsons Correlation
-.145
1
Sig. (2-tailed)
.373

N
40
40

            The Pearsons correlation coefficient calculation for the relationship between the minutes spent in the participants’ meeting with the disability program navigator and total client satisfaction score revealed a weak negative relationship that was not significant (r(38) = -.145, p < .05).  Participants that spent more time in their meeting with the disability program navigator tended to have higher total client satisfaction scores.

            To evaluate the degree of the relationship between a participant’s total client satisfaction score and gender, whether a disability was disclosed, and where the individual found out about the disability program navigator, independent-samples t tests were calculated in SPSS. A 95% confidence interval of the difference was used for all t tests. The results of the independent-samples t tests to compare the means of the total client satisfaction scores for women and men are provided in Table 14.

Table 14. Independent Samples Test for Means of Total Client Satisfaction (CSQ-8) Scores for Women and Men



Gender

N

Mean

SD

Std. Error Mean




female

24

28.17

3.371

   .688
male
16
26.25
4.640
1.160



Levene's Test for Equality of Variances
t-test for Equality of Means


F
Sig.
t
df
Sig.
(2-tailed)
Mean Differ-ence
Std. Error Differ-ence

95% Confidence Interval of the Difference
Total CSQ-8 score

Lower
Upper
Lower
Upper
Lower
Upper
Lower
Upper
Lower
Equal variances assumed

1.047
.313
1.514
38
.138
1.917
1.266
-.645
4.479

             There was no significant difference in mean scores for women (M = 18.17, SD = 3.37) and men (M = 26.25, SD = 4.64). Since the Levene’s Test Sig. value was larger than .05 (.313), the Equal Variances Assumed row was applied. In assessing the difference between women and men, that is, the t test for Equality of Means, p = .138, there was no significant difference between the two groups (t (38) = .313, p > .05).      
            The results of the independent-samples t test to compare the means of the total client satisfaction scores and whether a disability was self-identified or not by the participants are provided in Table 15.
Table 15. Independent Samples Test for Means of Total Client Satisfaction (CSQ-8) Scores and Participants who Self-Identified a Disability



Self-identified disability

N

Mean

SD

Std. Error Mean




no

11

29.00

3.376

1.018

yes
29
26.79
4.083
.758

 Total CSQ-8 score

Levene's Test for Equality of Variances
t test for Equality of Means


F
Sig.
t
df
Sig. (2-tailed)
Mean Differ-ence
Std. Error Differ-ence

95% Confidence Interval of the Difference


Lower
Upper
Lower
Upper
Lower
Upper
Lower
Upper
Lower
Equal variances assumed

.445
.509
1.594
38
.119
2.207
1.384
-.596
5.009

            There was no significant difference in mean scores for individuals who did not self-identify as having a disability (M = 29.00, SD = 3.37) and individuals who did self-identify (M = 26.79, SD = 4.08). Since the Levene’s Test Sig. value was larger than .05 (.509), the Equal Variances Assumed row was applied. In assessing the difference between participants who self-identified as having a disability and those who did not self-identify, that is, the t test for Equality of Means, p = .119, there was no significant difference between the two groups (t(38) = 1.59, p > .05).           

            The results of the independent-samples t test to compare the means of the total client satisfaction scores and whether or not a participant found out about the disability program navigator from the one-stop career center are provided in Table 16.
Table 16. Independent Samples Test for Means of Total Client Satisfaction (CSQ-8) Scores and Participants Who Found Out About Disability Program Navigator From One-Stop Career Center



Found out about  disability program navigator from One-stop career center


N

Mean

SD

Std. Error Mean



no

21

27.10

4.134

.902

yes
19
27.74
3.899
.895


 Total CSQ-8 score

Levene's Test for Equality of Variances
t test for Equality of Means


F
Sig.
t
df
Sig. (2-tailed)
Mean Differ-ence
Std. Error Differ-ence

95% Confidence Interval of the Difference


Lower
Upper
Lower
Upper
Lower
Upper
Lower
Upper
Lower
Equal variances assumed


.086
.771
-.504
38
.618
-.642
1.274
-3.221
1.938

            There was no significant difference in mean scores for individuals who did not find out about the disability program navigator from the one-stop career center (M = 27.10, SD = 4.13) and individuals who did (M = 27.74, SD = 3.89). Since the Levene’s Test Sig. value was larger than .05 (.77), the Equal Variances Assumed row was applied. In assessing the difference between participants who did not and did find out about the disability program navigator from the one-stop career center, that is, the t test for Equality of Means, p = .618, there was no significant difference between the two groups (t(38) = .504, p > .05).          
            The results of the independent-samples t test to compare the means of the total client satisfaction scores and whether or not a participant found out about the disability program navigator from a website/online are provided in Table 17.

Table 17. Independent Samples Test for Means of Total Client Satisfaction (CSQ-8) Scores and Participants Who Found Out About Disability Program Navigator From a Website/Online



Found out about disability program navigator from a website/online


N

Mean

SD

Std. Error Mean



no

36

27.17

3.939

.656

yes
4
29.50
4.359
2.179


 Total CSQ-8 score

Levene's Test for Equality of Variances
t test for Equality of Means


F
Sig.
t
df
Sig. (2-tailed)
Mean Differ-ence
Std. Error Differ-ence

95% Confidence Interval of the Difference


Lower
Upper
Lower
Upper
Lower
Upper
Lower
Upper
Lower
Equal variances assumed


.001
.974
-1.114
38
.272
-2.333
2.094
-6.573
1.906

            There was no significant difference in mean scores for individuals who did not find out about the disability program navigator from a website/online (M = 27.17, SD = 3.93) and individuals who did (M = 29.50, SD = 4.35). Since the Levene’s Test Sig. value was larger than .05 (.97), the Equal Variances Assumed row was applied. In assessing the difference between participants who did not and did find out about the disability program navigator from a website or online, that is, the t test for Equality of Means, p = .272, there was no significant difference between the two groups (t (38) = 1.11, p > .05).      
            The results of the independent-samples t test to compare the means of the total client satisfaction scores and whether or not a participant found out about the disability program navigator from the Social Security office are provided in Table 18.

Table 18. Independent Samples Test for Means of Total Client Satisfaction (CSQ-8) Scores and Participants Who Found Out About Disability Program Navigator From the Social Security Office



Found out about disability program navigator from  Social Security office


N

Mean

SD

Std. Error Mean



no

34

27.44

4.136

.709

yes
6
27.17
3.312
1.352

 Total CSQ-8 score

Levene's Test for Equality of Variances
t test for Equality of Means


F
Sig.
t
df
Sig. (2-tailed)
Mean Differ-ence
Std. Error Differ-ence

95% Confidence Interval of the Difference


Lower
Upper
Lower
Upper
Lower
Upper
Lower
Upper
Lower
Equal variances assumed


.557
.460
.154
38
.879
.275
1.787
-3.344
3.893

            There was no significant difference in mean scores for individuals who did not find out about the disability program navigator from the Social Security office (M = 27.44, SD = 4.13) and individuals who did (M = 27.17, SD = 3.31). Since the Levene’s Test Sig. value was larger than .05 (.46), the Equal Variances Assumed row was applied. In assessing the difference between participants who did not and did find out about the disability program navigator from the Social Security office, that is, the t test for Equality of Means, p = .879, there was no significant difference between the two groups (t(38) = .154, p > .05).
            The results of the independent-samples t test to compare the means of the total client satisfaction scores and whether or not a participant found out about the disability program navigator from the unemployment office are provided in Table 19.
Table 19. Independent Samples Test for Means of Total Client Satisfaction (CSQ-8) Scores and Participants Who Found Out About Disability Program Navigator From the Unemployment Office



Found out about disability program navigator from unemployment office

N

Mean

SD

Std. Error Mean



no

24

27.04

3.316

.677

yes
16
27.94
4.892
1.223

 Total CSQ-8 score

Levene's Test for Equality of Variances
t test for Equality of Means


F
Sig.
t
df
Sig. (2-tailed)
Mean Differ-ence
Std. Error Differ-ence

95% Confidence Interval of the Difference


Lower
Upper
Lower
Upper
Lower
Upper
Lower
Upper
Lower
Equal variances assumed


3.784
.059
-.692
38
.493
-.896
1.295
-3.518
1.726
            There was no significant difference in mean scores for individuals who did not find out about the disability program navigator from the unemployment office (M = 27.04, SD = 3.31) and individuals who did (M = 27.94, SD = 4.89). Since the Levene’s Test Sig. value was larger than .05 (.059), the Equal Variances Assumed row was applied. In assessing the difference between participants who did not and did find out about the disability program navigator from the unemployment office, that is, the t test for Equality of Means, p = .493, there was no significant difference between the two groups (t(38) = .896, p > .05).
            The results of the independent-samples t test to compare the means of the total client satisfaction scores and whether or not a participant found out about the disability program navigator from family/friends are provided in Table 20.
Table 20. Independent Samples Test for Means of Total Client Satisfaction (CSQ-8) Scores and Participants Who Found Out About Disability Program Navigator From Family or Friends

                

Found out about disability program navigator from family/friends


N

Mean

SD

Std. Error Mean



no

30

27.63

4.123

.753

yes
10
26.70
3.653
1.155

Total CSQ-8 score    

Levene's Test for Equality of Variances
t test for Equality of Means


F
Sig.
t
df
Sig. (2-tailed)
Mean Differ-ence
Std. Error Differ-ence

95% Confidence Interval of the Difference


Lower
Upper
Lower
Upper
Lower
Upper
Lower
Upper
Lower
Equal variances assumed


.594
.446
.636
38
.528
.933
1.467
-2.036
3.902
            There was no significant difference in mean scores for individuals who did not find out about the disability program navigator from the family or friends (M = 27.63, SD = 4.12) and individuals who did (M = 26.70, SD = 3.65). Since the Levene’s Test Sig. value was larger than .05 (.446), the Equal Variances Assumed row was applied. In assessing the difference between participants who did not and did find out about the disability program navigator from family/friends, that is, the t test for Equality of Means, p = .528, there was no significant difference between the two groups (t(38) = .636, p > .05).

            To assist in explaining the amount of variance between the independent variables of age, years of education, number of days until a participant’s meeting with the disability program navigator, and minutes in the meeting, and the dependent variable of the total client satisfaction scores, coefficients of determination were calculated. This involved squaring the Pearsons r value and converting to percentage of variance by multiplying by 100, which was done using a calculator. The results of the coefficients of determination between the independent variables of age, years of education, number of days until a participant’s meeting with the disability program navigator, and minutes in the meeting, and the dependent variable of the total client satisfaction scores are provided in Table 21.

  Table 21. Coefficients of Determination for Client Satisfaction Scores


Independent Variable

Pearsons r Value

Percentage of coefficient
of determination




Age
.096
 .92%

Years of education
.247
6.1%

Number of days until  participant’s meeting with  disability program navigator



.163


2.7%
Minutes in meeting
.145
.02%


            For all independent variables, the calculated per cent of shared variance was low, indicating little overlap between the two variables. The independent variables of age, years of education, number of days until a participant’s meeting with the disability program navigator, and minutes in the meeting did not appear to explain much of the variance in the client satisfaction scores.

            In this chapter, data analysis and results were reported. The following research questions were addressed.
  1. To what extent are customers satisfied with the services of the disability program navigators in one-stop career centers?
            The Client Satisfaction Questionnaire (CSQ-8) was used to obtain data relative to client’s satisfaction with the services of the disability program navigators in one-stop career centers. A total satisfaction score could range from 8 to 32. Reported total client satisfaction scores ranged from 16 to 32. The mean was 27.49, the median was 28, the mode was 32, and the standard deviation was 3.97. The majority of Client Satisfaction Questionnaire scores was between 24 and 32.
  1. What areas do customers identify as needing improvement?
            The Client Satisfaction Questionnaire (CSQ-8) consisted of eight questions about satisfaction with services received. Answers were rated using a Likert scale of 1 through 4, and the highest score that could be given on any one item was a 4. Descriptive statistics were done on the eight items on the Client Satisfaction Questionnaire (CSQ-8). Mean ratings on the eight items ranged from 2.98 on Item 3 to 3.61 on Item 4. Standard deviations ranged from .54 to .79. The lowest rating of 1 was given on Item 3; To what extent has the program met your needs? and Item 5; How satisfied are you with the amount of help you received? 
            In summary, more than 50% of respondents scored the disability program navigator service with favorable response ratings on all eight items on the Client Satisfaction Questionnaire (CSQ-8). The lowest mean score of 2.98 on any item, the lowest rating score of 1, and the lowest percentage of favorable responses (78.1%) was on Item 3; To what extent has the program met your needs? This suggested less satisfaction in this area, and that improvement may be needed in the effectiveness of services provided. The highest mean score of 3.61 was on Item 4; If a friend were in need of similar help, would you recommend our program to him or her? The highest total of respondent percentages (97.6%) was on Item 8;  If you were to seek help again, would you come back to our program?
  1. How do the customers’ levels of satisfaction with services received from the disability program navigator relate to age, gender, education, how they found out about the disability program navigator, how quickly they were able to meet with the disability program navigator, and the amount of time spent in their meeting?
            Ages of participants ranged from 25 years to 74 years. The mean was 45, and a slight majority of the sample fell between the ages of 25 and 58 years. Participants’ educational level ranged from 9 to 19 years, and the majority of participants had 12 to 14 years of education. There were no outliers other than a 14-day outlier until the meeting with the disability program navigator, which was removed to avoid distorting the statistics. A visual inspection of the histograms did not indicate any violations of the assumptions of normality, linearity, and homoscedasticity.
            The Pearsons correlation coefficient (r) was used to explore the relationship between the participants’ total Client Satisfaction Questionnaire (CSQ-8) scores and their age, years of education, number of days until a meeting with the disability program navigator, and number of minutes spent in the meeting. Results indicated that older respondents tended to have lower total client satisfaction scores, participants with more years of education tended to have higher total client satisfaction scores, participants who met with the disability program navigator sooner tended to have higher total client satisfaction scores, and participants that spent more time in their meeting with the disability program navigator tended to have higher total client satisfaction scores.
            Independent-samples t tests were calculated to evaluate the degree of the relationship between a participant’s total client satisfaction score and gender, whether a disability was disclosed, and where the individual found out about the disability program navigator. Results indicated no significant difference in total client satisfaction scores between women and men or between participants who self-identified as having a disability and those who did not self-identify. Also, there was no significant difference in total client satisfaction scores between participants who did not and did find out about the disability program navigator from the one-stop career center, between participants who did not and did find out about the disability program navigator from a website or online, between participants who did not and did find out about the disability program navigator from the Social Security office or unemployment office, or between participants who did not and did find out about the disability program navigator from family and friends.
            Coefficients of determination were calculated to assist in explaining the amount of variance between age, years of education, number of days until a participant’s meeting with the disability program navigator, and minutes in the meeting, and total client satisfaction scores. Results indicated a low percent of shared variance, little overlap, and that the variables of age, years of education, number of days until a participant’s meeting with the disability program navigator, and minutes in the meeting appeared to explain little of the variance in the client satisfaction scores.
            In Chapter 5, a detailed discussion of the findings of the research is provided, as well as implications that can be drawn. Recommendations for future research are offered.  

            The purpose of this study was to assess and analyze levels of satisfaction of customers who were referred to and used the services provided by a disability program navigator under the Disability Program Navigator Initiative at two one-stop career centers. In this chapter, a summary and discussion of the study’s results will be provided, as well as a discussion of the conclusions, interpretations, and limitations. Recommendations and implications for further research, and a final conclusion will be presented.

      Although the one-stop career center system has been in existence since its creation by the Workforce Investment Act of 1998, there is limited research with customer satisfaction surveys involving people with disabilities (Barlas, 1998). Questionnaires assessing client satisfaction with services in human services agencies, however, are plentiful, yet, a significant gap exists regarding customers’ actual experiences in the use of the one-stop career centers and services of a disability program navigator. Likewise, there is no data available from disability program navigator program assessments specifically on customer satisfaction from individuals who disclosed they had a disability, or required assistance with a disability-related issue. To add to the limited knowledge in this area, this quantitative study’s research questions addressed the factors influencing one-stop career center customer satisfaction, as follows;
  1. To what extent are customers satisfied with the services of the disability program navigators in one-stop career centers?
  2. What areas do customers identify as needing improvement?
  3. How do the customers’ levels of satisfaction with services received from the disability program navigator relate to age, gender, education, how they found out about the disability program navigator, how quickly they were able to meet with the disability program navigator, and the amount of time spent in their meeting?
 Two surveys were used to obtain information in assessing client satisfaction, a Background Information Sheet and the Client Satisfaction Questionnaire (CSQ-8). Four one-stop career centers were contacted for this study, as they were identified as serving people with disabilities by a panel of experts in a previous study (Bader, 2003). Two of the one-stop career centers no longer had disability program navigators due to the fact that the grant funding the program had ended. The other two sites agreed to participate in this study, and each site was sent 50 survey packets to hand out to customers who met with the disability program navigators. A total of 63 surveys were returned, of which 41 were totally completed and subsequently used in this study. A correlational analysis using the Statistical Packages for Social Sciences (SPSS, 15.0) was done to ascertain what, if any, relationships existed between the demographic information and customer satisfaction variables, as well as how customers found out about the disability program navigator, how quickly they were able to meet with the disability program navigator, and the amount of time spent in their meeting.
 The Client Satisfaction Questionnaire (CSQ-8) consisted of eight questions about satisfaction with services received; each question was rated using a Likert scale of 1 through 4, which were then added together, for a total satisfaction score ranging from 8 to 32. The highest score that could be given on any one item was a 4. Mean scores and standard deviations for each of the eight items on the Client Satisfaction Questionnaire (CSQ-8) are shown in Table 22.

Table 22. Mean and Standard Deviation on 8 Items on Client Satisfaction Questionnaire (CSQ-8)






Mean

               SD







  1. Quality of service



3.54
.596
  1. Did you get kind of service wanted



3.41
.547
  1. To what extent program met needs



2.98
.790
  1. Would you recommend program to friend



3.61
.542
  1. How satisfied with amount of help received



3.46
.711
  1. Have services helped with problems



3.51
.597
  1. Overall general satisfaction with service



3.46
.636
  1. Would you come back to program



3.51
.553
        





The lowest satisfaction ratings were on Item 3 of the Client Satisfaction Questionnaire (CSQ-8), which was, To what extent has the program met your needs? This suggested less satisfaction in this area, and that improvement may be needed in the effectiveness of services provided.  Highest satisfaction ratings were on Item 4; If a friend were in need of similar help, would you recommend our program to him or her? Total client satisfaction scores ranged from 16 to 32.  The mean was 27.49, the median was 28, the mode was 32, and the standard deviation was 3.97. The majority of Client Satisfaction Questionnaire scores from both sites fell between 24 and 32. Data analysis indicated the majority of customers who met with the disability program navigator were satisfied with the services they received.
Results indicated that older respondents tended to have lower total client satisfaction scores, participants with more years of education tended to have higher total client satisfaction scores, participants who met with the disability program navigator sooner tended to have higher total client satisfaction scores, and participants that spent more time in their meeting with the disability program navigator tended to have higher total client satisfaction scores. There was no significant difference in total client satisfaction scores between women and men, or between participants who self-identified as having a disability and those who did not self-identify. No significant difference was found in total client satisfaction scores between participants who did not and did find out about the disability program navigator from the one-stop career center, from a website or online, from the Social Security office, from the unemployment office, or from family and friends. The variables of age, years of education, number of days until a participant’s meeting with the disability program navigator, and minutes in the meeting appeared to explain little of the variance in the client satisfaction scores, with a low percent of shared variance and only a small amount of overlap.

            In this section, an interpretation of the results of the study in relation to the research questions is presented.
To what extent are customers satisfied with the services of the disability program navigators in one-stop career centers?
            The Client Satisfaction Questionnaire (CSQ-8) was used to obtain data on a client’s satisfaction with the services of the disability program navigators in one-stop career centers. Although the majority of Client Satisfaction Questionnaire (CSQ-8) scores indicated that most customers who met with the disability program navigator were satisfied with the services they received, the Questionnaire did not allow for additional feedback as to the specifics of each item rated. Analysis incorporating both the Client Satisfaction Questionnaire (CSQ-8) and Background Information Sheet revealed that higher client satisfaction scores were given by participants with more years of education, participants who met with the disability program navigator sooner, and participants that spent more time in their meeting with the disability program navigator. Lower total client satisfaction scores were given by older respondents. Results indicated no significant difference in total client satisfaction scores between women and men, between participants who self-identified as having a disability and those who did not self-identify, or any of the participants from any of the referring locations.

What areas do customers identify as needing improvement?
            Descriptive statistics done on the eight items on the Client Satisfaction Questionnaire (CSQ-8) revealed the lowest rating of 1 was given on both Item 3; To what extent has the program met your needs? and Item 5; How satisfied are you with the amount of help you received?  The lowest mean score on any item, the lowest rating score of 1, and the lowest percentage of favorable responses (78.1%) was on Item 3; To what extent has the program met your needs? This suggested less satisfaction in this area, and that improvement may be needed in the effectiveness of services provided. Although it was anticipated that the data might show that a meeting with the disability program navigator later, versus sooner, would result in lower client satisfaction scores, the statistical analysis indicated that this was not so.

Research Question 3
How do the customers’ levels of satisfaction with services received from the disability program navigator relate to age, gender, education, how they found out about the disability program navigator, how quickly they were able to meet with the disability program navigator, and the amount of time spent in their meeting?
            Analysis to explore the relationship between the participants’ total Client Satisfaction Questionnaire (CSQ-8) scores and their age, years of education, number of days until a meeting with the disability program navigator, and number of minutes spent in the meeting revealed that age was negatively related to client satisfaction scores and years of education was positively related to total client satisfaction scores. Total client satisfaction scores were inversely related to the number of days until participants’ meetings with the disability program navigator, while the amount of time spent in the meetings was positively related to total client satisfaction scores. No significant differences were found in the degree of relationships between total client satisfaction scores and gender, whether a disability was disclosed, and where the individual found out about the disability program navigator. Age, years of education, number of days until a participant’s meeting with the disability program navigator, and minutes in the meeting explained little of the variance in the client satisfaction scores.

Review of the literature has revealed a lack of research assessing client satisfaction with the services provided by the disability program navigator in a one-stop career center. This is despite the fact that there were over 450 disability program navigators in 45 states, DC, and Puerto Rico in 2009 (Workforce 3One, 2009).  Previous research has focused on client satisfaction with the one-stop career centers only, and few studies have specifically involved people with disabilities. If the one-stop career center system and Disability Program Navigator Initiative were successful in achieving the goal of increasing the employment rate of people with disabilities, economic statistics would reflect this, and should likewise, reflect an increase in their employment. The U.S. Department of Labor reported that in September 2009, the unemployment rate of persons with a disability was 16.2%. The most recent unemployment rate for people with a disability currently available, that is June 2010, is 14.4%  (U.S. Dept. of Labor, 2010b). Although this appears to reflect a positive increase in employment of people with disabilities, in June 2009, the unemployment rate for people with a disability was 14.3%, and in June 2008, the rate was 9.3% (U.S. Dept. of Labor, 2010b). From these statistics, it cannot be determined the specific impact the Disability Program Navigator Initiative has had on the employment or unemployment rates of people with disabilities.

In quantitative methodology, the existence of a relationship among variables must first be determined, and any established relationship is not proof of a cause-effect relationship (Szymanski, 1993). Variables not controlled may suggest causation where there is none (Sproull, 2002; Weinbach & Grinnell, 2004). Uncontrolled variables in the study included gender, educational level, and age. Implementation and aspects of the Disability Program Navigator Initiative varied between the two sample sites, which posed a threat to statistical and test scores, as well as external validity, that is, generalizability to other one-stop career centers (Parker, 1993). The disability-friendliness of the community of the sample one-stop career centers, as well as the amount of disability trainings provided to the staff at this study’s research sites, could have impacted the accessibility of individuals with disabilities to the sites. The Client Satisfaction Questionnaire (CSQ-8) assumed an equal value of each item, since scoring results in a sum for all items (Sproull, 2002). Therefore, it cannot be determined if any one item had more weight than another item.
Due to the fact that only two one-stop career center sites with a disability program navigator participated in this study, generalization of the findings to other one-stop career centers in the United States is limited. Expanding the research to include other one-stop career centers that have disability program navigators would assist to corroborate and supplement the study’s findings. Using a true random sampling, or converting the study’s convenience sample to a random sample, would enhance the quality of the data. Because data for the study was collected via mail with contacts that were long distance and from two different data sources, there were most likely differences in the way the surveys were administered. This may result in under or over representation of the sample population.
Events beyond the control of the researcher impacted the length of time to administer 50 survey packets at each site. These included a change in the disability program navigator’s responsibilities, departure and subsequent hiring and training of a new disability program navigator, and major flooding at one site’s location. If finances and time were not an issue, being able to personally administer and collect the survey data at the research sites would increase the consistency and number of usable results. Other factors that may have influenced responses could have been the gender, age, amount of training or years of experience with disability-related issues of the disability program navigator, which were not addressed in this study.

           Recommendations in this section are developed from the findings obtained in this study, and are offered as a means to contribute to, and expand on, the existing research from the positive practice incorporating the services provided by the disability program navigators in  one-stop career centers. Since the study’s variables of age, years of education, number of days until a participant’s meeting with the disability program navigator, and minutes in the meeting appeared to explain little of the variance in the clients’ total satisfaction scores, comments or additional information could be solicited from respondents as to why they rated an item the way they did, that is, another layer of information could be requested. Additional feedback could be obtained on the areas for improvement indicated by customers, which related to the extent the program met their needs and satisfaction with the amount of help received. A focus group approach could supply this information, as well as why some customers’ meetings were longer than others, thereby providing feedback to improve the services provided.
         Other issues that could be investigated in future research could include whether a respondent’s level of computer literacy had an effect on his or her responses, and why the age of a respondent appeared to negatively correlate with the client satisfaction scores. Obtaining information on the type of disability that was self-disclosed and the severity of it could be compared with a respondent’s customer satisfaction score, although this is personal information that individuals may be reluctant to share. Future research addressing customer satisfaction with disability program navigator services in one-stop career centers could include obtaining information on the disability program navigator, the relationship of this information to customer satisfaction, and the disability program navigators’ feedback. Follow-up studies could be repeated with the same research sites, or use a different customer satisfaction questionnaire, as there are many others available, and at least one that has been shown reliable for people with and without disabilities. Also, a regression line analysis could be part of a future research.

             The results of this research contributed knowledge concerning the perceptions and satisfaction of one-stop career centers customers, both with and without a disability, who used the services of the disability program navigator. Data analysis showed that a majority of customers reported high satisfaction levels with the services, that they would recommend the program to others, and that they would return to the program. Areas for improvement indicated by customers related to the extent the program met their needs and satisfaction with the amount of help received. Higher satisfaction scores were given by respondents who were younger, those who met with the disability program navigator sooner, and individuals who spent more time in the meeting with the disability program navigator. There were no significant differences in the degree of the relationship between a participant’s total client satisfaction score and gender, whether a disability was disclosed, and where the individual found out about the disability program navigator. The variables of age, years of education, number of days until a participant’s meeting with the disability program navigator, and minutes in the meeting appeared to explain little of the variance in the clients’ total satisfaction scores.
            Results of this study’s correlational analysis between demographic information and the study’s variables have provided increased insight into what extent the Disability Program Navigator Initiative has achieved the goals of the one-stop career center system. This knowledge allows for monitoring changes, understanding for improvement, program modifications, and provides favorable evidence that any future plans should incorporate a disability program navigator in every state. This study could also be used for future research in other one-stop career centers or programs with a disability program navigator.
            It is hoped that the results of this research will encourage other researchers and programs to further examine client satisfaction with the services provided by current and future disability program navigators in one-stop career centers. Disability program navigators serve as an important resource to many populations with disabilities, such as youths and veterans (Workforce3 One, 2009). They serve as a connection to workforce supports and programs, and provide services that cannot be obtained from other sources. Studies evaluating the one-stop career centers with disability program navigators have reported significant advantages of having a disability program navigator in the system, and that disability program navigators have had a positive impact on one-stop career centers (Livermore & Goodman, 2009). However, generated reports have provided only a limited analysis of data, making it difficult to measure the precise impact of systems change activities on employment outcomes and evaluate any specific impact of the project on the employment of people with disabilities (Livermore & Goodman, 2009).
            It is strongly recommended that dedicated and ongoing funding be established in all states to allow the services of the disability program navigators to continue, and also be expanded to accommodate the challenging and dynamic future economic environment. A summary report of six Federal partners recommendations, by the U.S. Department of Labor’s Office of Disability Employment Policy, specifically identified expansion of the Disability Program Navigator Initiative in all one-stop career centers, as well as dedicated and permanent funding of the Initiative (U.S. Dept. of Labor, Office of Disability Employment Policy, 2010). The National Council on Disability (2009) also made the same recommendations in its National Disability Policy; A Progress Report. In its report, the National Council on Disability advocated for these recommendations because it was felt that people with disabilities would not only be better served but “a more integrated, inclusive, and cost-effective approach to Federal disability policy” would be provided (2009, p 1). This stance was particularly crucial because, “ In addition to the more than 50 million Americans with disabilities, the United States faces a rapidly approaching demographic shift to an older population, with an attendant increase in the incidence of disability” (National Council on Disability, 2009, p 1).
            The recent reauthorization of the Workforce Investment Improvement Act in 2010 was an important step in strengthening employment programs for target populations in the one-stop career centers, as well as emphasizing the importance of making the Workforce Investment Act more results-driven, rather than process-driven (Institute for a Competitive Workforce, 2010). Listening to the voice of the customer through the use of a disability program navigator in the one-stop career centers could greatly impact satisfaction from people with disabilities, as research has shown customers’ voices improve an organization’s competitive position (Stank et al., 1997). Funding for disability program navigators began in 2002, and extended until June 2010. Unfortunately, the disability program navigator program may not have the opportunity to continue its positive impact, because according to Secretary Hilda Solis, theadministration proposes to end targeted funding for work incentive grants… (it) has accomplished its mission. Workforce investment boards are able to serve workers with disabilities effectively through their regular One-Stop Career Center operations” (U.S. Dept. of Labor, 2010). An examination of the budget plan indicated that the Office of Disability Employment Policy has requested funding for the fiscal year of 2011 for a Disability Employment Initiative, which includes plans to build upon the past promising practices of the Disability Program Navigator Initiative (U.S. Dept. of Labor, 2010a). Therefore, the future of the disability program navigator remains to be seen.     


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ONE-STOP CAREER CENTERS:   AN ASSESSMENT OF SATISFACTION FROM CUSTOMERS USING SERVICES OF A DISABILITY PROGRAM NAVIGATOR

What is your age?      

What is your gender?            
   Female
   Male

How many years of education have you had? 

Have you identified yourself as having a disability?
   Yes
   No

Did you find out about the disability program navigator from the one-stop career center?
   Yes
   No

Did you find out about the disability program navigator from a website or online? 
   Yes
   No

Did you find out about the disability program navigator from the Social Security office?
   Yes
   No

Did you find out about the disability program navigator from the unemployment office? 
   Yes
   No

Did you find out about the disability program navigator from a friend or family member?
   Yes
   No

How many days was it after you asked to meet with the disability program navigator were you able to meet with him/her?   

How much time did you spend with the disability program navigator the first time you met?  (minutes)