A Systematic Scoping Review of Work Interventions for Hospitalised Adults with an Acquired Neurological Impairment

O'Keefe, Sophie; Stanley, Mandy; Adam, Kerry; Lannin, Natasha A.

doi:10.1007/s10926-018-9820-8

Cited by 14 publications

(7 citation statements)

References 49 publications

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“…The intervention was designed using behaviour change theory and as such, incorporates the essential resources and strategies necessary to change the practice of allied health clinicians in these settings. Key to providing work‐focussed intervention within inpatient rehabilitation is to target the development of both core work skills as well as specific job skills using a coordinated multi‐disciplinary approach (O’Keefe et al., 2019). Embedding work‐focussed intervention into the hospital environment for people with an ABI is challenging.…”

Section: Discussionmentioning

confidence: 99%

“…At the commencement of the first working group meeting, authors (SO and NAL) presented the findings of the needs assessment to the working group. To identify suitable intervention objectives, the working group utilised findings from the needs assessment (O’Keefe et al., 2019), shared clinical experience and consultation with managers of the ABI unit. Following the specification of intervention objectives, intervention actions were defined.…”

Section: Methodsmentioning

confidence: 99%

“…Where necessary, a third coder (MS) was consulted to reach consensus. Alongside the series of focus groups, authors (SO, MS and NAL) also conducted an in-depth literature review of the best available evidence to identify interventions (O'Keefe et al, 2019) and assessments previously implemented in hospital-based rehabilitation. To identify relevant evidence one author (SO) conducted a search, of four databases (Medline, CINAHL, OT Seeker and Embase) as well as reference lists of included studies from inception of database until April 2017 (commencement of working group meetings) using the following keywords and relevant MeSH headings: (work or "return to work" or "work rehabilitation or "vocational rehabilitation" or "work role") and (brain injury or ABI or stroke or CVA or "traumatic brain injury" or TBI) and ("inpatient rehabilitation" or "sub-acute" or "hospital-based").…”

Section: Participants and Settingmentioning

confidence: 99%

“…Newly acquired physical, cognitive and/or language impairments can make it difficult to perform previous work tasks, and/or attain a new job (Corr & Wilmer, 2003). Known barriers to returning to work include clinicians’ and clients’ perceptions about the feasibility of returning to work (O’Keefe et al., 2019), and access to timely vocational rehabilitation that supports returning to work (Radford et al., 2013). Providing interventions that directly raise awareness of, and targets vocational rehabilitation early after ABI improves the success and timeliness of returning to work (Kowlakowsky‐Hayner & Tyerman, 2012; Malec et al., 2000; van Velzen et al., 2016).…”

Section: Introductionmentioning

confidence: 99%

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Designing an intervention process that embeds work‐focussed interventions within inpatient rehabilitation: An intervention mapping approach

O'Keefe

Stanley

Sansonetti

et al. 2020

Aus Occup Therapy J

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Introduction Returning to work is a goal for many people after brain injury. The failure to return to work after injury brings both economic and personal (quality of life) costs to those living with stroke or brain injury, their families, and society. This study explored the barriers to providing work‐focused interventions during hospital‐based rehabilitation and co‐created solutions with rehabilitation providers to increase the provision of work‐focused intervention during inpatient rehabilitation. Methods This study used an Intervention Mapping approach (a six‐step protocol that guides the design of complex interventions) based on an action research methodology. Focus group data, in addition to best evidence from systematic reviews, practice guidelines and key articles were combined with theoretical models for changing behaviour and clinician experience. This was then systematically operationalised into an intervention process using consensus among clinicians. The process was further refined through piloting and feedback from key stakeholders, and group consensus on the final process. Results A detailed five phase return to work intervention process for inpatient rehabilitation was developed. The key features of the process include; having one key allied health clinician to coordinate the process, choosing assessments based on pre‐injury work demands, emphasising the importance of core work skills and considering the most appropriate service for referral at the conclusion of rehabilitation. Conclusion We used a systematic approach, guided by the intervention mapping approach and behaviour change theory to tailor existing workfocused interventions to the inpatient setting.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Participants and Settingmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Designing an intervention process that embeds work‐focussed interventions within inpatient rehabilitation: An intervention mapping approach

O'Keefe

Stanley

Sansonetti

et al. 2020

Aus Occup Therapy J

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“…It is likely that early vocational rehabilitation, including work ability (how well someone’s health, skills, and experience match the demands of their work role) assessment, work visits, and the involvement of the employee, health professionals, and the employer, has the potential to improve participation in work for stroke survivors [ 2 , 10 ]. Yet it has become accepted that vocational rehabilitation is not a standard feature of poststroke rehabilitation programs [ 5 , 9 ].…”

Section: Introductionmentioning

confidence: 99%

A Tailored Occupational Therapist–Led Vocational Intervention for People With Stroke: Protocol for a Pilot Randomized Controlled Trial

O'Keefe¹,

Radford²,

Farrin³

et al. 2022

JMIR Res Protoc

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Background Resuming work after stroke is a common goal of working-age adults, yet there are few vocational rehabilitation programs designed to address the unique challenges faced following stroke. The Work intervention was developed to address these gaps. Objective This paper presents a protocol that outlines the steps that will be undertaken to pilot both the intervention and trial processes for the Work trial. Methods The Work trial is a 2-arm, prospective, randomized, blinded-assessor study with intention-to-treat analysis. A total of 54 adults of working age who have experienced a stroke <4 months prior will be randomized 1:1 to either (1) an experimental group who will receive a 12-week early vocational intervention (Work intervention) plus usual clinical rehabilitation or (2) a control group who will receive only their usual clinical rehabilitation. Results Outcomes include study and intervention feasibility and intervention benefit. In addition to evaluating the feasibility of delivering vocational intervention early after stroke, benefit will be assessed by measuring rates of vocational participation and quality-of-life improvements at the 3- and 6-month follow-ups. Process evaluation using data collected during the study, as well as postintervention individual interviews with participants and surveys with trial therapists, will complement quantitative data. Conclusions The results of the trial will provide details on the feasibility of delivering the Work intervention embedded within the clinical rehabilitation context and inform future trial processes. Pilot data will enable a future definitive trial to determine the clinical effectiveness of vocational rehabilitation when delivered in the early subacute phase of stroke recovery. Trial Registration Australian New Zealand Clinical Trials Registry ACTRN12619001164189; https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=378112&isReview=true International Registered Report Identifier (IRRID) DERR1-10.2196/40548

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Disruption in the Workplace

Kendall

McLennan

2021

Handbook on Management and Employment Practices

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A Systematic Scoping Review of Work Interventions for Hospitalised Adults with an Acquired Neurological Impairment

Cited by 14 publications

References 49 publications

Designing an intervention process that embeds work‐focussed interventions within inpatient rehabilitation: An intervention mapping approach

Designing an intervention process that embeds work‐focussed interventions within inpatient rehabilitation: An intervention mapping approach

A Tailored Occupational Therapist–Led Vocational Intervention for People With Stroke: Protocol for a Pilot Randomized Controlled Trial

Disruption in the Workplace

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