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Replication of a Prospective Randomized Controlled Trial of Resource Facilitation to Improve Return to Work and School After Brain Injury

Published:October 06, 2015DOI:https://doi.org/10.1016/j.apmr.2015.09.016

      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)
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