Patient Perspectives on Key Outcomes for Vocational Rehabilitation Interventions Following Traumatic Injury

Bridger, Kay; Këllezi, Blerina; Kendrick, Denise; Radford, Kathryn; Timmons, Stephen; Rennoldson, Mike; Jones, Trevor; Kettlewell, Jade

doi:10.3390/ijerph18042035

Cited by 10 publications

(33 citation statements)

References 62 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Our findings also support recent qualitative research finding outcomes of importance to trauma patients include psychological and physical recovery, purposeful life engagement and managing the expectations of key stake holders (i.e. individuals, colleagues and employers) (Bridger et al, 2021). Unlike previous research, our study did not find productivity loss or return to work to be important outcomes, while highlighting the importance of measuring process as well as change outcomes (Hoffman et al, 2014).…”

Section: Discussionsupporting

confidence: 89%

Patients views on which return-to-work outcomes should be prioritised: A nominal group technique focus group

Bridger

Këllezi

Kendrick

et al. 2022

British Journal of Occupational Therapy

Self Cite

View full text Add to dashboard Cite

Objective Injuries can have a long-lasting effect on ability to return to work, but there is little research on which outcomes are most important to patients. This study aims to identify and prioritise return-to-work outcomes important to patients for evaluating vocational rehabilitation interventions. Methods Nominal group technique focus group with trauma patients. Results Focus group participants ( n = 6) included mostly traumatic brain injuries, a range of occupation types, ages and both genders. Participants identified and prioritised their eight most important outcomes which were: sense of purpose and life satisfaction, understanding the impact of injury, assessment of readiness to return to work, using SMART (specific, measurable, achievable, relevant and time-bound) goals, facilitated reintegration to work, assessing capacity to return to work, collaboration between key stakeholders and improved employer and employee knowledge. Many of these were measures of the process of, rather than change outcomes of vocational rehabilitation. Conclusions The range of outcomes identified by trauma patients highlights the complex process of return to work and the need for vocational rehabilitation evaluations to incorporate a broader range of outcomes. Measures of the process of vocational rehabilitation are also important to trauma patients and should be included in such evaluations.

show abstract

Section: Discussionsupporting

confidence: 89%

Patients views on which return-to-work outcomes should be prioritised: A nominal group technique focus group

Bridger

Këllezi

Kendrick

et al. 2022

British Journal of Occupational Therapy

Self Cite

View full text Add to dashboard Cite

show abstract

“…Phasing RTW with reduced working hours or amended duties can help patients make a successful RTW. [42] If participants with a phased RTW were not undertaking duties commensurate to those prior to their injury, our study may have underestimated productivity losses.…”

Section: Comparisons With Other Studiesmentioning

confidence: 98%

Mental health and other factors associated with work productivity after injury in the UK: multicentre cohort study

et al. 2021

Self Cite

View full text Add to dashboard Cite

IntroductionMental health conditions are a major contributor to productivity loss and are common after injury. This study quantifies postinjury productivity loss and its association with preinjury and postinjury mental health, injury, demographic, health, social and other factors.MethodsMulticentre, longitudinal study recruiting hospitalised employed individuals aged 16–69 years with unintentional injuries, followed up at 1, 2, 4 and 12 months. Participants completed questionnaires on injury, demographic factors, health (including mental health), social factors, other factors and on-the-job productivity upon return to work (RTW). ORs were estimated for above median productivity loss using random effects logistic regression.Results217 adults had made an RTW at 2, 4 or 12 months after injury: 29% at 2 months, 66% at 4 months and 83% at 12 months. Productivity loss reduced over time: 3.3% of working time at 2 months, 1.7% at 4 months, 1% at 12 months. Significantly higher productivity loss was associated with preinjury psychiatric conditions (OR 21.40, 95% CI 3.50 to 130.78) and post-traumatic stress avoidance symptoms at 1 month (OR for 1-unit increase in score 1.15, 95% CI 1.07 to 1.22). Significantly lower productivity loss was associated with male gender (OR 0.32, 95% CI 0.14 to 0.74), upper and lower limb injuries (vs other body regions, OR 0.15, 95% CI 0.03 to 0.81) and sports injuries (vs home, OR 0.18, 95% CI 0.04 to 0.78). Preinjury psychiatric conditions and gender remained significant in analysis of multiply imputed data.ConclusionsUnintentional injury results in substantial productivity loss. Females, those with preinjury psychiatric conditions and those with post-traumatic stress avoidance symptoms experience greater productivity loss and may require additional support to enable successful RTW.

show abstract

“…[7][8][9] Approximately a third of survivors will develop depression, and more than a quarter, PTSD. 10 Psychosocial impacts are felt in social and family life, 5,11,12 work [13][14][15] and school life, 11 as well as economically. 16 Since 2010, major trauma care in the UK and Ireland has been increasingly operationalised through regional, hub and spoke major trauma care networks, with the most seriously injured cared for in specialised major trauma centres (MTCs).…”

Section: Introductionmentioning

confidence: 99%

“…7–9 Approximately a third of survivors will develop depression, and more than a quarter, PTSD. 10 Psychosocial impacts are felt in social and family life, 5,11,12 work 13–15 and school life, 11 as well as economically. 16…”

Section: Introductionmentioning

confidence: 99%

Psychological and psychosocial aspects of major trauma care: A survey of current practice across UK and Ireland

Olive

Hives

Ashton

et al. 2023

Trauma

View full text Add to dashboard Cite

Introduction Psychological and psychosocial impacts of major trauma, defined as any injury that has the potential to be life-threatening and/or life changing, are common, far-reaching and often enduring. There is evidence that these aspects of major trauma care are often underserved. The aim of this research was to gain insight into the current provision and operationalisation of psychological and psychosocial aspects of major trauma care across the UK and Ireland. Methods A cross-sectional online survey, open to health professionals working in major trauma network hospitals was undertaken. The survey had 69 questions across six sections: Participant Demographics, Psychological First Aid, Psychosocial Assessment and Care, Assessing and Responding to Distress, Clinical Psychology Services, and Major Trauma Keyworker (Coordinator) Role. Results There were 102 respondents from across the regions and from a range of professional groups. Survey findings indicate a lack of formalised systems to assess, respond and evaluate psychological and psychosocial aspects of major trauma care, most notably for patients with lower-level distress and psychosocial support needs, and for trauma populations that don't reach threshold for serious injury or complex health need. The findings highlight the role of major trauma keyworkers (coordinators) in psychosocial aspects of care and that although major trauma clinical psychology services are increasingly embedded, many lack the capacity to meet demand. Conclusion Neglecting psychological and psychosocial aspects of major trauma care may extend peritraumatic distress, result in preventable Years Lived with Disability and widen post-trauma health inequalities. A stepped psychological and psychosocial care pathway for major trauma patients and their families from the point of injury and continuing as they move through services towards recovery is needed. Research to fulfil knowledge gaps to develop and implement such a model for major trauma populations should be prioritised along with the development of corresponding service specifications for providers.

show abstract

Patient Perspectives on Key Outcomes for Vocational Rehabilitation Interventions Following Traumatic Injury

Cited by 10 publications

References 62 publications

Patients views on which return-to-work outcomes should be prioritised: A nominal group technique focus group

Patients views on which return-to-work outcomes should be prioritised: A nominal group technique focus group

Mental health and other factors associated with work productivity after injury in the UK: multicentre cohort study

Psychological and psychosocial aspects of major trauma care: A survey of current practice across UK and Ireland

Contact Info

Product

Resources

About