Lance E Trexler1, Devan R Parrott2, James F Malec3. 1. Rehabilitation Hospital of Indiana, Indianapolis, IN; Department of Physical Medicine and Rehabilitation, Indiana University School of Medicine, Indianapolis, IN. Electronic address: lance.trexler@rhin.com. 2. Rehabilitation Hospital of Indiana, Indianapolis, IN. 3. Rehabilitation Hospital of Indiana, Indianapolis, IN; Department of Physical Medicine and Rehabilitation, Indiana University School of Medicine, Indianapolis, IN.
Abstract
OBJECTIVE: To determine the extent to which previous findings on the effectiveness of resource facilitation to impact return to work and school could be replicated. DESIGN: Randomized controlled trial. SETTING:Outpatient rehabilitation clinic. PARTICIPANTS: Outpatients with acquired brain injury (N=44). INTERVENTION: Fifteen months of resource facilitation services. MAIN OUTCOME MEASURES: A revised version of the Vocational Independence Scale and the Mayo-Portland Adaptability Inventory-4 Participation Index. RESULTS: Participants randomized to the resource facilitation group demonstrated a significant advantage in terms of rate and timing of return to productive community-based work relative to control participants. When examining only return to competitive work (and not return to school), 69% of the resource facilitation group was able to return compared with 50% of the control participants. Analyses of measures of participation in household and community activities revealed that both groups improved significantly over the 15-month study period, but no significant advantage for either group was demonstrated. CONCLUSIONS: This study replicates the positive impact of resource facilitation in improving productive community-based activity, including competitive employment and volunteering in the community.
RCT Entities:
OBJECTIVE: To determine the extent to which previous findings on the effectiveness of resource facilitation to impact return to work and school could be replicated. DESIGN: Randomized controlled trial. SETTING:Outpatient rehabilitation clinic. PARTICIPANTS: Outpatients with acquired brain injury (N=44). INTERVENTION: Fifteen months of resource facilitation services. MAIN OUTCOME MEASURES: A revised version of the Vocational Independence Scale and the Mayo-Portland Adaptability Inventory-4 Participation Index. RESULTS:Participants randomized to the resource facilitation group demonstrated a significant advantage in terms of rate and timing of return to productive community-based work relative to control participants. When examining only return to competitive work (and not return to school), 69% of the resource facilitation group was able to return compared with 50% of the control participants. Analyses of measures of participation in household and community activities revealed that both groups improved significantly over the 15-month study period, but no significant advantage for either group was demonstrated. CONCLUSIONS: This study replicates the positive impact of resource facilitation in improving productive community-based activity, including competitive employment and volunteering in the community.
Authors: Caroline H van Dongen; Paulien H Goossens; Inge E van Zee; Kirsten N Verpoort; Thea P M Vliet Vlieland; Judith M van Velzen Journal: J Occup Rehabil Date: 2018-09