Article Details

Research Database: Article Details

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

Structured abstract:

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.

Disabilities served:  Cerebral vascular accident (stroke)
Spinal cord injury (SCI)
Populations served:  Gender: Female and Male
Interventions:  Other
Outcomes:  Return to work