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创伤性脑损伤(TBI)患者重返工作岗位(RTW)的心理教育工具的开发和可行性测试:TBI 后的 RTW 应用程序。

Development and feasibility testing of a psychoeducational tool to support the return to work (RTW) of individuals with traumatic brain injury (TBI): The RTW after TBI app.

机构信息

Turner Institute for Brain and Mental Health, School of Psychological Sciences, Monash University, Clayton, Australia.

Monash-Epworth Rehabilitation Research Centre, Richmond, Australia.

出版信息

Neuropsychol Rehabil. 2023 Sep;33(8):1349-1367. doi: 10.1080/09602011.2022.2097928. Epub 2022 Jul 15.

DOI:10.1080/09602011.2022.2097928
PMID:35838987
Abstract

To document the development and clinician evaluation of a psychoeducational and support tool: the return to work after traumatic brain injury app (RTW after TBI app). Co-design of the app involved the collaboration of traumatic brain injury (TBI) /vocational rehabilitation (VR) expert researchers ( = 4) and lived experience co-designers (individuals with TBI who had previously returned to work;  = 4). Twelve TBI/VR clinician reviewers then evaluated the app. Content analysis of TBI/VR clinician reviewers' interviews revealed four themes: content, usability (functional ease of use), utility (applicability to RTW after TBI) and suggestions for improvements. All clinicians reported that they would use the RTW after TBI app in their clinical practice. Although several aspects were reported to potentially limit the app's appropriateness for some TBI clients, many feasible improvements were suggested to address limitations. These improvements aim to increase the utility of the app with a wider range of clients and extend its use to other settings. Future research should evaluate, in a clinical trial, the efficacy of the RTW after TBI app in supporting individuals with TBI and their vocational providers and optimizing RTW success.

摘要

为了记录创伤性脑损伤后重返工作岗位的心理教育和支持工具(RTW after TBI app)的开发和临床医生评估。该应用程序的共同设计涉及创伤性脑损伤(TBI)/职业康复(VR)专家研究人员(= 4)和生活经验共同设计者(以前重返工作岗位的 TBI 患者;= 4)的合作。然后,12 名 TBI/VR 临床医生评审员对该应用程序进行了评估。对 TBI/VR 临床医生评审员访谈的内容分析揭示了四个主题:内容、可用性(功能易用性)、实用性(适用于 TBI 后的重返工作岗位)和改进建议。所有临床医生都报告说,他们将在临床实践中使用 TBI 后的重返工作岗位应用程序。尽管报告了一些方面可能会限制该应用程序对某些 TBI 患者的适用性,但提出了许多可行的改进建议来解决这些限制。这些改进旨在提高应用程序在更广泛的客户群体中的实用性,并将其用途扩展到其他环境。未来的研究应在临床试验中评估 TBI 后重返工作岗位应用程序在支持 TBI 患者及其职业提供者并优化重返工作岗位成功方面的功效。

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