Exploring the lived return-to-work experience of individuals with acquired brain injury: use of vocational services and environmental, personal and injury-related influences

Article


Brakenridge, Charlotte L., Leow, Charmaine KaiLing, Kendall, Melissa, Turner, Ben, Valiant, Donna, Ray, Quinn and Johnston, Venerina. 2022. "Exploring the lived return-to-work experience of individuals with acquired brain injury: use of vocational services and environmental, personal and injury-related influences." Disability and Rehabilitation. 44 (16), pp. 4332-4342. https://doi.org/10.1080/09638288.2021.1903101
Article Title

Exploring the lived return-to-work experience of individuals with acquired brain injury: use of vocational services and environmental, personal and injury-related influences

ERA Journal ID16035
Article CategoryArticle
AuthorsBrakenridge, Charlotte L., Leow, Charmaine KaiLing, Kendall, Melissa, Turner, Ben, Valiant, Donna, Ray, Quinn and Johnston, Venerina
Journal TitleDisability and Rehabilitation
Journal Citation44 (16), pp. 4332-4342
Number of Pages10
Year31 Jul 2022
PublisherTaylor & Francis
Place of PublicationUnited Kingdom
ISSN0963-8288
1464-5165
Digital Object Identifier (DOI)https://doi.org/10.1080/09638288.2021.1903101
Web Address (URL)https://www.tandfonline.com/doi/full/10.1080/09638288.2021.1903101
Abstract

Purpose
To explore work outcomes, vocational services, barriers and facilitators for returning to work in individuals with acquired brain injury (ABI) in Queensland, Australia and to identify areas for improvement.

Design and methods
Ten semi-structured interviews were conducted with individuals with ABI (stroke, traumatic brain injury, tumour). Interviews were analysed using a realist thematic analysis approach.

Results
Participants either returned to the same work, different work, did not maintain work or did not have any work since their injury. Use of vocational services depended on participants’ needs and insurance. Facilitators for return to work (RTW) were a supportive workplace and family, vocational rehabilitation that met the individual’s needs, insurance coverage and self-motivation. Workplaces that were not understanding of brain injury, employment service providers who were unable to find work for participants, and physical and cognitive deficits were barriers to RTW. Workplaces, employment service providers and individuals require more information about the deficits associated with brain injury.

Conclusions
The use and effectiveness of vocational services were variable across participants and depended on insurance coverage and needs. Barriers and facilitators for RTW were affected by both the environment and the individual. Implications for vocational rehabilitation were identified.

KeywordsAcquired brain injury; stroke; traumatic brain injury; return to work; vocational rehabilitation; qualitative research
ANZSRC Field of Research 2020420109. Rehabilitation
Public Notes

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Byline AffiliationsUniversity of Queensland
Princess Alexandra Hospital, Australia
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