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Opportunities and barriers for successful return to work after acquired brain injury: A patient perspective
Örebro University, School of Health Sciences. University Health Care Research Center.ORCID iD: 0000-0002-7048-1925
Örebro University, School of Health Sciences. University Health Care Research Center.ORCID iD: 0000-0002-6703-7575
Örebro University, School of Law, Psychology and Social Work.ORCID iD: 0000-0002-4578-0501
2017 (English)In: Work: A journal of Prevention, Assessment and rehabilitation, ISSN 1051-9815, E-ISSN 1875-9270, Vol. 56, no 1, p. 125-134Article in journal (Refereed) Published
Abstract [en]

Background: Many people who suffer an acquired brain injury (ABI) are of working age. There are benefits, for the patient, the workplace, and society, to finding factors that facilitate successful return to work (RTW).

Objective: The aim was to increase knowledge of opportunities and barriers for a successful RTW in patients with ABI.

Method: Five men and five women with ABI participated. All had successfully returned to work at least 20 hours a week. Their experiences were gathered by semi-structured interviews, which were subsequently subjected to qualitative content analysis.

Results: Three themes that influenced RTW were identified: individually adapted rehabilitation; motivation for RTW; and cognitive and social abilities. An individually adapted rehabilitation was judged important because the patients were involved in their own rehabilitation and required individually adapted support from rehabilitation specialists, employers, and colleagues. A moderate level of motivation for RTW was needed. Awareness of the person's cognitive and social abilities is essential, in finding compensatory strategies and adaptations.

Conclusions: It seems that the vocational rehabilitation process is a balancing act in individualized planning and support, as a partnership with the employer needs to be developed, motivation needs to be generated, and awareness built of abilities that facilitate or hinder RTW.

Place, publisher, year, edition, pages
Amsterdam, The Netherlands: IOS Press, 2017. Vol. 56, no 1, p. 125-134
Keywords [en]
Content analysis, vocational rehabilitation, qualitative interviews
National Category
Occupational Therapy Other Medical Sciences
Research subject
Disability Science
Identifiers
URN: urn:nbn:se:oru:diva-54393DOI: 10.3233/WOR-162468ISI: 000396547500014PubMedID: 28035941Scopus ID: 2-s2.0-85012225058OAI: oai:DiVA.org:oru-54393DiVA, id: diva2:1072106
Note

Funding Agencies:

University Health Care Research Center

Region Örebro County Sweden

Swedish Association of Brain Injured and Families

Available from: 2017-02-07 Created: 2017-01-10 Last updated: 2018-11-19Bibliographically approved
In thesis
1. Återgång i arbete efter förvärvad hjärnskada: livskvalitet, möjligheter och hinder
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

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Matérne, MarieLundqvist, Lars-OlovStrandberg, Thomas
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