Prospective randomized controlled trial of resource facilitation on community participation and vocational outcome following brain injury
|Authors:||Tsang H. W, Fung K. M., Leung A. Y., Li S. M., & Cheung W. M.|
|Publication||Journal of Head Trauma Rehabilitation|
|Publisher||Lippincott, Williams and Wilkins Inc.|
Brain injury has a negative impact on return to work. Past research indicates improved employment outcomes with an integrated medical/vocational case coordination system.
The researchers hypothesized that individuals with brain injury who receive resource facilitation (RF) will have greater success with return to work and participation in community and home activities.
The setting was a large acute rehabilitation hospital, located in the Midwest.
The sample size included 23 individuals with brain-injury and their caregivers. To be included in the study those with brain injury had to meet the following criteria: injury in the last 12 months or less, 18 to 60 years of age, ability to speak English, had been employed and/or had been enrolled in school for 2 years prior to the injury, had a goal to return-to-work or school and had a caregiver who was willing to participate in the study.
Participants were given O-Log and the C-Log, as part of their clinical examination in the acute rehabilitation center prior to enrollment to determine the initial severity of cognitive impairment. Ratings on the Participation Index of the Mayo- Portland Adaptability Inventory (M2PI) were obtained for 11 RF participants and 11 controls before the intervention and at 6-month follow-up.
Participants were assigned to either a resource facilitation group N=12 or regular follow up control conditions N=11.
Resource facilitation can improve work outcomes. Those who received resource facilitation were more engaged in vocational services. It also had a positive impact on participants involvement in community and home activities. Resource facilitation does not appear to affect depression.
Six months of resource facilitation, provided soon after patient discharge from acute rehabilitation, may have a powerful impact on employment post brain injury and community participation. More research is needed.
|Populations||Male & Female|
|Outcomes||Return to work|
|Research Design||Randomized Controlled Trials (RCTs)|