Working after brain injury

Conditions

Traumatic brain injury (TBI) Injury, Occupational Diseases, Poisoning Brain injury

Jain Holmes, Joanna Fletcher-Smith, José Antonio Merchán-Baeza, Julie Phillips, Kate Radford

Pilot and Feasibility Studies2022-07-295 citations

Early, specialist vocational rehabilitation to facilitate return to work after traumatic brain injury: the FRESH feasibility RCT.

Radford K, Sutton C, Sach T, Holmes J, Watkins C, Forshaw D, Jones T, Hoffman K, O'Connor R, Tyerman R, Merchán-Baeza JA, Morris R, McManus E, Drummond A, Walker M, Duley L, Shakespeare D, Hammond A, Phillips J.

2018-05-0132 citations

10.3310/hta22330

Interventions

Planned interventions: an early TBI specialist vocational rehabilitation intervention (intervention group) will be compared to treatment as usual (TAU group). Early specialist TBI voc

opportunity to practice work skills e.g. computer use to increase concentration, cooking to practice multi-tasking

liaises with employers/tutors and disability employment advisors (DEAs) to advise about the effects of TBI and plan and monitor graded work return

conduct worksite and job evaluations

identify the need for workplace or job adaptations and serve as the link between health and DWP services to access additional support. TBI case

Eligibility

Sex/Gender

All

Inclusion criteria

Inclusion criteria: 1. Adults (aged 16 and above) living in the London, Preston and Leeds health communities and admitted for 48 hours or more with a new Traumatic Brain Injury 2. Were in work or intending to work or in full-time education (paid or unpaid) prior to their injury

Exclusion criteria

Exclusion criteria: People will be excluded if they: 1. Do not want to take part 2. Do not intend to work/study 3. Are unable to consent for themselves 4. Live more than 1 hours travelling distance from the recruiting centre

Design outcomes

Primary

Measure	Time frame
The primary endpoint is study completion Secondary endpoints: 1. Identification of the primary outcome of importance 2. Successful delivery of Early Specialist TBI Vocational Rehabilitation (ESTVR) in three NHS TBI referral centres 3. Measurement of the effectiveness and cost effectiveness of ESTVR vs TAU on work return and job retention The likely primary measure of effectiveness for the main trial is work status at 12 months defined as competitive employment (full or part time paid work in an ordinary work setting, paid at the market rate [Crowther 2004], although exploration of this is a key component of this study [see 1. above]). The corresponding primary success criteria for the intervention at 12 months post randomisation will be the proportion of: 3.1 Persons returned to work in the same role with an existing employer 3.2 Persons returned to a different role with an existing employer 3.4. Persons returned to self-employed work	—

Measure

Time frame

The primary endpoint is study completion Secondary endpoints: 1. Identification of the primary outcome of importance 2. Successful delivery of Early Specialist TBI Vocational Rehabilitation (ESTVR) in three NHS TBI referral centres 3. Measurement of the effectiveness and cost effectiveness of ESTVR vs TAU on work return and job retention The likely primary measure of effectiveness for the main trial is work status at 12 months defined as competitive employment (full or part time paid work in an ordinary work setting, paid at the market rate [Crowther 2004], although exploration of this is a key component of this study [see 1. above]). The corresponding primary success criteria for the intervention at 12 months post randomisation will be the proportion of: 3.1 Persons returned to work in the same role with an existing employer 3.2 Persons returned to a different role with an existing employer 3.4. Persons returned to self-employed work

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Secondary

Measure	Time frame
Secondary measures of effectiveness to be collected at 3, 6 and 12 months post randomisation will be: 1. Hospital Anxiety and Depression scale (mood) 2. Extended Activities of Daily Living (functional ability) 3. Community Integration Questionnaire (participation) 4. EuroQol EQ-5D-3L (health-related quality of life) 5. Work Productivity and Activity Impairment Questionnaire (productivity) 6. Use of health and social care resources 7. Carer-Strain Index (carer strain) 8. Single question from work ability index (work self-efficacy)	—

Measure

Time frame

Secondary measures of effectiveness to be collected at 3, 6 and 12 months post randomisation will be: 1. Hospital Anxiety and Depression scale (mood) 2. Extended Activities of Daily Living (functional ability) 3. Community Integration Questionnaire (participation) 4. EuroQol EQ-5D-3L (health-related quality of life) 5. Work Productivity and Activity Impairment Questionnaire (productivity) 6. Use of health and social care resources 7. Carer-Strain Index (carer strain) 8. Single question from work ability index (work self-efficacy)

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Countries

England, United Kingdom

Outcome results

None listed