| Citation: |
Texler, L. E., Texler, L. C., Malec, J. F., Klyce, D., & Parrott, D. (2010). Prospective randomized controlled trial of resource facilitation on community participation and vocational outcome following brain injury.
Journal of Head Trauma Rehabilitation, 25
(6),
440-446.
|
| Title: |
Prospective randomized controlled trial of resource facilitation on community participation and vocational outcome following brain injury |
| Authors: |
Texler, L. E., Texler, L. C., Malec, J. F., Klyce, D., & Parrott, D. |
| Year: |
2010 |
|
Journal/Publication:
|
Journal of Head Trauma Rehabilitation |
| Publisher: |
Lippincott, Williams and Wilkins Inc. |
| DOI: |
https://doi.org/10.1097/HTR.0b013e3181d41139
|
| Full text: |
https://www.ncbi.nlm.nih.gov/pubmed/20220530
|
| Peer-reviewed? |
Yes
|
| NIDILRR-funded? |
Yes
|
|
Research design:
|
Randomized controlled trial
|
| Background: |
Brain injury has a negative impact on return to work. Past research indicates improved employment outcomes with an integrated medical/vocational case coordination system. |
|
Purpose:
|
The researchers hypothesized that individuals with brain injury who receive resource facilitation (RF) will have greater success with return to work and participation in community and home activities. |
|
Setting:
|
The setting was a large acute rehabilitation hospital, located in the Mid-West. |
|
Study sample: |
The sample size included 23 individuals with brain-injury and their caregivers. To be included in the study those with brain injury had to meet the following criteria:injury in the last 12 months or less, 18 to 60 years of age, ability to speak English, had been employed and/or had been enrolled in school for 2 years prior to the injury, had a goal to return-to-work or school and had a caregiver who was willing to participate in the study. |
|
Intervention:
|
All participants received standard follow up. Those assigned to the experimental group also received resource facilitation through a facilitator who was charged with assisting them with returning to work. |
|
Control or comparison condition:
|
Participants were assigned to either a resource facilitation group N=12 or regular follow up control conditions N=11. |
|
Data collection and analysis:
|
Participants were given O-Log and the C-Log, as part of their clinical examination in the acute rehabilitation center prior to enrollment to determine the initial severity of cognitive impairment.
Ratings on the Participation Index of the Mayo- Portland Adaptability Inventory (M2PI) were obtained for 11 RF participants and 11 controls before the intervention and at 6-month follow-up. |
|
Findings:
|
Resource facilitation can improve work outcomes. Those who received resource facilitation were more engaged in vocational services. It also had a positive impact on participants involvement in community and home activities. Resource facilitation does not appear to affect depression. |
|
Conclusions:
|
Six months of resource facilitation, provided soon after patient discharge from acute rehabilitation, may have a powerful impact on employment post brain injury and community participation. More research is needed. |
