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

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Abstract

Purpose Addressing return to work early after neurological impairment from stroke or moderate and severe traumatic brain injury may improve likelihood of returning to employment, yet little is known about how best to organize work interventions for delivery in the inpatient hospital setting. The purpose of this scoping review was to identify knowledge gaps and inform program development in hospital-based work interventions. Method We searched MEDLINE, CINAHL, OTSeeker and Embase for English-language articles published from database inception until March 2018. Citations were then manually searched using reference lists of included papers and Google Scholar. Articles were included if they described programs providing return to work intervention within a hospital to adults with newly acquired neurological conditions, such as traumatic brain injury or stroke. After identifying and selecting relevant studies, we charted the data and then synthesized the results. Results Twenty-eight articles explored work intervention in an inpatient hospital setting. Interventions targeted a diagnostically heterogeneous population, mostly including adults who had suffered either a traumatic brain injury or stroke. Most interventions included a structured process for assessment, highlighted the importance of collaboration, and aimed to improve performance of work skills that could be facilitated within a hospital setting only (as opposed to all work skills). Thematic analysis of included studies resulted in four themes: structure, collaboration, clinician training, and belief in future work capacity. Conclusion Return to work intervention appears to be an important component of neurological rehabilitation. While studies to date have identified enablers for the integration of work interventions into the inpatient hospital setting, there is limited description of specific components of programs, and a lack of studies evaluating program effectiveness.

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References

  1. Thurman DJ, Alverson C, Dunn KA, Guerrero J, Sniezek JE. Traumatic brain injury in the United States: a public health perspective. J Head Trauma Rehabil. 1999;14(6):602–615.

    Article  CAS  PubMed  Google Scholar 

  2. van Velzen JM, van Bennekom CA, Edelaar MJ, Sluiter JK, Frings-Dresen MH. How many people return to work after acquired brain injury?: A systematic review. Brain Inj. 2009;23(6):473–488.

    Article  PubMed  Google Scholar 

  3. Cifu DX, Stewart DG. Factors affecting functional outcome after stroke: a critical review of rehabilitation interventions. Arch Phys Med Rehabil. 1999;80(5):9–35.

    Google Scholar 

  4. Eames P, Cotterill G, Kneale T, Storrar A, Yeomans P. Outcome of intensive rehabilitation after severe brain injury: a long-term follow-up study. Brain Inj. 1996;10:631–650.

    Article  CAS  PubMed  Google Scholar 

  5. Cifu DX, Keyser-Marcus L, Lopez E, Wehman P, Kreutzer JS, Englander J, et al. Acute predictors of successful return to work 1 year after traumatic brain injury: a multicenter analysis. Arch Phys Med Rehabil. 1997;78(2):125–131.

    Article  CAS  PubMed  Google Scholar 

  6. Keyser-Marcus LA, Bricout JC, Wehman P, Campbell LR, Cifu DX, Englander J, et al. Acute predictors of return to employment after traumatic brain injury: a longitudinal follow-up. Arch Phys Med Rehabil. 2002;83(5):635–641.

    Article  PubMed  Google Scholar 

  7. Wolf TJ, Baum C, Conner LT. Changing face of stroke: implications for occupational therapy practice. Am J Occup Ther. 2009;63(5):621–625.

    Article  PubMed  PubMed Central  Google Scholar 

  8. Medin J, Barajas J, Ekberg K. Stroke patients’ experiences of return to work. Disabil Rehabil. 2006;28(17):1051–1060.

    Article  PubMed  Google Scholar 

  9. Kerschke S, Witas M. Brain injury rehabilitation for the real world. Rehab Manag. 2013;26(5):34–39.

    Google Scholar 

  10. Soeker MS, Van Rensburg V, Travill A. Are rehabilitation programmes enabling clients to return to work? Return to work perspectives of individuals with mild to moderate brain injury in South Africa. Work 2012;43(2):171–182.

    PubMed  Google Scholar 

  11. Johansson J, Bernspang B. Life satisfaction related to work re-entry after brain injury: a longitudinal study. Brain Inj. 2003;17(11):991–1002.

    Article  PubMed  Google Scholar 

  12. Bryson-Campbell M, Shaw L, O’Brien J, Holmes J, Magalhaes L. A scoping review on occupational and self identity after a brain injury. Work 2013;44(1):57–67.

    PubMed  Google Scholar 

  13. O’neill J, Hibbard MR, Broivn M, Jaffe M, Sliwinski M, Vandergoot D, et al. The effect of employment on quality of life and community integration after traumatic brain injury. J Head Trauma Rehabil. 1998;13:468–479.

    Article  Google Scholar 

  14. Soeker MS, Van Rensburg V, Travill A. Individuals with traumatic brain injuries perceptions and experiences of returning to work in South Africa. Work. 2012;42(4):589–600.

    PubMed  Google Scholar 

  15. Hart T, Dijkers M, Whyte J, Braden C, Trott CT, Fraser R. Vocational interventions and supports following job placement for persons with traumatic brain injury. J Vocat Rehabil. 2010;32(3):135–150.

    Google Scholar 

  16. Ownsworth T, McKenna K. Investigation of factors related to employment outcome following traumatic brain injury: a critical review and conceptual model. Disabil Rehabil. 2004;26(13):765–783.

    Article  PubMed  Google Scholar 

  17. O’Brien L. Achieving a successful and sustainable return to the workforce after ABI: a client-centred approach. Brain Inj. 2007;21(5):465–478.

    Article  PubMed  Google Scholar 

  18. Murphy L, Chamberlain E, Weir J, Berry A, Nathaniel-James D, Agnew R. Effectiveness of vocational rehabilitation following acquired brain injury: preliminary evaluation of a UK specialist rehabilitation programme. Brain Inj. 2006;20(11):1119–1129.

    Article  PubMed  Google Scholar 

  19. Geurtsen GJ, van Heugten CM, Martina JD, Geurts AC. Comprehensive rehabilitation programmes in the chronic phase after severe brain injury: a systematic review. J Rehabil Med. 2010;42(2):97–110.

    Article  PubMed  Google Scholar 

  20. Arksey H, O'Malley L. Scoping studies: towards a methodological framework. Int J Soc Methodol. 2005;8(1):19–32.

    Article  Google Scholar 

  21. Moher D, Chan AW. SPIRIT (Standard Protocol Items: Recommendations for Interventional Trials). Guidelines for reporting health research: a user’s manual. Chichester: Wiley Blackwell; 2014. pp. 56–67.

    Google Scholar 

  22. Stemler S. An overview of content analysis. Pract Assess Res Eval. 2001;7(17):137–146.

    Google Scholar 

  23. Braverman SE, Spector J, Warden DL, Wilson BC, Ellis TE, Bamdad MJ, et al. A multidisciplinary TBI inpatient rehabilitation programme for active duty service members as part of a randomized clinical trial. Brain Inj. 1999;13(6):405–415.

    Article  CAS  PubMed  Google Scholar 

  24. Hayden ME, Moreault A, LeBlanc J, Plenger PM. Reducing level of handicap in traumatic brain injury: an environmentally based model of treatment. J Head Trauma Rehabil. 2000;15(4):1000–1021.

    Article  CAS  PubMed  Google Scholar 

  25. Man DW, Poon WS, Lam C. The effectiveness of artificial intelligent 3-D virtual reality vocational problem-solving training in enhancing employment opportunities for people with traumatic brain injury. Brain Inj. 2013;27(9):1016–1025.

    Article  PubMed  Google Scholar 

  26. Thomas DF, Menz F. Validation of the vocational assessment protocol. J Head Trauma Rehabil. 1997;12(5):72–87.

    Article  Google Scholar 

  27. Watanabe S. Vocational rehabilitation for clients with cognitive and behavioral disorders associated with traumatic brain injury. Work. 2013;45(2):273–277.

    PubMed  Google Scholar 

  28. Salazar AD, Warden DL, Schwab K, Spector J, Braverman S, Walter J, Cole R, Rosner MM, Martin EM, Ecklund J, Ellenbogen RG. Cognitive rehabilitation for traumatic brain injury. JAMA. 2000;283(23):3075–3081.

    Article  CAS  PubMed  Google Scholar 

  29. Sarajuuri JM, Kaipio ML, Koskinen SK, Niemela MR, Servo AR, Vilkki JS. Outcome of a comprehensive neurorehabilitation progrm for patients with traumatic brain injury. Arch Phys Med Rehabil. 2005;86(12):2296–2302.

    Article  PubMed  Google Scholar 

  30. Buffington ALH, Malec JF. The vocational rehabilitation continuum: maximizing outcomes through bridging the gap from hospital to community-based services. J Head Trauma Rehabil. 1997;12(5):1–13.

    Article  Google Scholar 

  31. Mateer CA, Sira CS. Cognitive and emotional consequences of TBI: intervention strategies for vocational rehabilitation. Neurorehabilitation 2006;21(4):315–326.

    PubMed  Google Scholar 

  32. Roth EJ, Lovell L. Employment after stroke: report of a state of the science symposium. Top Stroke Rehabil. 2014;21(Suppl 1):S75–S86.

    Article  PubMed  Google Scholar 

  33. Sinclair E, Radford K, Grant M, Terry J. Developing stroke-specific vocational rehabilitation: a soft systems analysis of current service provision. Disabil Rehabil. 2014;36(5):409–417.

    Article  PubMed  Google Scholar 

  34. Soeker MS. Occupational adaptation: a return to work perspective of persons with mild to moderate brain injury in South Africa. J Occup Sci. 2011;18(1):81–91.

    Article  Google Scholar 

  35. Soeker MS. The development of the model of occupational self efficacy: an occupational therapy practice model to facilitate returning to work after a brain injury. Work. 2012;43(3):313–322.

    PubMed  Google Scholar 

  36. van Velzen JM, van Bennekom CAM, van Dormolen M, Sluiter JK, Frings-Dresen MHW. Factors influencing return to work experienced by people with acquired brain injury: a qualitative research study. Disabil Rehabil. 2011;33(23):2237–2246.

    Article  PubMed  Google Scholar 

  37. van Velzen JM, van Bennekom CAM, Sluiter JK, Frings-Dresen MHW. Early vocational rehabilitation after acquired brain injury: a structured and interdisciplinary approach. J Vocat Rehabil. 2015;42(1):31–40.

    Google Scholar 

  38. Holmes J, Phillips J, Morris R, Bedekar Y, Tyerman R, Radford K. Development and evaluation of an early specialised traumatic brain injury vocational rehabilitation training package. Br J Occup Ther. 2016;79(11):693–702.

    Article  Google Scholar 

  39. Gilworth G, Phil M, Cert A, Sansam KA, Kent RM. Personal experiences of returning to work following stroke: an exploratory study. Work 2009;34(1):95–103.

    CAS  PubMed  Google Scholar 

  40. Scott SL, Bondoc S. Occupational therapy’s distinct value for stroke survivors: facilitating return to work across the continuum of care. Phys Disabil Spec Interest Sect Q. 2015;38(3):1–4.

    Google Scholar 

  41. Hellman T, Bergström A, Eriksson G, Hansen Falkdal A, Johansson U. Return to work after stroke: important aspects shared and contrasted by five stakeholder groups. Work 2016;55(4):901–911.

    Article  PubMed  Google Scholar 

  42. Bush EJ, Hux K, Guetterman TC, McKelvey M. The diverse vocational experiences of five individuals returning to work after severe brain injury: a qualitative inquiry. Brain Inj. 2016;30(4):422–436.

    Article  PubMed  Google Scholar 

  43. Donker-Cools BH, Schouten MJ, Wind H, Frings-Dresen MH. Return to work following acquired brain injury: the views of patients and employers. Disabil Rehabil. 2018;4(2):185–191.

    Article  Google Scholar 

  44. Stergiou-Kita M, Rappolt S, Dawson D. Towards developing a guideline for vocational evaluation following traumatic brain injury: the qualitative synthesis of clients’ perspectives. Disabil Rehabil. 2012;34(3):179–188.

    Article  PubMed  Google Scholar 

  45. Thomas DF, Menz FE. Employment-related services for persons with brain injury. J Head Trauma Rehabil. 1997;12(5):9–11.

    Google Scholar 

  46. Chappell I, Higham J, McLean AM. An occupational therapy work skills assessment for individuals with head injury. Can J Occup Ther. 2003;70(3):163–169.

    Article  PubMed  Google Scholar 

  47. MacDonald S, Johnson CJ. Utility of a verbal reasoning test in indicating vocational readiness following traumatic brain injury. Brain Inj. 1996;10(7):531–542.

    Article  CAS  PubMed  Google Scholar 

  48. van Velzen JM, van Bennekom CAM, van Dormolen M, Sluiter JK, Frings-Dresen MHW. Evaluation of the implementation of the protocol of an early vocational rehabilitation intervention for people with acquired brain injury. Disabil Rehabil. 2016;38(1):62–70.

    Article  PubMed  Google Scholar 

  49. Grant M, Radford K, Sinclair E, Walker M. Return to work after stroke: recording, measuring, and describing occupational therapy intervention. Br J Occup Ther. 2014;77(9):457–465.

    Article  Google Scholar 

  50. Stergiou-Kita M, Dawson D, Rappolt S. Inter-professional clinical practice guideline for vocational evaluation following traumatic brain injury: a systematic and evidence-based approach. J Occup Rehabil. 2012;22(2):166–181.

    Article  PubMed  Google Scholar 

  51. Smith RK. Prevocational programming in the rehabilitation of the head-injured patient. A summary. Phys Ther. 1983;63(12):2026–2029.

    Article  CAS  PubMed  Google Scholar 

  52. Kirsch NL, Levine SP, Lajiness-O’Neill R, Schnyder M. Computer-assisted interactive task guidance: facilitating the performance of a simulated vocational task. J Head Trauma Rehabil. 1992;7(3):13–25.

    Article  Google Scholar 

  53. van Velzen JM, van Bennekom CA, van Dormolen M, Sluiter JK, Frings-Dresen MH. Factors influencing return to work experienced by people with acquired brain injury: a qualitative research study. Disabil Rehabil. 2011;33(23–24):2237–2246.

    Article  PubMed  Google Scholar 

  54. Doucet T, Muller F, Verdun-Esquer C, Debelleix X, Brochard P. Returning to work after a stroke: a retrospective study at the Physical and Rehabilitation Medicine Center La Tour de Gassies. Ann Phys Rehabil Med. 2012;55(2):112–127.

    Article  CAS  PubMed  Google Scholar 

  55. Grant MI, Sinclair EJ, Walker MF, Radford KA. Vocational rehabilitation following stroke: describing intervention. Int J Stroke. 2012;7:20.

    Google Scholar 

  56. Bush EJ, Hux K, Guetterman TC, McKelvey M. The diverse vocational experiences of five individuals returning to work after severe brain injury: a Qualitative inquiry. Brain Inj. 2016;30(4):422–436.

    Article  PubMed  Google Scholar 

  57. Donker-Cools BH, Daams JG, Wind H, Frings-Dresen MH. Effective return-to-work interventions after acquired brain injury: a systematic review. Brain Inj. 2016;30(2):113–131.

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. School of Allied Health (Occupational Therapy), La Trobe University, Bundoora, Australia

    Sophie O’Keefe & Natasha A. Lannin

  2. School of Medical and Health Sciences, Edith Cowan University, Joondalup, Australia

    Mandy Stanley

  3. Brisbane, Australia

    Kerry Adam

  4. Department of Occupational Therapy, Alfred Health, Melbourne, Australia

    Natasha A. Lannin

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O’Keefe, S., Stanley, M., Adam, K. et al. A Systematic Scoping Review of Work Interventions for Hospitalised Adults with an Acquired Neurological Impairment. J Occup Rehabil 29, 569–584 (2019). https://doi.org/10.1007/s10926-018-9820-8

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