Abstract
Objective
To determine the extent to which previous findings on the effectiveness of resource
facilitation to impact return to work and school could be replicated.
Design
Randomized controlled trial.
Setting
Outpatient rehabilitation clinic.
Participants
Outpatients with acquired brain injury (N=44).
Intervention
Fifteen months of resource facilitation services.
Main Outcome Measures
A revised version of the Vocational Independence Scale and the Mayo-Portland Adaptability
Inventory-4 Participation Index.
Results
Participants randomized to the resource facilitation group demonstrated a significant
advantage in terms of rate and timing of return to productive community-based work
relative to control participants. When examining only return to competitive work (and
not return to school), 69% of the resource facilitation group was able to return compared
with 50% of the control participants. Analyses of measures of participation in household
and community activities revealed that both groups improved significantly over the
15-month study period, but no significant advantage for either group was demonstrated.
Conclusions
This study replicates the positive impact of resource facilitation in improving productive
community-based activity, including competitive employment and volunteering in the
community.
Keywords
List of abbreviations:
BSI-18 (Brief Symptom Inventory-18), GSI (Global Severity Index), M2PI (Mayo-Portland Adaptability Inventory-4 Participation Index), TBI (traumatic brain injury), VIQ (Verbal Intelligence Quotient)To read this article in full you will need to make a payment
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References
- Traumatic brain injury rehabilitation: issues in vocational outcome.Neuropsychol Rehabil. 1995; 5: 39-48
- How many people return to work after acquired brain injury?: a systematic review.Brain Inj. 2009; 26: 473-488
- Prediction of functional and employment outcome one year after traumatic brain injury: a structural equation modelling approach.J Neurol Neurosurg Psychiatry. 2011; 82: 936-941
- A medical/vocational case coordination system for persons with brain injury: an evaluation of employment outcomes.Arch Phys Med Rehabil. 2000; 81: 1007-1015
- Replicated positive results for the VCC model of vocational intervention after ABI within the social model of disability.Brain Inj. 2006; 20: 227-236
- Prospective controlled trial of resource facilitation on community participation and vocational outcome following brain injury.J Head Trauma Rehabil. 2010; 25: 440-446
- The Maro-Portland Participation Index: a brief and psychometrically sounds measure of brain injury outcome.Arch Phys Med Rehabil. 2004; 85: 1989-1996
- Manual for the Mayo-Portland Adaptability Inventory (MPAI-4) for adults, children, and adolescents.(Available at:)http://tbims.org/combi/mpai/manual.pdf(Accessed June 28, 2015)Date: 2008
- A new psychosocial screening instrument for use with cancer patients.Psychosomatics. 2001; 42: 241-246
- Introduction to the Orientation Log. The Center for Outcome Measurement in Brain Injury.(Available at:)http://www.tbims.org/combi/olog(Accessed June 28, 2015)Date: 2000
- Introduction to the Cog-Log. The Center for Outcome Measurement in Brain Injury.(Available at:)http://www.tbims.org/combi/coglog(Accessed June 28, 2015)Date: 2004
- The functional independence measure: a new tool for rehabilitation.Adv Clin Rehabil. 1987; 1: 6-18
- Wechsler Adult Intelligence Scale—3rd Edition (WAIS-3).Harcourt Assessment, San Antonio1997
- A simple objective technique for measuring flexibility in thinking.J Gen Psychol. 1948; 39: 15-22
- Validity of the Trail Making Test as an indicator of organic brain damage.Percept Mot Skills. 1958; 8: 271-276
- A standardized memory scale for clinical use.J Psychol. 1945; 19: 87-95
- Development and preliminary standardization of the “extended complex figure test” (ECFT).J Clin Exp Neuropsychol. 1996; 18: 63-76
- California Verbal Learning Test.2nd ed. Psychological Corp, San Antonio2000
- Studying employment variables following traumatic brain injury.(Available at:)http://www.tbims.org/combi/emp(Accessed June 28, 2015)Date: 2004
- Intention-to-treat concept: a review.Precept Clin Res. 2011; 2: 109-112
- Resource facilitation: Indiana best practices manual for return-to-work or return-to-school.(Available at:) (Accessed October 22, 2015)
- Resource facilitation: a consensus of principles and best practices to guide program development and operation in brain injury.Brain Injury Association, Alexandria2001
- Choosing covariates in the analysis of clinical trials.Control Clin Trials. 1989; 10: 161-175
Article info
Publication history
Published online: October 06, 2015
Footnotes
Supported by the Indiana Spinal Cord and Brain Injury Research Board (grant no. 040100) and the Rehabilitation Hospital of Indiana Foundation.
Disclosures: none.
Identification
Copyright
© 2016 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.
