The First Six Years of Building and Implementing a Return-to-Work Service for Patients with Acquired Brain Injury. The Rapid-Return-to-Work-Cohort-Study
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Background and objective Despite large activity worldwide in building and implementing new return-to-work (RTW) services, few studies have focused on how such implementation processes develop. The aim of this study was to examine the development in patient and service characteristics the first six years of implementing a RTW service for persons with acquired brain injury (ABI). Methods The study was designed as a cohort study (n=189). Data were collected by questionnaires, filled out by the service providers. The material was divided into, and analyzed with, two implementation phases. Non-parametrical statistical methods and hierarchical regression analyses were applied on the material. Results The number of patients increased significantly, and the patient group became more homogeneous. Both the duration of the service, and the number of consultations and group session days were significantly reduced. Conclusion The patient group became more homogenous, but also significantly larger during the first six years of building the RTW service. At the same time, the duration of the service decreased. This study therefore questions if there is a lack of consensus on the intensity of work rehabilitation for this group.
KeywordsAcquired brain injury Stroke Traumatic brain injury Return to work Sick leave Occupational rehabilitation Implementation science
We would like to thank the patients and the ABI RTW team at Sykehuset Innlandet, Hamar, Norway. Our special thanks go to the managers for the ABI RTW service; Eija Sareneva, Iver Fallet, and Inga Rønningen.
Compliance with Ethical Standards
Conflict of interest
The authors L Haveraaen, EPM Brouwers, U Sveen, LS Skarpaas, H Sagvaag, and RW Aas declare that they have no conflict of interest.
All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2000 (5). Informed consent was obtained from all patients for being included in the study.
- 10.Jacobsen A. Persons with brain injury and the significance of work for identity and integration. Fynst Amt, Fyn: The Brain Injury Center; 2005.Google Scholar
- 17.SPSS version 21. Armonk, NY: IBM Corporation; 2012Google Scholar
- 18.Asplund K, et al. Relative risk for stroke by age, sex, and population based on follow-up of 18 European populations in the MORGAM project. Stroke J Am Heart Assoc. 2009;40(7):2319–26.Google Scholar
- 19.Falcone G, Chong JY. Gender differences in stroke among older adults. Geriatr Aging. 2007;10(08):497–500.Google Scholar
- 22.Langlois JA, Rutland-Brown W, Thomsd KE. Traumatic brain injury in the United States: emergency department visits, hospitalization, and deaths. Atlanta: Centers for Disease Control and Prevention, National Center for Injury Prevention and Control; 2004Google Scholar
- 24.WHO. International classification of functioning, disability and health (ICF). Geneva: World Health Organization; 2001Google Scholar
- 29.Johansson G. The illness flexibility model and sickness absence. Solna: Karolinska Institutet; 2007Google Scholar