Acquired Brain Injury Transitional Rehabilitation Service, Princess Alexandra Hospital, Metro South Health, Brisbane, Australia.
The Hopkins Centre, Division of Rehabilitation, Metro South Health and Menzies Institute, Griffith University, Qld, Australia.
Disabil Rehabil. 2024 Jul;46(14):3176-3188. doi: 10.1080/09638288.2023.2239162. Epub 2023 Aug 1.
Specialised vocational rehabilitation (VR) following acquired brain injury (ABI) positively impacts return to work, however access to this is limited globally. Providing VR as a component of standard ABI rehabilitation may improve access to VR and influence vocational outcomes. This study aimed to develop an evidence-based framework for the delivery of ABI VR during early transitional community rehabilitation.
The development of the ABI VR framework utilised an emergent multi-phase design and was informed by models of evidence-based practice, national rehabilitation standards, guidelines for complex intervention development, model of care and framework development, and the knowledge-to-action framework. Four study phases were undertaken to identify and generate the evidence base, with findings synthesised to develop the ABI VR framework in phase five.
The framework provides a structure for the systematic delivery of VR as a component of team-based ABI rehabilitation, through five phases of rehabilitation: assessment; goal setting and rehabilitation planning; intervention; monitoring and evaluation; and discharge. It details the activities to be undertaken across the phases using a hybrid model of ABI VR (involving program-based VR and case coordination) and contains service delivery features.
The framework has the potential to translate to other similar service contexts.
专门的职业康复（VR）对脑损伤后（ABI）的重返工作岗位有积极影响，但全球范围内获得这种康复的机会有限。将 VR 作为 ABI 康复标准的一部分提供，可能会增加获得 VR 的机会，并影响职业结果。本研究旨在为早期过渡社区康复期间提供 ABI VR 制定一个基于证据的框架。
ABI VR 框架的制定采用了新兴的多阶段设计，并以循证实践模型、国家康复标准、复杂干预措施制定指南、护理模式和框架制定以及知识转化框架为依据。开展了四个研究阶段，以确定和生成证据基础，然后在第五阶段综合研究结果制定 ABI VR 框架。
该框架通过 ABI 康复团队的五个阶段，为作为团队康复一部分的 VR 提供了一种系统性的提供方法，这五个阶段包括：评估、目标设定和康复计划、干预、监测和评估以及出院。它详细说明了在各个阶段中使用 ABI VR 混合模式（涉及基于方案的 VR 和案例协调）开展的活动，并包含服务提供的特点。
该框架有可能转化为其他类似的服务环境。
