Acquired Brain Injury Transitional Rehabilitation Service, Princess Alexandra Hospital, Brisbane, Australia.
Division of Rehabilitation, The Hopkins Centre, Metro South Health & Griffith University, Brisbane, Australia.
Disabil Rehabil. 2022 Dec;44(24):7641-7654. doi: 10.1080/09638288.2021.1980622. Epub 2021 Oct 4.
Acquired brain injury (ABI) is a complex injury which impacts engagement with worker roles. Return to work (RTW) rates for individuals with brain injury are low and those who do RTW often report job instability. Vocational rehabilitation (VR) can improve RTW rates and job stability; however, service provision is varied, and no gold standard has been identified.
A systematic scoping review of the literature was completed to explore research activity in VR for individuals with ABI to address the following three questions: what models have been identified to underpin VR in ABI? What clinical processes have been identified to guide provision of VR in ABI? What components of VR have been described and/or recommended in the ABI literature?
The number of included articles was 57. From these articles, 16 models, nine process steps, eight components, and four service delivery components were identified that were utilised in provision of ABI VR. Implications for practice are discussed.
Key processes and components of ABI VR have been identified across a range of models and apply to clients at all phases post-injury. Findings may be used to inform service provision across a range of time points and support clinicians in their delivery of VR to adults with brain injury.Implications for RehabilitationPeople with acquired brain injury (ABI), even severe injury, can be successful with return to work (RTW) when provided appropriate supports.A wide range of models, interventions, and service components have been identified in the literature which can be used to guide clinical and policy development in ABI vocational rehabilitation.Vocational rehabilitation for individuals with brain injury involves a complex interaction of factors, and consideration should be paid to not only the person and their abilities but also job demands and the environment (physical, social, cultural).Vocational rehabilitation services should be accessible and timed to maximise chances of a successful RTW, provided by a coordinated interdisciplinary team and should involve active stakeholder engagement.
获得性脑损伤（ABI）是一种复杂的损伤，会影响其参与工作角色的能力。脑损伤患者的复工率较低，而复工的患者往往报告工作不稳定。职业康复（VR）可以提高复工率和工作稳定性；然而，服务提供存在差异，并且尚未确定黄金标准。
对文献进行了系统的范围审查，以探讨针对 ABI 患者的 VR 研究活动，以解决以下三个问题：哪些模型被确定为 VR 的基础？哪些临床流程被确定为指导 ABI 中的 VR 提供？ABI 文献中描述和/或推荐了哪些 VR 组件？
纳入的文章数量为 57 篇。从这些文章中，确定了 16 个模型、9 个流程步骤、8 个组件和 4 个服务提供组件，这些组件被用于提供 ABI VR。讨论了对实践的影响。
已在各种模型中确定了 ABI VR 的关键流程和组件，并适用于受伤后各个阶段的患者。研究结果可用于在广泛的时间点提供服务，并支持临床医生为脑损伤成年人提供 VR。
即使是严重的脑损伤，获得性脑损伤（ABI）患者也可以通过适当的支持成功复工。
文献中已确定了广泛的模型、干预措施和服务组件，可用于指导 ABI 职业康复的临床和政策制定。
脑损伤患者的职业康复涉及因素的复杂相互作用，不仅应考虑到个人及其能力，还应考虑到工作要求和环境（物理、社会、文化）。
职业康复服务应易于获得并及时提供，以最大限度地提高成功复工的机会，由协调的跨学科团队提供，并应涉及积极的利益相关者参与。
