oru.sePublications
Change search
Link to record
Permanent link

Direct link
BETA
Publications (10 of 13) Show all publications
Matérne, M., Strandberg, T. & Lundqvist, L.-O. (2019). Risk Markers for Not Returning to Work Among Patients with Acquired Brain Injury: A Population-Based Register Study. Journal of occupational rehabilitation
Open this publication in new window or tab >>Risk Markers for Not Returning to Work Among Patients with Acquired Brain Injury: A Population-Based Register Study
2019 (English)In: Journal of occupational rehabilitation, ISSN 1053-0487, E-ISSN 1573-3688Article in journal (Refereed) Epub ahead of print
Abstract [en]

Purpose: The aim of this study is to investigate person-related, injury-related, activity-related and rehabilitation-related risk markers for not return to work among patients with acquired brain injury (ABI).

Methods: Retrospective data from the Quality register, WebRehab Sweden, on an ABI cohort of 2008 patients, was divided into two groups: those who had returned to work (n = 690) and those who had not returned to work (n = 1318) within a year of the injury.

Results: Risk ratio analyses showed that several factors were risk markers for not returning to work: personal factors, including being a woman, being born outside of Sweden, having a low education level, and not having children in the household; injury-related factors, including long hospital stay (over 2 months), aphasia, low motor function, low cognitive function, high pain/discomfort, and high anxiety/depression; activity-related factors, including low function in self-care, inability to perform usual activities, and not having a driver's license; and rehabilitation-related factors, including being dissatisfied with the rehabilitation process and the attentiveness of the staff having limited influence over the rehabilitation plan, or not having a rehabilitation plan at all. Conclusion Several factors in different aspects of life were risk markers for not returning to work among patients with ABI. This suggests that rehabilitation and interventions need to address not only direct injury-related issues, but also person-related, activity-related, and rehabilitation-related factors in order to increase the patient's opportunities to return to work.

Place, publisher, year, edition, pages
Springer, 2019
Keywords
Brain Injuries, Employment, Registries, Rehabilitation, vocational, Return to work
National Category
Other Health Sciences
Research subject
Occupational therapy
Identifiers
urn:nbn:se:oru:diva-73202 (URN)10.1007/s10926-019-09833-6 (DOI)30830502 (PubMedID)
Available from: 2019-03-19 Created: 2019-03-19 Last updated: 2019-03-19Bibliographically approved
Matérne, M., Strandberg, T. & Lundqvist, L.-O. (2018). Change in quality of life in relation to returning to work after acquired brain injury: a population-based register study. Brain Injury, 32(13-14), 1731-1739
Open this publication in new window or tab >>Change in quality of life in relation to returning to work after acquired brain injury: a population-based register study
2018 (English)In: Brain Injury, ISSN 0269-9052, E-ISSN 1362-301X, Vol. 32, no 13-14, p. 1731-1739Article in journal (Refereed) Published
Abstract [en]

PURPOSE: This study investigated changes in quality of life (QoL) in relation to return to work among patients with acquired brain injury (ABI).

METHOD: The sample consisted of 1487 patients with ABI (63% men) aged 18-66 years (mean age 52) from the WebRehab Sweden national quality register database. Only patients who worked at least 50% at admission to hospital and were on full sick leave at discharge from hospital were included. QoL was measured by the EuroQol EQ-5D questionnaire.

RESULTS: Patients who returned to work perceived a larger improvement in QoL from discharge to follow-up one year after injury compared to patients who had not returned to work. This difference remained after adjustment for other factors associated with improved QoL, such as having a university education, increased Extended Glasgow Outcome Scale scores and getting one's driving licence reinstated.

CONCLUSION: Return to work is an important factor for change in QoL among patients with ABI, even after adjusting for other factors related to QoL. This is consistent with the hypothesis that having employment is meaningful, increases self-esteem and fosters participation in society. Thus, helping patients with ABI return to work has a positive influence on QoL.

Place, publisher, year, edition, pages
Taylor & Francis Group, 2018
Keywords
Stroke, life satisfaction, rehabilitation, traumatic brain injury, vocational rehabilitation
National Category
Neurology Occupational Therapy
Identifiers
urn:nbn:se:oru:diva-69466 (URN)10.1080/02699052.2018.1517224 (DOI)000453393600016 ()30296173 (PubMedID)2-s2.0-85054574457 (Scopus ID)
Note

Funding Agency:

University Health Care Research Centre, Region Örebro County, Sweden

Available from: 2018-10-09 Created: 2018-10-09 Last updated: 2019-01-08Bibliographically approved
Matérne, M., Lundqvist, L.-O. & Strandberg, T. (2018). Support Persons’ Perceptions of Giving Vocational Rehabilitation Support to Clients With Acquired Brain Injury in Sweden: (1ed.). In: Grahame K. Simpson, Francis K. Yuen (Ed.), Contemporary Perspectives on Social Work in Acquired Brain Injury: (pp. 183-201). Routledge
Open this publication in new window or tab >>Support Persons’ Perceptions of Giving Vocational Rehabilitation Support to Clients With Acquired Brain Injury in Sweden:
2018 (English)In: Contemporary Perspectives on Social Work in Acquired Brain Injury / [ed] Grahame K. Simpson, Francis K. Yuen, Routledge , 2018, 1, p. 183-201Chapter in book (Refereed)
Place, publisher, year, edition, pages
Routledge, 2018 Edition: 1
National Category
Social Sciences Medical and Health Sciences Other Health Sciences
Research subject
Social Work; Disability Science
Identifiers
urn:nbn:se:oru:diva-64598 (URN)9781138559745 (ISBN)
Available from: 2018-01-29 Created: 2018-01-29 Last updated: 2018-02-21Bibliographically approved
Matérne, M. (2018). Återgång i arbete efter förvärvad hjärnskada: livskvalitet, möjligheter och hinder. (Doctoral dissertation). Örebro: Örebro University
Open this publication in new window or tab >>Återgång i arbete efter förvärvad hjärnskada: livskvalitet, möjligheter och hinder
2018 (Swedish)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

In Sweden, about 35–40 percent of people who acquire a brain injury can return to work. To be able to help people with acquired brain injury to return to work, it is important to know about experiences and factors that facilitate return to work and how they affect quality of life. The overall aim of this thesis is to investigate the opportunities and barriers for people with acquired brain injury to return to work, as well as the importance of returning to work for their quality of life. Four studies were conducted: two interview studies and two register studies, giving qualitative and quantitative data.The major finding in this thesis was that people with acquired brain injury who could return to work had high functioning in all levels of the biopsychosocial model. The opportunities increased if the return to work was individually adapted in all phases of the process and if the person was motivated and supported by support persons with commitment, cooperation and adaptation. Those who had a university education, got their driver’s license reinstated, had high motor function and could return towork showed the greatest increase in their quality of life.Return to work is a complex process for people with acquired brain injury that could be successful if they are motivated, can balance the internal and external demands to return to work, get individual adaptation, and receive committed support. Their quality of life also increased more if theywere able to return to work.

Place, publisher, year, edition, pages
Örebro: Örebro University, 2018. p. 120
Series
Studies from The Swedish Institute for Disability Research, ISSN 1650-1128 ; 94
Keywords
Return to work, acquired brain injury, rehabilitation, quality of life, quality inference, register analysis
National Category
Other Health Sciences
Identifiers
urn:nbn:se:oru:diva-69352 (URN)978-91-7529-267-0 (ISBN)
Public defence
2018-12-14, Örebro universitet, Prismahuset, Hörsal P1, Fakultetsgatan 1, Örebro, 09:00 (Swedish)
Opponent
Supervisors
Available from: 2018-10-08 Created: 2018-10-08 Last updated: 2018-11-19Bibliographically approved
Matérne, M., Lundqvist, L.-O. & Strandberg, T. (2017). Successful return to work after acquired brain injury: support person’s perception of supporting. In: : . Paper presented at Nordic Network on Disability Research 14th Research Conference(NNDR 2016), Örebro, Sweden, May 3-5, 2017.
Open this publication in new window or tab >>Successful return to work after acquired brain injury: support person’s perception of supporting
2017 (English)Conference paper, Oral presentation with published abstract (Other academic)
Abstract [en]

Introduction and aim:

Return to work (RTW) after acquired brain injury (ABI) is a demanding process for the client and need support. This study’s aim was to understand the support person’s perception of supporting clients with ABI to a successful RTW.

Method:

Nine persons who acted as support persons in the vocational rehabilitation (VR) process were chosen by clients with ABI participating in a previous study. Three of the support persons had a formal mandate to support the client by the employer and six of them were characterized as providing informal support. All the support persons had different kind of work. Semi structured interviews were conducted and analyzed by latent content analysis.

Findings:

The analysis elicited three themes describing the support person’s perception in the assistance for the client to successfully RTW: (i) Commitment, (ii) Adaptation and (iii) Cooperation. Within each of the theme multiple mechanisms were identified, reflecting the complexity that the VR process had for the client. The mechanisms were about strategic issues, reflection and decision making. The support persons experienced that their role was extra valuable for the client in contexts where adaptation and cooperation was required. Commitment built on social relations is linked to sustainability of the support.

Conclusion:

Support persons play a multi-dimensional role which is important for client with ABI to successfully RTW.

National Category
Neurology
Identifiers
urn:nbn:se:oru:diva-67235 (URN)
Conference
Nordic Network on Disability Research 14th Research Conference(NNDR 2016), Örebro, Sweden, May 3-5, 2017
Available from: 2018-06-13 Created: 2018-06-13 Last updated: 2018-06-13Bibliographically approved
Matérne, M., Lundqvist, L.-O. & Strandberg, T. (2017). Successful return to work after acquired brain injury: support persons’ perception of supporting. In: : . Paper presented at Nobel Festivities, Örebro, Sweden, 7 december, 2017,.
Open this publication in new window or tab >>Successful return to work after acquired brain injury: support persons’ perception of supporting
2017 (English)Conference paper, Poster (with or without abstract) (Refereed)
National Category
Neurology
Identifiers
urn:nbn:se:oru:diva-67284 (URN)
Conference
Nobel Festivities, Örebro, Sweden, 7 december, 2017,
Available from: 2018-06-15 Created: 2018-06-15 Last updated: 2018-06-15Bibliographically approved
Matérne, M., Lundqvist, L.-O. & Strandberg, T. (2016). Successful return to work after acquired brain injury: opportunities and barriers from a patient perspective. Paper presented at International Brain Injury Association’s Eleventh World Congress on Brain Injury, The Hague World Forum, The Netherlands, March 2-5, 2016. Brain Injury, 30(5-6), 516-516
Open this publication in new window or tab >>Successful return to work after acquired brain injury: opportunities and barriers from a patient perspective
2016 (English)In: Brain Injury, ISSN 0269-9052, E-ISSN 1362-301X, Vol. 30, no 5-6, p. 516-516Article in journal, Meeting abstract (Other academic) Published
Abstract [en]

Background: Acquired brain injury (ABI) is often a lifelong disability that entails a marked change in a person’s life. It involves biopsychosocial levels and return to work (RTW) is one of the main goals for the person. Several of those suffering an ABI are of working age. The society and the individuals are both winners if the person could get back to work and sustain working.

Objective: The aim of this study was to increase knowledge about the opportunities and barriers for successful RTW among individuals with ABI.

Methods: Adults who have ABI and had participated in work rehabilitation were interviewed in regard to their experiences of the process. The informants (five females, five males) had participated in work rehabilitation, had successfully RTW and had worked at least 50% in at least a year after the injury. The interviews were transcribed, structured and analysed by latent content analysis with a hermeneutic approach.

Results: Three main themes that influenced RTW after ABI were identified: (i) individually adapted rehabilitation process, (ii) motivation for RTW and (iii) cognitive abilities and inabilities. The results indicate that an individually adapted vocational rehabilitation (VR) process was an important issue. The individuals with ABI actively involved in their own rehabilitation process also required continuous support from the society, the specialists, their employers and colleagues; this support has to be designed for each individual. A moderate level of motivation for RTW was necessary for the best result to RTW, in other words it was important to achieve a balance between too high and too low motivation. Finally, a comprehensive knowledge about the cognitive abilities and inabilities of the individual after ABI helped the individuals and their employers to find compensatory strategies to handle their work tasks. One implication of the findings was the necessity of a good support system and a good VR that functions well and lasts for a longer period. When there are obstacles in the VR process, it is important to have strategies and awareness of how to proceed further.

Conclusions: Consequently, the support built for a person individually, with a balanced motivation, knowledge about the cognitive abilities and awareness of how to proceed further in the process will help to build a successful and sustainable RTW.

Place, publisher, year, edition, pages
Taylor & Francis, 2016
National Category
Neurology
Research subject
Neurology
Identifiers
urn:nbn:se:oru:diva-50917 (URN)10.3109/02699052.2016.1162060 (DOI)000376388200085 ()
Conference
International Brain Injury Association’s Eleventh World Congress on Brain Injury, The Hague World Forum, The Netherlands, March 2-5, 2016
Available from: 2016-06-17 Created: 2016-06-17 Last updated: 2019-03-26Bibliographically approved
Matérne, M., Lundqvist, L.-O. & Strandberg, T. (2016). Support Persons' Perceptions of Giving Vocational Rehabilitation Support to Clients With Acquired Brain Injury in Sweden. Journal of Social Work in Disability & Rehabilitation, 15(3-4), 351-369
Open this publication in new window or tab >>Support Persons' Perceptions of Giving Vocational Rehabilitation Support to Clients With Acquired Brain Injury in Sweden
2016 (English)In: Journal of Social Work in Disability & Rehabilitation, ISSN 1536-710X, E-ISSN 1536-7118, Vol. 15, no 3-4, p. 351-369Article in journal (Refereed) Published
Abstract [en]

The aim is to explore the perception of being a support person for clients with acquired brain injury undergoing vocational rehabilitation. Nine support persons, identified by clients with brain injury, were interviewed. Interviews were analyzed using qualitative content analysis, resulting in three themes for assisting the client: (i) commitment; (ii) adaptation; and (iii) cooperation. Within each theme, multiple dimensions were identified, reflecting the complexity of vocational rehabilitation following acquired brain injury. Commitment built on social relations is linked to sustainability of support. The included support persons' role was especially valuable in contexts where adaptation and cooperation were required.

Place, publisher, year, edition, pages
Routledge, 2016
Keywords
Acquired brain injury, content analysis, empathy and support, inclusion, rehabilitation, return to work, support person, vocational rehabilitation
National Category
Social Work Other Health Sciences
Research subject
Social Work; Disability Science
Identifiers
urn:nbn:se:oru:diva-51616 (URN)10.1080/1536710X.2016.1220880 (DOI)000387348600010 ()27494552 (PubMedID)2-s2.0-84987662485 (Scopus ID)
Available from: 2016-08-09 Created: 2016-08-09 Last updated: 2019-03-26Bibliographically approved
Matérne, M., Strandberg, T. & Lundqvist, L.-O. (2015). Opportunities and barriers for successful return to work after acquired brain injury: A client perspective. In: : . Paper presented at Nordic Network on Disability Research 13th Research Conference(NNDR 2015), Bergen, Norway, May 6-8, 2015.
Open this publication in new window or tab >>Opportunities and barriers for successful return to work after acquired brain injury: A client perspective
2015 (English)Conference paper, Oral presentation with published abstract (Other academic)
Abstract [en]

Research aim

The aim of this study was to increase our knowledge about the opportunities and barriers for successfully return to work (RTW) among individuals with acquired brain injury (ABI).

Methodology

Adults who have ABI were interviewed in regard to their experiences of the work rehabilitation process. The informants (5 females, 5 males) had participated in a work rehabilitation, had successfully RTW and had worked at least 50 % in at least a year after the injury. The interviews were transcribed, structured and analyzed by latent content analysis with a hermeneutic approach.

Findings and conclusions

Three main themes that influenced RTW after ABI were identified: (i) individually adapted rehabilitation process, (ii) motivation for RTW and (iii) cognitive abilities and inabilities.

The findings indicated that an individually adapted vocational rehabilitation (VR) process was important because the individuals with ABI involved actively in their own rehabilitation process and they required continuous support from the society, the specialists, their employers and colleagues. A moderate level of motivation for RTW was necessary to achieve the best result for RTW and it was important to achieve a balance between too high and too low motivation. Finally, a comprehensive knowledge about the cognitive abilities and inabilities of the individual after ABI helped the individuals and their employers to find compensatory strategies to handle their work tasks.

One implication of the findings was the necessity of a good support system and a good VR that functions well and lasts for a longer period. When there are obstacles in the VR process, it is important to have strategies and awareness of how to proceed further.

Consequently the support built for a person individually, with a balanced motivation, a high knowledge about the cognitive abilities and awareness of how to proceed further in the process will help to build a successful and sustainable RTW.

 

National Category
Occupational Therapy
Identifiers
urn:nbn:se:oru:diva-67229 (URN)
Conference
Nordic Network on Disability Research 13th Research Conference(NNDR 2015), Bergen, Norway, May 6-8, 2015
Available from: 2018-06-12 Created: 2018-06-12 Last updated: 2018-09-04Bibliographically approved
Matérne, M., Strandberg, T. & Lundqvist, L.-O. (2015). Patients experiences of opportunities and barriers for successful return to work after acquired brain injury. In: : . Paper presented at Nobel Festivities 2015, Örebro, Sweden, 10 December, 2015.
Open this publication in new window or tab >>Patients experiences of opportunities and barriers for successful return to work after acquired brain injury
2015 (English)Conference paper, Poster (with or without abstract) (Refereed)
National Category
Neurology
Identifiers
urn:nbn:se:oru:diva-67285 (URN)
Conference
Nobel Festivities 2015, Örebro, Sweden, 10 December, 2015
Available from: 2018-06-15 Created: 2018-06-15 Last updated: 2018-09-04Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0002-7048-1925

Search in DiVA

Show all publications