2023-09-28 14:46:10 +00:00
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abstract: 'Purpose Early intervention vocational rehabilitation (EIVR) can improve
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return to work (RTW) outcomes for people with spinal cord injury (SCI).
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However, mechanisms explaining how and why EIVR works are not well
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understood. This study aims to develop a conceptual framework describing
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key mechanisms of EIVR intervention effect following SCI. Methods We
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synthesised data from a realist literature review with data from
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interviews of people with SCI (n = 30), a survey of people with SCI who
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had received EIVR (n = 37), a focus group of EIVR providers and a focus
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group of community vocational providers. We first synthesised the
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literature review and interviews to develop an initial programme theory
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describing the contexts in which mechanisms are activated to produce
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EIVR outcomes. Then we used data from the survey and focus groups to
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further refine the EIVR programme theory. Finally, a conceptual
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framework was developed to support knowledge dissemination. Results By
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ensuring consistent messaging across the multi-disciplinary team, EIVR
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programmes establish and maintain hope that work is possible following
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injury. Conversations about work allow individuals to determine the
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priority of work following injury. These conversations can also improve
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self-efficacy by providing individualized support to envisage pathways
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toward RTW goals and maintain worker identity. The synthesised study
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findings highlight the contexts and resources required to trigger
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activation of these mechanisms. Conclusions EIVR key mechanisms of
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effect are not specific to SCI as a health condition, therefore enabling
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this framework to be applied to other populations who face similar
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impairments and return to work barriers.'
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affiliation: 'Dunn, JA (Corresponding Author), Univ Otago, Dept Orthopaed Surg \&
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Musculoskeletal Med, Christchurch, New Zealand.
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Dunn, Jennifer A.; Nunnerley, J. L.; Snell, D. L., Univ Otago, Dept Orthopaed Surg
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\& Musculoskeletal Med, Christchurch, New Zealand.
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Martin, R. A.; Hackney, J. J.; Nunnerley, J. L.; Bourke, J. A.; Young, T., Burwood
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Acad Trust, Burwood Hosp, Christchurch, New Zealand.
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Martin, R. A., Univ Otago, Dept Med, Rehabil Teaching \& Res Unit, Wellington, New
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Zealand.
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Bourke, J. A., Griffith Univ, Menzies Hlth Inst, Nathan, Qld, Australia.
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Hall, A., New Zealand Spinal Trust, Burwood Hosp, Christchurch, New Zealand.
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Bourke, J. A.; Derrett, S., Univ Otago, Ngai Tahu Maori Hlth Res Unit, Prevent \&
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Social Med, Dunedin, New Zealand.'
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author: Dunn, Jennifer A. and Martin, R. A. and Hackney, J. J. and Nunnerley, J. L.
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and Snell, D. L. and Bourke, J. A. and Young, T. and Hall, A. and Derrett, S.
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author-email: Jennifer.dunn@otago.ac.nz
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author_list:
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- family: Dunn
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given: Jennifer A.
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- family: Martin
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given: R. A.
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- family: Hackney
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given: J. J.
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- family: Nunnerley
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given: J. L.
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- family: Snell
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given: D. L.
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- family: Bourke
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given: J. A.
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- family: Young
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given: T.
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- family: Hall
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given: A.
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- family: Derrett
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given: S.
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da: '2023-09-28'
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doi: 10.1007/s10926-022-10060-9
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earlyaccessdate: AUG 2022
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eissn: 1573-3688
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files: []
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issn: 1053-0487
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journal: JOURNAL OF OCCUPATIONAL REHABILITATION
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keywords: Vocational rehabilitation; Spinal cord injury; Return to work
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keywords-plus: EMPLOYMENT OUTCOMES; SERVICE
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language: English
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month: MAR
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number: '1'
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number-of-cited-references: '29'
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orcid-numbers: Dunn, Jennifer/0000-0002-2894-7533
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pages: 179-188
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papis_id: fc43757d43b94ba378511f4e5249b44e
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ref: Dunn2023developingconceptual
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times-cited: '1'
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title: Developing A Conceptual Framework for Early Intervention Vocational Rehabilitation
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for People Following Spinal Cord Injury
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000836142900001
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usage-count-last-180-days: '2'
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usage-count-since-2013: '3'
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volume: '33'
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web-of-science-categories: Rehabilitation; Social Issues
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year: '2023'
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