Development of a Programme Theory for Early Intervention Vocational Rehabilitation: A Realist Literature Review.

Autor: Dunn JA; Department of Orthopaedic Surgery and Musculoskeletal Medicine, University of Otago, PO Box 4345, Christchurch, 8140, New Zealand. jennifer.dunn@otago.ac.nz., Hackney JJ; Burwood Academy Trust, Christchurch, New Zealand., Martin RA; Burwood Academy Trust, Christchurch, New Zealand.; Department of Medicine, University of Otago Wellington, Wellington, New Zealand., Tietjens D; Wellington Medical and Health Sciences Library, University of Otago, Wellington, Wellington, New Zealand., Young T; Burwood Academy Trust, Christchurch, New Zealand., Bourke JA; Burwood Academy Trust, Christchurch, New Zealand.; Menzies Health Institute, Griffith University, Brisbane, QLD, Australia.; Preventive and Social Medicine, University of Otago, Dunedin, New Zealand., Snell DL; Department of Orthopaedic Surgery and Musculoskeletal Medicine, University of Otago, PO Box 4345, Christchurch, 8140, New Zealand., Nunnerley JL; Department of Orthopaedic Surgery and Musculoskeletal Medicine, University of Otago, PO Box 4345, Christchurch, 8140, New Zealand.; Burwood Academy Trust, Christchurch, New Zealand., Hall A; New Zealand Spinal Trust, Christchurch, New Zealand., Derrett S; Preventive and Social Medicine, University of Otago, Dunedin, New Zealand.
Jazyk: angličtina
Zdroj: Journal of occupational rehabilitation [J Occup Rehabil] 2021 Dec; Vol. 31 (4), pp. 730-743. Date of Electronic Publication: 2021 Sep 15.
DOI: 10.1007/s10926-021-10000-z
Abstrakt: Purpose Little is currently known about how early intervention vocational rehabilitation (EIVR) works for people with newly acquired neurological conditions such as traumatic brain injury, acquired brain injury and spinal cord injury. This study aims, from a realist framework, to identify relevant literature and develop an initial programme theory to understand how EIVR might work for people experiencing acquired neurological disability. Realist reviews are ideally placed to address the identified knowledge gap as they assist in gaining a deeper understanding of how the intervention works, for whom it works best, and the contexts that promote the activation of desired outcomes. Methods We used a seven-step iterative process to synthesise literature using a realist approach. The steps included: development of initial programme theory, literature search, article selection, extracting and data organising, synthesis of evidence and programme theory refinement. We performed a literature search using the following databases: Cinahl, Embase, EMcare, Medline, PsychInfo and Scopus. Articles were selected if they contributed to the knowledge describing what is EIVR and how it works in newly acquired neurological conditions. Data were extracted and synthesised to develop a programme theory for EIVR. Results Following screening of 448 references, 37 documents were eligible for data extraction. We developed a refined programme theory of EIVR consisting of three contexts (prioritisation of exploring work options, return to work discussed as an option, and workplace support), nine mechanisms (ensuring rehabilitation teams' culture, fostering hope, exploring options, optimising self-efficacy, maintaining worker identity, staying connected, setting goals, engaging employer, and flexing roles) and three outcomes (confidence in ability to work, psychological adjustment, and engagement in solution focussed options). Conclusions This appears to be the first paper to explore how EIVR works, for whom and in what situations. We have produced a programme theory that may provide an initial understanding of EIVR following acquired neurological conditions.
(© 2021. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.)
Databáze: MEDLINE
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