@article{simpson_vocational_2023,
	title = {A vocational intervention that enhances return to work after severe acquired brain injury: {A} pragmatic trial},
	volume = {66},
	issn = {1877-0665},
	url = {https://www.embase.com/search/results?subaction=viewrecord&id=L2027992474&from=export},
	doi = {10.1016/j.rehab.2023.101787},
	abstract = {Background: Following a severe acquired brain injury, individuals often have low return to work rates. The Vocational Intervention Program (VIP), a partnership of Brain Injury Rehabilitation Program community rehabilitation centres with external vocational rehabilitation providers in New South Wales, Australia, was developed to facilitate a return to competitive employment for working-age people. Objectives: To evaluate the efficacy of the VIP partnership model, this intervention was compared to outcomes from a health-based brain injury vocational rehabilitation centre (H-VR) or community brain injury rehabilitation centres (“treatment as usual”; TAU). Methods: A 3-arm non-randomized controlled trial was conducted among the 12 adult rehabilitation centres of the NSW Brain Injury Rehabilitation Program. The VIP arm was delivered by 6 community rehabilitation centres in partnership with 3 external private Vocational Rehabilitation providers. The H-VR arm was delivered by 1 health-based vocational rehabilitation centre and the 5 remaining centres delivered TAU. Competitive employment status (“Yes”/“No”) and clinician ratings of disability and participation were collected pre- and post-intervention, and at 3-month follow-up. Multilevel models were conducted to investigate change over time by treatment arm. Results: In total, 148 individuals with severe brain injury were included in the trial: n = 75 (VIP), n = 33 (H-VR) and n = 40 (TAU). Sixty-five people (of 108, 60\%) completed the VR intervention. A significant arm-by-time interaction was found, with higher return to work rates from pre- to post-intervention in VIP and H-VR arms compared to TAU (P = 0.0002). Significant arm-by-time interactions also indicated improved work-related participation and independent living skills from pre- to post-intervention in VIP and H-VR compared to the TAU arm (P {\textless} 0.05). These improvements were maintained at 3-month follow-up. Conclusions: The VIP improved return to competitive employment at comparable rates to the specialist H-VR. Larger-scale adoption of the VIP model could provide significant improvements in vocational rehabilition sevices to support people in their return to work following severe brain injury. ANZCTR Trial Registry Number: ACTRN12622000769785},
	language = {English},
	number = {8},
	journal = {Annals of Physical and Rehabilitation Medicine},
	author = {Simpson, G.K. and McRae, P. and Gates, T.M. and Daher, M. and Johnston, D. and Cameron, I.D.},
	year = {2023},
	keywords = {acquired brain injury, adult, article, controlled clinical trial, controlled study, disability, employment status, female, follow up, human, independent living, major clinical study, male, multicenter study, pragmatic trial, prospective study, rehabilitation center, return to work, traumatic brain injury, vocational rehabilitation},
}

{"_id":"vHmkvu5d5qXP38Njd","bibbaseid":"simpson-mcrae-gates-daher-johnston-cameron-avocationalinterventionthatenhancesreturntoworkaftersevereacquiredbraininjuryapragmatictrial-2023","author_short":["Simpson, G.","McRae, P.","Gates, T.","Daher, M.","Johnston, D.","Cameron, I."],"bibdata":{"bibtype":"article","type":"article","title":"A vocational intervention that enhances return to work after severe acquired brain injury: A pragmatic trial","volume":"66","issn":"1877-0665","url":"https://www.embase.com/search/results?subaction=viewrecord&id=L2027992474&from=export","doi":"10.1016/j.rehab.2023.101787","abstract":"Background: Following a severe acquired brain injury, individuals often have low return to work rates. The Vocational Intervention Program (VIP), a partnership of Brain Injury Rehabilitation Program community rehabilitation centres with external vocational rehabilitation providers in New South Wales, Australia, was developed to facilitate a return to competitive employment for working-age people. Objectives: To evaluate the efficacy of the VIP partnership model, this intervention was compared to outcomes from a health-based brain injury vocational rehabilitation centre (H-VR) or community brain injury rehabilitation centres (“treatment as usual”; TAU). Methods: A 3-arm non-randomized controlled trial was conducted among the 12 adult rehabilitation centres of the NSW Brain Injury Rehabilitation Program. The VIP arm was delivered by 6 community rehabilitation centres in partnership with 3 external private Vocational Rehabilitation providers. The H-VR arm was delivered by 1 health-based vocational rehabilitation centre and the 5 remaining centres delivered TAU. Competitive employment status (“Yes”/“No”) and clinician ratings of disability and participation were collected pre- and post-intervention, and at 3-month follow-up. Multilevel models were conducted to investigate change over time by treatment arm. Results: In total, 148 individuals with severe brain injury were included in the trial: n = 75 (VIP), n = 33 (H-VR) and n = 40 (TAU). Sixty-five people (of 108, 60%) completed the VR intervention. A significant arm-by-time interaction was found, with higher return to work rates from pre- to post-intervention in VIP and H-VR arms compared to TAU (P = 0.0002). Significant arm-by-time interactions also indicated improved work-related participation and independent living skills from pre- to post-intervention in VIP and H-VR compared to the TAU arm (P \\textless 0.05). These improvements were maintained at 3-month follow-up. Conclusions: The VIP improved return to competitive employment at comparable rates to the specialist H-VR. Larger-scale adoption of the VIP model could provide significant improvements in vocational rehabilition sevices to support people in their return to work following severe brain injury. ANZCTR Trial Registry Number: ACTRN12622000769785","language":"English","number":"8","journal":"Annals of Physical and Rehabilitation Medicine","author":[{"propositions":[],"lastnames":["Simpson"],"firstnames":["G.K."],"suffixes":[]},{"propositions":[],"lastnames":["McRae"],"firstnames":["P."],"suffixes":[]},{"propositions":[],"lastnames":["Gates"],"firstnames":["T.M."],"suffixes":[]},{"propositions":[],"lastnames":["Daher"],"firstnames":["M."],"suffixes":[]},{"propositions":[],"lastnames":["Johnston"],"firstnames":["D."],"suffixes":[]},{"propositions":[],"lastnames":["Cameron"],"firstnames":["I.D."],"suffixes":[]}],"year":"2023","keywords":"acquired brain injury, adult, article, controlled clinical trial, controlled study, disability, employment status, female, follow up, human, independent living, major clinical study, male, multicenter study, pragmatic trial, prospective study, rehabilitation center, return to work, traumatic brain injury, vocational rehabilitation","bibtex":"@article{simpson_vocational_2023,\n\ttitle = {A vocational intervention that enhances return to work after severe acquired brain injury: {A} pragmatic trial},\n\tvolume = {66},\n\tissn = {1877-0665},\n\turl = {https://www.embase.com/search/results?subaction=viewrecord&id=L2027992474&from=export},\n\tdoi = {10.1016/j.rehab.2023.101787},\n\tabstract = {Background: Following a severe acquired brain injury, individuals often have low return to work rates. The Vocational Intervention Program (VIP), a partnership of Brain Injury Rehabilitation Program community rehabilitation centres with external vocational rehabilitation providers in New South Wales, Australia, was developed to facilitate a return to competitive employment for working-age people. Objectives: To evaluate the efficacy of the VIP partnership model, this intervention was compared to outcomes from a health-based brain injury vocational rehabilitation centre (H-VR) or community brain injury rehabilitation centres (“treatment as usual”; TAU). Methods: A 3-arm non-randomized controlled trial was conducted among the 12 adult rehabilitation centres of the NSW Brain Injury Rehabilitation Program. The VIP arm was delivered by 6 community rehabilitation centres in partnership with 3 external private Vocational Rehabilitation providers. The H-VR arm was delivered by 1 health-based vocational rehabilitation centre and the 5 remaining centres delivered TAU. Competitive employment status (“Yes”/“No”) and clinician ratings of disability and participation were collected pre- and post-intervention, and at 3-month follow-up. Multilevel models were conducted to investigate change over time by treatment arm. Results: In total, 148 individuals with severe brain injury were included in the trial: n = 75 (VIP), n = 33 (H-VR) and n = 40 (TAU). Sixty-five people (of 108, 60\\%) completed the VR intervention. A significant arm-by-time interaction was found, with higher return to work rates from pre- to post-intervention in VIP and H-VR arms compared to TAU (P = 0.0002). Significant arm-by-time interactions also indicated improved work-related participation and independent living skills from pre- to post-intervention in VIP and H-VR compared to the TAU arm (P {\\textless} 0.05). These improvements were maintained at 3-month follow-up. Conclusions: The VIP improved return to competitive employment at comparable rates to the specialist H-VR. Larger-scale adoption of the VIP model could provide significant improvements in vocational rehabilition sevices to support people in their return to work following severe brain injury. ANZCTR Trial Registry Number: ACTRN12622000769785},\n\tlanguage = {English},\n\tnumber = {8},\n\tjournal = {Annals of Physical and Rehabilitation Medicine},\n\tauthor = {Simpson, G.K. and McRae, P. and Gates, T.M. and Daher, M. and Johnston, D. and Cameron, I.D.},\n\tyear = {2023},\n\tkeywords = {acquired brain injury, adult, article, controlled clinical trial, controlled study, disability, employment status, female, follow up, human, independent living, major clinical study, male, multicenter study, pragmatic trial, prospective study, rehabilitation center, return to work, traumatic brain injury, vocational rehabilitation},\n}\n\n\n\n\n\n\n\n\n\n\n\n","author_short":["Simpson, G.","McRae, P.","Gates, T.","Daher, M.","Johnston, D.","Cameron, I."],"key":"simpson_vocational_2023","id":"simpson_vocational_2023","bibbaseid":"simpson-mcrae-gates-daher-johnston-cameron-avocationalinterventionthatenhancesreturntoworkaftersevereacquiredbraininjuryapragmatictrial-2023","role":"author","urls":{"Paper":"https://www.embase.com/search/results?subaction=viewrecord&id=L2027992474&from=export"},"keyword":["acquired brain injury","adult","article","controlled clinical trial","controlled study","disability","employment status","female","follow up","human","independent living","major clinical study","male","multicenter study","pragmatic trial","prospective study","rehabilitation center","return to work","traumatic brain injury","vocational rehabilitation"],"metadata":{"authorlinks":{}},"html":""},"bibtype":"article","biburl":"https://bibbase.org/zotero/katiedillon","dataSources":["Qf74gub9z54CooHnE"],"keywords":["acquired brain injury","adult","article","controlled clinical trial","controlled study","disability","employment status","female","follow up","human","independent living","major clinical study","male","multicenter study","pragmatic trial","prospective study","rehabilitation center","return to work","traumatic brain injury","vocational rehabilitation"],"search_terms":["vocational","intervention","enhances","return","work","severe","acquired","brain","injury","pragmatic","trial","simpson","mcrae","gates","daher","johnston","cameron"],"title":"A vocational intervention that enhances return to work after severe acquired brain injury: A pragmatic trial","year":2023}