The effect evaluation of combined cognitive and vocational interventions after mild-to-moderate traumatic brain injury: a randomized controlled trial and qualitative process evaluation
The project combines the rehabilitation and vocational science perspectives; it involves multidisciplinary collaboration, and explores the efficacy of increased cross-sectorial collaboration between specialized health care services and the welfare system.
About the project
A considerable number of patients with mild-to-moderate traumatic brain injury (TBI) experience long-lasting somatic, cognitive, and emotional symptoms that may hamper their capacity to return to work (RTW). Although several studies have described medical, psychological and work-related factors that predict RTW after TBI, well-controlled intervention studies regarding RTW in this group are scarce. Furthermore, there have traditionally been weak collaborations between rehabilitation services in the health sector, the Labor and Welfare Administration (NAV), and the work places. The current project describes an innovative randomized controlled trial (RCT) which will explore the effect of combined manualized cognitive rehabilitation efforts and supported employment in real-life competitive work settings for patients who have not returned to work 8 weeks post-injury. If the intervention proves efficient, the project will further describe the cost-effectiveness and -utility of the program, and hereby provide important information of use for policy makers. In addition, the study aims at generating knowledge of the RTW-process for persons with TBI and the workplaces, as well as to disseminate this knowledge in order to create new multidisciplinary and collaborative practices.
More information could be found at ClinicalTrials.gov, NCT03092713
Funding
- Norwegian Research Council
- PI Nada Andelic
- PhD students Silje Fure and Emilie I. Howe
Collaboration
- Oslo University Hospital
- Sunnaas Rehabilitation Hospital
- OsloMet, Work Research Institute
- NAV, Hjelpemidler og tilrettelegging
- CHARM
- University of California San Diego, USA
- Virginia Commonwealth University, Richmond, USA
- Monash University, Australia
- User organization, Personskadeforbundet LTN
Publications
- Feasibility of a Cognitive Rehabilitation Program for Individuals with Mild-to-Moderate Traumatic Brain Injury: Participants’ Engagement and Satisfaction. Cogent Medicine, Jan 2019. DOI 10.1080/2331205X.2019.1565614. Howe E, Løvstad M, Langlo KP, Hellstrøm T, Spjelkavik Ø, Ugelstad H, Twamley E, Andelic N.
- Employment probability trajectories up to 10 years after moderate-to-severe traumatic brain injury. Frontiers in Neurology 2018 ;Volum 9. DOI 10.3389/fneur.2018.01051. Howe E, Andelic N, Perrin PB, Røe C, Sigurdardottir S, Arango-Lasprilla JC, Lu J, Løvstad M, Forslund M.
- Long-term employment outcomes following moderate to severe traumatic brain injury: a systematic review and meta-analysis. Brain Injury 2019. DOI 10.1080/02699052.2019.1658222. Gormley M, Devanaboyina M, Andelic N, Røe C, Seel TR, Lu J.
- There are Ups and Downs While Slowly Moving Forward, In a Way: Stories of Improvement and Treatment After Mild and Moderate Traumatic Brain Injury. Brain Injury 2019 ;Volum 33. Suppl. 1 s. 182 DOI 10.1080/02699052.2019.1608749. Linnestad, Anne-Margrethe; Løvstad, Marianne; Howe, Emilie Isager; Fure, Silje Christine Reistad; SPJELKAVIK, Øystein; Enehaug, Heidi; Groven, Karen Synne; Andelic, Nada.
- Participants’ Satisfaction with Compensatory Cognitive Training (CCT) as Part of a Vocational Rehabilitation Program. Brain Injury 2019 ;Volum 33. Suppl. 1 DOI 10.1080/02699052.2019.1608749. Howe, Emilie Isager; Fure, Silje Christine Reistad; Linnestad, Anne-Margrethe; Ugelstad, Helene; Spjelkavik, Øystein; Enehaug, Heidi; Røe, Cecilie; Hellstrøm, Torgeir; Twamley, Elizabeth; Løvstad, Marianne; Andelic, Nada.