Vocational interventions and supports following job placement for persons with traumatic brain injury
| Autor: | Tessa Hart, Charlotte T. Trott, Robert T. Fraser, Marcel P. Dijkers, John Whyte, Cynthia Braden |
|---|---|
| Rok vydání: | 2010 |
| Předmět: |
medicine.medical_specialty
education.field_of_study business.industry Traumatic brain injury Rehabilitation Population Confounding Psychological intervention Cognition medicine.disease Coaching Physical medicine and rehabilitation Case mix index Occupational Therapy Vocational education medicine Physical therapy business education Psychology |
| Zdroj: | Journal of Vocational Rehabilitation. 32:135-150 |
| ISSN: | 1052-2263 |
| DOI: | 10.3233/jvr-2010-0505 |
| Popis: | Previous research on vocational rehabilitation after traumatic brain injury (TBI) has suggested that coaching and other services provided following job placement are particularly important for successful work re-entry in this population. Methods of defining and measuring these services are needed to estimate more precisely their effects on vocational outcomes. In this study we developed a measure of the type, amount, and location of post-placement interventions that could be completed by treaters in "real time". Treatment was measured prospectively for 6 months after job placement for 65 people with moderate to severe TBI treated at 5 TBI Model System centers. Centers were found to differ substantially in the amount and location of treatment provided following job placement; centers providing more intensive treatment and treatment at the workplace also served more severely impaired clients at a longer interval after injury. Within centers, participants' cognitive speed and emotional distress predicted certain aspects of amount and type of treatment provided. Three-fourths of the sample were still working at the placement job after 6 months. Due to the confounding between case mix and treatment variables, unique effects of treatments on outcomes could not be determined. |
| Databáze: | OpenAIRE |
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