dc.contributor.author | Fure, Silje Christine Reistad | |
dc.contributor.author | Howe, Emilie | |
dc.contributor.author | Andelic, Nada | |
dc.contributor.author | Brunborg, Cathrine | |
dc.contributor.author | Sveen, Unni | |
dc.contributor.author | Røe, Cecilie | |
dc.contributor.author | Rike, Per-Ola | |
dc.contributor.author | Olsen, Alexander | |
dc.contributor.author | Spjelkavik, Øystein | |
dc.contributor.author | Ugelstad, Helene | |
dc.contributor.author | Lu, Juan | |
dc.contributor.author | Ponsford, Jennie | |
dc.contributor.author | Twamley, Elizabeth | |
dc.contributor.author | Hellstrøm, Torgeir | |
dc.coverage.spatial | Norway | en_US |
dc.date.accessioned | 2021-09-24T09:05:46Z | |
dc.date.available | 2021-09-24T09:05:46Z | |
dc.date.created | 2021-07-28T22:20:13Z | |
dc.date.issued | 2021-07-22 | |
dc.identifier.issn | 1877-0657 | |
dc.identifier.uri | https://hdl.handle.net/11250/2781340 | |
dc.description.abstract | Background: Returning to work is often a primary rehabilitation goal after traumatic brain injury (TBI). However, the evidence base for treatment options regarding return to work (RTW) and stable work maintenance remains scarce. Objective: This study aimed to examine the effect of a combined cognitive and vocational intervention on work-related outcomes after mild-to-moderate TBI. Methods: In this study, we compared 6 months of a combined compensatory cognitive training and supported employment (CCT-SE) intervention with 6 months of treatment as usual (TAU) in a randomised controlled trial to examine the effect on time to RTW, work percentage, hours worked per week and work stability. Eligible patients were those with mild-to-moderate TBI who were employed ≥ 50% at the time of injury, 18 to 60 years old and sick-listed ≥ 50% at 8 to 12 weeks after injury due to post-concussion symptoms, assessed by the Rivermead Post Concussion Symptoms Questionnaire. Both treatments were provided at the outpatient TBI department at Oslo University Hospital, and follow-ups were conducted at 3, 6 and 12 months after inclusion. Results: We included 116 individuals, 60 randomised to CCT-SE and 56 to TAU. The groups did not differ in characteristics at the 12-month follow-up. Overall, a high proportion had returned to work at 12 months (CCT-SE, 90%; TAU, 84%, P = 0.40), and all except 3 were stably employed after the RTW. However, a significantly higher proportion of participants in the CCT-SE than TAU group had returned to stable employment at 3 months (81% vs. 60%, P = 0.02). Conclusion: These results suggest that the CCT-SE intervention might help patients with mild-to-moderate TBI who are still sick-listed 8 to 12 weeks after injury in an earlier return to stable employment. However, the results should be replicated and a cost-benefit analysis performed before concluding. | en_US |
dc.description.sponsorship | This work was supported by the Research Council of Norway (256689/H10). | en_US |
dc.language.iso | eng | en_US |
dc.publisher | Elsevier | en_US |
dc.relation.ispartofseries | Annals of Physical and Rehabilitation Medicine;Volume 64, Issue 5, 101538 | |
dc.rights | Navngivelse 4.0 Internasjonal | * |
dc.rights.uri | http://creativecommons.org/licenses/by/4.0/deed.no | * |
dc.subject | Mild-to-moderate traumatic brain injuries | en_US |
dc.subject | Concussions | en_US |
dc.subject | Work returns | en_US |
dc.subject | Work stability | en_US |
dc.subject | Vocational rehabilitation | en_US |
dc.subject | Cognitive rehabilitation | en_US |
dc.title | Cognitive and vocational rehabilitation after mild-to-moderate traumatic brain injury: A randomised controlled trial | en_US |
dc.type | Peer reviewed | en_US |
dc.type | Journal article | en_US |
dc.description.version | publishedVersion | en_US |
dc.rights.holder | © 2021 The Author(s). | en_US |
dc.source.articlenumber | 101538 | en_US |
cristin.ispublished | true | |
cristin.fulltext | original | |
cristin.qualitycode | 1 | |
dc.identifier.doi | https://doi.org/10.1016/j.rehab.2021.101538 | |
dc.identifier.cristin | 1922925 | |
dc.source.journal | Annals of Physical and Rehabilitation Medicine | en_US |
dc.source.volume | 64 | en_US |
dc.source.issue | 5 | en_US |
dc.source.pagenumber | 1-8 | en_US |
dc.relation.project | Norges forskningsråd: 272789 | en_US |
dc.relation.project | Norges forskningsråd: 256689 | en_US |