TY  - JOUR
PY  - 2021//
TI  - Cognitive and vocational rehabilitation after mild-to-moderate traumatic brain injury: a randomised controlled trial
JO  - Annals of physical and rehabilitation medicine
A1  - Fure, Silje Cr
A1  - Howe, Emilie Isager
A1  - Andelic, Nada
A1  - Brunborg, Cathrine
A1  - Sveen, Unni
A1  - Røe, Cecilie
A1  - Rike, Per-Ola
A1  - Olsen, Alexander
A1  - Spjelkavik, Øystein
A1  - Ugelstad, Helene
A1  - Juan, Lu
A1  - Ponsford, Jennie
A1  - Twamley, Elizabeth W.
A1  - Hellstrøm, Torgeir
A1  - Løvstad, Marianne
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - 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. <br><br>OBJECTIVE: This study aimed to examine the effect of a combined cognitive and vocational intervention on work-related outcomes after mild-to-moderate TBI. <br><br>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. <br><br>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). <br><br>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.<p />  <p>Language: en</p>
LA  - en
SN  - 1877-0657
UR  - http://dx.doi.org/10.1016/j.rehab.2021.101538
ID  - ref1
ER  -