Combined cognitive and vocational rehabilitation after mild-to-moderate traumatic brain injury: A randomized controlled trial
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Abstract
This thesis describes a combined cognitive and vocational intervention aimed at improving work participation after mild-to-moderate traumatic brain injury (TBI). The aims of this thesis were to describe a sample of patients who sought medical rehabilitation due to post-concussive symptoms 8–12 weeks after injury, to evaluate the effect of a combined cognitive and vocational intervention on work participation and examine the predictive value of work-related factors on work participation. The study included 116 participant who were still sick listed due to post-concussive symptoms 8–12 weeks after TBI. Sixty patients were randomized to the combined cognitive and vocational intervention, while 56 received follow-up at a specialized TBI rehabilitation outpatient clinic. Significantly more patients in the combined cognitive and vocational group had returned to work after 3 months. This thesis also demonstrated that work-related factors, as psychosocial work environment and sector of employment, predicted work participation after 1 year. This highlights the importance of considering work-related factors when aiming to return to work after a mild-to-moderate TBI.List of papers
Paper I. Fure SCR, Howe EI, Spjelkavik Ø, Røe C, Rike PO, Olsen A, Ponsford J, Andelic N, Løvstad M. Post-concussion symptoms three months after mild-to-moderate TBI: characteristics of sick-listed patients referred to specialized treatment and consequences of intracranial injury. Brain Inj. 2021:1–11. DOI: 10.1080/02699052.2021.1953593. The article is included in the thesis. Also available at: https://doi.org/10.1080/02699052.2021.1953593 |
Paper II. Fure SC, Howe EI, Andelic N, Brunborg C, Sveen U, Røe C, Rike PO, Olsen A, Spjelkavik Ø, Ugelstad H, Lu J, Ponsford J, Twamley EW, Hellstrøm T, Løvstad M. Cognitive and vocational rehabilitation after mild-to-moderate traumatic brain injury: a randomised controlled trial. Ann Phys Rehabil Med. 2021:101538. DOI: 10.1016/j.rehab.2021.101538. The article is included in the thesis. Also available at: https://doi.org/10.1016/j.rehab.2021.101538 |
Paper III. Fure SCR, Howe EI, Andelic N, Brunborg C, Olsen A, Rike PO, Spjelkavik Ø, Enehaug H, Røe C, Løvstad M. Workplace factors associated with return to work after mild-to-moderate traumatic brain injury. Journal of Head Trauma Rehabilitation: March 15, 2022. DOI: 10.1097/HTR.0000000000000772. The paper is included in the thesis. Also available at: https://doi.org/10.1097/HTR.0000000000000772 |