Birgit H P M Donker-Cools1,2, Joost G Daams1, Haije Wind1,2, Monique H W Frings-Dresen1,2. 1. a Academic Medical Center, University of Amsterdam , Coronel Institute of Occupational Health , Amsterdam , the Netherlands. 2. b Research Center for Insurance Medicine , Amsterdam , the Netherlands.
Abstract
OBJECTIVE: To gather knowledge about effective return-to-work (RTW) interventions for patients with acquired brain injury (ABI). METHODS: A database search was performed in PubMed, EMBASE, PsycINFO, CINAHL and the Cochrane Library using keywords and Medical Subject Headings. Studies were included if they met inclusion criteria: adult patients with non-progressive ABI, working pre-injury and an intervention principally designed to improve RTW as an outcome. The methodological quality of included studies was determined and evidence was assessed qualitatively. RESULTS: Twelve studies were included, of which five were randomized controlled trials and seven were cohort studies. Nine studies had sufficient methodological quality. There is strong evidence that work-directed interventions in combination with education/coaching are effective regarding RTW and there are indicative findings for the effectiveness of work-directed interventions in combination with skills training and education/coaching. Reported components of the most effective interventions were tailored approach, early intervention, involvement of patient and employer, work or workplace accommodations, work practice and training of social and work-related skills, including coping and emotional support. CONCLUSION AND IMPLICATIONS: Effective RTW interventions for patients with ABI are a combination of work-directed interventions, coaching/education and/or skills training. These interventions have the potential to facilitate sustained RTW for patients with ABI.
OBJECTIVE: To gather knowledge about effective return-to-work (RTW) interventions for patients with acquired brain injury (ABI). METHODS: A database search was performed in PubMed, EMBASE, PsycINFO, CINAHL and the Cochrane Library using keywords and Medical Subject Headings. Studies were included if they met inclusion criteria: adult patients with non-progressive ABI, working pre-injury and an intervention principally designed to improve RTW as an outcome. The methodological quality of included studies was determined and evidence was assessed qualitatively. RESULTS: Twelve studies were included, of which five were randomized controlled trials and seven were cohort studies. Nine studies had sufficient methodological quality. There is strong evidence that work-directed interventions in combination with education/coaching are effective regarding RTW and there are indicative findings for the effectiveness of work-directed interventions in combination with skills training and education/coaching. Reported components of the most effective interventions were tailored approach, early intervention, involvement of patient and employer, work or workplace accommodations, work practice and training of social and work-related skills, including coping and emotional support. CONCLUSION AND IMPLICATIONS: Effective RTW interventions for patients with ABI are a combination of work-directed interventions, coaching/education and/or skills training. These interventions have the potential to facilitate sustained RTW for patients with ABI.
Authors: Louise K Hoeffding; Maria Haahr Nielsen; Morten A Rasmussen; Anne Norup; Juan Carlos Arango-Lasprilla; Ulrikka K Kjær; Kristoffer Sølvsten Burgdorf; Kirsten Jensen Quas; Trine Schow Journal: Trials Date: 2017-08-10 Impact factor: 2.279
Authors: Emilie I Howe; Knut-Petter S Langlo; Hans Christoffer Aargaard Terjesen; Cecilie Røe; Anne-Kristine Schanke; Helene L Søberg; Unni Sveen; Eline Aas; Heidi Enehaug; Daniele E Alves; Pål Klethagen; Kjersti Sagstad; Christine M Moen; Karin Torsteinsbrend; Anne-Margrethe Linnestad; Tonje Haug Nordenmark; Birte Sand Rismyhr; Grete Wangen; Juan Lu; Jennie Ponsford; Elizabeth W Twamley; Helene Ugelstad; Øystein Spjelkavik; Marianne Løvstad; Nada Andelic Journal: Trials Date: 2017-10-17 Impact factor: 2.279
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