Predictors of return to work after moderate-to-severe traumatic brain injury: a systematic review of current literature and recommendations for future research

Deynse, Helena Van; Kazadi, Carl Ilunga; Kimpe, Eva; Hubloue, Ives; Moens, Maarten; Putman, Koen

doi:10.1080/09638288.2021.1954247

Cited by 11 publications

(6 citation statements)

References 54 publications

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“…Higher global functioning predicted higher levels of participation and productivity. This is in accordance with several previous studies assessing overall participation [10,32], but has particularly been well documented for return to work [33]. Furthermore, in the current study, higher education was positively related to participation level but did not influence the participation trajectory, as has been found previously [10,16].…”

Section: Discussionsupporting

confidence: 93%

Participation in the Chronic Phase after Traumatic Brain Injury: Variations and Key Predictors

Hauger,

Borgen,

Forslund

et al. 2023

JCM

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Participation is of major importance for individuals with traumatic brain injury (TBI). This study evaluates participation over a period of one year among persons with TBI in the chronic phase and explores sociodemographic, psychological, and environmental predictors of levels and trajectories of participation. One hundred and twenty home-living survivors of TBI with persistent injury-related consequences at least two years post-injury who participated in a goal-oriented randomized trial were assessed at baseline and after four and twelve months. Linear mixed-effects model analysis was applied to evaluate height, trajectory slope, and predictors of the Participation Assessment with the Recombined Tools-Objective (PART-O) total score and the subscales Productivity, Social Relations, and Being Out and About. Being married, having a higher education, and having good global functioning predicted more frequent participation. Education, executive- and global functions predicted Productivity, while age and being married predicted Social Relations. Participating in the study during the COVID-19 pandemic had a negative impact on Productivity. Participation was relatively stable over 12 months, with a slight decline, but may be influenced by demographic factors and functional consequences. Rehabilitation services should particularly focus on people with TBI living alone with lower levels of global and executive function.

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Section: Discussionsupporting

confidence: 93%

Participation in the Chronic Phase after Traumatic Brain Injury: Variations and Key Predictors

Hauger,

Borgen,

Forslund

et al. 2023

JCM

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“…Furthermore, while presenting these items to the participants, the authors asked them about their perspectives and specific methods of support which they consider particularly important ( Table 1 ). To practice support for work readiness and work settlement, it is important to cooperate with vocational rehabilitation professionals ( Ministry of Health, Labour and Welfare, 2009 ), such as vocational counsellors for persons with disabilities, job coaches, work support workers, work support personnel, and welfare facility support staff, and to support the employers ( Brannigan et al, 2017 ; Donker-Cools et al, 2016 ; Johansson et al, 2021 ; Medin et al, 2006 ; Radford et al, 2015 ; Sato et al, 2018 ; Stergiou-Kita et al, 2009 ; Stergiou-Kita et al; Van Deynse et al, 2022 ; Öst Nilsson et al, 2017 ); however, the extent of OT intervention in Japan is unclear; therefore, we enquired about the current state of support.…”

Section: Methodsmentioning

confidence: 99%

“…Among working-age clients with ABIs, facilitating an effective return to work (RTW) after a leave of absence or quitting jobs while navigating the after-effects of the injury is crucial to ensure both quality of life and the greater economy. However, evidence-based rehabilitation programs aimed at successful RTW for client are currently lacking ( Donker-Cools et al, 2016 ; Van Deynse et al, 2022 ). For clients, hospital-to-community support is important for work support; however, hospital rehabilitation focuses on return to physical function and daily activities rather than RTW ( Medin et al, 2006 ; Radford et al, 2015 ).…”

Section: Introductionmentioning

confidence: 99%

Work-support techniques used by occupational therapists to facilitate support after acquired brain injuries: A qualitative study

Kurihara,

Nagao,

Tanemura

2024

Hong Kong Journal of Occupational Therapy

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Background Ensuring effective return to work following acquired brain injuries is crucial from the perspectives of both quality of life and the economy. However, techniques of occupational therapy support for return to work remain relatively unelucidated. Aims/Objectives To clarify the specific contents of occupational therapy required for work and work support for clients with acquired brain injuries. Material and Methods An interview-based survey was conducted with participants who had >10 years of occupational therapy experience and had provided work support. We selected participants via snowball sampling. Data were analyzed using thematic analysis. Results A total of 20 participants (15 women and 5 men; 6, 12, 1, and 1 in their 30s, 40s, 50s, and 60s, respectively) were included. Six concepts were generated on reviewing the support for work items considered important by the occupational therapist as follows: “Support for vocational life,” “Support for interpersonal skills,” “Support for work,” “Support for illness, disability, and awareness,” “Support for utilization of compensation measures,” and “Support for goal setting.” Conclusions We clarified the specific contents of work support, including support for vocational life and support for work, that is administered by occupational therapists who provide work support for clients with acquired brain injury. The insights from the study improve understanding of OTs’ roles and contributions in supporting clients with acquired brain injuries in returning to work.

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“…A predesigned sheet was used to record clinical and demographic characteristics potentially associated with return to the community following TBI [21][22][23], including age, sex, education level, occupation, marriage, mechanism of assault, income, living status, brain injury severity, and time since brain injury.…”

Section: Clinical and Demographic Characteristicsmentioning

confidence: 99%

Psychometric properties and factor structure of the traditional Chinese version of the Community Integration Questionnaire-Revised in traumatic brain injury survivors

Chen,

Wei,

et al. 2024

International Journal of Rehabilitation Research

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This study aimed to translate and validate the traditional Chinese version of the Community Integration Questionnaire-Revised (TC-CIQ-R) in patients with traumatic brain injury (TBI). We included participants aged ≥20 years and diagnosed as having TBI for ≥6 months from neurosurgical clinics. The 18-item TC-CIQ-R, Participation Measure – 3 Domains, 4 Dimensions (PM-3D4D), Extended Glasgow Outcome Scale (GOSE), and Taiwanese Quality of Life After Brain Injury (TQOLIBRI) were completed. The sample included 180 TBI survivors (54% male, mean age 47 years) of whom 87% sustained a mild TBI. Exploratory factor analysis extracted four factors – home integration, social integration, productivity, and electronic social networking – which explained 63.03% of the variation, after discarding the tenth item with a factor loading of 0.25. For criterion-related validity, the TC-CIQ-R was significantly correlated with the PM-3D4D; convergent validity was exhibited by demonstrating the associations between the TC-CIQ-R and TQOLIBRI. Known-group validity testing revealed significant differences in the subdomain and total scores of the TC-CIQ-R between participants with a mean GOSE score of ≤6 and >7 (all P < 0.001). The TC-CIQ-R exhibited acceptable Cronbach’s α values (0.68–0.88). We suggest the 17-item TC-CIQ-R as a valid tool for rehabilitation professionals, useful for both clinical practice and research in assessing community integration levels following TBI.

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Predictors of return to work after moderate-to-severe traumatic brain injury: a systematic review of current literature and recommendations for future research

Cited by 11 publications

References 54 publications

Participation in the Chronic Phase after Traumatic Brain Injury: Variations and Key Predictors

Participation in the Chronic Phase after Traumatic Brain Injury: Variations and Key Predictors

Work-support techniques used by occupational therapists to facilitate support after acquired brain injuries: A qualitative study

Psychometric properties and factor structure of the traditional Chinese version of the Community Integration Questionnaire-Revised in traumatic brain injury survivors

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