Vocational rehabilitation to enhance return to work after trauma (ROWTATE): protocol for a non-randomised single arm mixed-methods feasibility study

Tools

Kendrick, D., das Nair, R., Kellezi, B. ORCID: 0000-0003-4825-3624, Morriss, R., Kettlewell, J., Holmes, J., Timmons, S., Bridger, K. ORCID: 0000-0002-4215-4927, Patel, P., Brooks, A., Hoffman, K. and Radford, K., 2021. Vocational rehabilitation to enhance return to work after trauma (ROWTATE): protocol for a non-randomised single arm mixed-methods feasibility study. Pilot and Feasibility Studies, 7: 29. ISSN 2055-5784

Preview

Text
1398548_a1482_Kellezi.pdf - Published version
Download (983kB) | Preview

Official URL: https://doi.org/10.1186/s40814-021-00769-4

Abstract

Background: Traumatic injuries are common amongst working-age adults. Survivors often experience physical and psychological problems, reduced quality of life and difficulty returning to work. Vocational rehabilitation improves work outcomes for a range of conditions but evidence of effectiveness for those with traumatic injuries is lacking. This study assesses feasibility of delivering a vocational rehabilitation intervention to enhance return to work and improve quality of life and wellbeing in people with at least moderate trauma to inform design of a definitive randomised controlled trial (RCT).

Methods: Non-randomised, single-arm, multi-centre mixed-methods feasibility study with nested case studies and qualitative study. The case studies comprise interviews, observations of clinical contacts and review of clinical records. The qualitative study comprises interviews and/or focus groups. Participants will be recruited from two UK major trauma centres. Participants will comprise 40 patients aged 16–69 with an injury severity score of > 8 who will receive the intervention and complete questionnaires. Interviews will be conducted with 10 patients and their occupational therapists (OTs), clinical psychologists (CPs), employers and commissioners of rehabilitation services. Fidelity will be assessed in up to six patients by observations of OT and CP—patient contacts, review of patient records and intervention case report forms. OT and CP training will be evaluated using questionnaires and competence to deliver the intervention assessed using a team objective structured clinical examination and written task. Patients participating in and those declining participation in the study will be invited to take part in interviews/focus groups to explore barriers and facilitators to recruitment and retention. Outcomes include recruitment and retention rates, intervention fidelity, OT and CP competence to deliver the intervention, experiences of delivering or receiving the intervention and factors likely to influence definitive trial delivery.

Discussion: Effective vocational rehabilitation interventions to enhance return to work amongst trauma patients are urgently needed because return to work is often delayed, with detrimental effects on health, financial stability, healthcare resource use and wider society. This protocol describes a feasibility study delivering a complex intervention to enhance return to work in those with at least moderate trauma.

Item Type:

Journal article

Publication Title:

Pilot and Feasibility Studies

Creators:

Kendrick, D., das Nair, R., Kellezi, B., Morriss, R., Kettlewell, J., Holmes, J., Timmons, S., Bridger, K., Patel, P., Brooks, A., Hoffman, K. and Radford, K.

Publisher:

BioMed Central

Date:

20 January 2021

Volume:

ISSN:

2055-5784

Identifiers:

Number	Type
1398548	Other
10.1186/s40814-021-00769-4	DOI

Rights:

© the author(s) 2021. This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.

Divisions:

Schools > School of Social Sciences

Record created by:

Jill Tomkinson

Date Added:

13 Jan 2021 15:10

Last Modified:

06 Sep 2023 09:47

URI:

https://irep.ntu.ac.uk/id/eprint/42032