Evaluating training for occupational therapists and clinical psychologists to deliver vocational rehabilitation within a clinical trial: mixed-methods study

Kellezi, B ORCID: https://orcid.org/0000-0003-4825-3624, Holmes, J, Radford, K, das Nair, R, Lindley, R, Mann, C, Andrews, I, Fallon, S and Kendrick, D, 2025. Evaluating training for occupational therapists and clinical psychologists to deliver vocational rehabilitation within a clinical trial: mixed-methods study. Journal of Vocational Rehabilitation. ISSN 1052-2263 (Forthcoming)

Preview

Text 2546806_Kellezi.pdf - Post-print Download (723kB) | Preview

Abstract

Background: Delayed return-to-work is common after serious injury. Vocational rehabilitation (VR) supports people to return to/remain in work. We developed training for occupational therapists (OTs) and clinical psychologists (CPs) to deliver a VR intervention (Return to Work After Trauma-ROWTATE) to UK trauma patients within a large-scale randomised controlled trial.

Objectives: Evaluate the training, OT/CP competence and confidence to deliver ROWTATE, attitudes/confidence in evidence-based practice (EBP).

Methods: Competency was assessed through Team Objective Structured Clinical Examination and two tasks (management plan, employer letter). Intraclass correlation coefficients (ICCs) estimated inter-rater reliability. Questionnaires measured EBP attitudes (EBPAS-36) and confidence (EPIC) pre and post-training and confidence in ROWTATE delivery post-training. Semi-structured interviews captured training experiences and confidence.

Results: 47 OTs and 16 CPs completed training. Competency scores were high (OT range=27.5-37.5; CP range=28.5-37; maximum=38). Inter-rater reliability was moderate (OT ICC=0.56, 95%CI 0.18,0.77; CP ICC=0.73, 95%CI -0.22,0.93). EBPAS-36 scores were high pre and post-training with no significant increase post-training. OT confidence in applying evidence (P=0.01) and evaluating effect of their actions (P=0.04) increased significantly post-training. OTs and CPs had high confidence (80-100% across questions) in delivering ROWTATE.

Conclusions: VR training resulted in high competency scores, improvements in EBP confidence and high confidence in delivering ROWTATE.

Item Type:	Journal article
Publication Title:	Journal of Vocational Rehabilitation
Creators:	Kellezi, B., Holmes, J., Radford, K., das Nair, R., Lindley, R., Mann, C., Andrews, I., Fallon, S. and Kendrick, D.
Publisher:	SAGE Publications
Date:	30 November 2025
ISSN:	1052-2263
Identifiers:	Number Type 2546806 Other
Rights:	Accepted for publication in Journal of Vocational Rehabilitation. Reuse is restricted to non-commercial and no derivative uses.
Divisions:	Schools > School of Social Sciences
Record created by:	Laura Borcherds
Date Added:	16 Dec 2025 10:17
Last Modified:	16 Dec 2025 10:21
URI:	https://irep.ntu.ac.uk/id/eprint/54874

Actions (login required)

Edit View

Statistics

Views

Downloads