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Evaluating the feas...
Evaluating the feasibility of ReWork-SCI : a person-centred intervention for return-to-work after spinal cord injury
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- Holmlund, Lisa (författare)
- Karolinska Institutet,Karolinska Inst, Dept Neurobiol Care Sci & Soc, Huddinge, Sweden.;Rehab Stn Stockholm, R&D Unit, Rehab Stn Stockholm Spinalis, Stockholm, Sweden.
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- Guidetti, Susanne (författare)
- Karolinska Institutet,Karolinska Inst, Dept Neurobiol Care Sci & Soc, Huddinge, Sweden.
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- Hultling, Claes (författare)
- Karolinska Institutet,Karolinska Inst, Dept Neurobiol Care Sci & Soc, Huddinge, Sweden.;Karolinska Univ Sjukhuset, Dept Neurol, Solna, Sweden.
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- Seiger, Ake (författare)
- Karolinska Institutet,Karolinska Inst, Dept Neurobiol Care Sci & Soc, Huddinge, Sweden.;Rehab Stn Stockholm, R&D Unit, Rehab Stn Stockholm Spinalis, Stockholm, Sweden.
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- Eriksson, Gunilla (författare)
- Karolinska Institutet,Uppsala universitet,Lexell: Rehabiliteringsmedicin,Karolinska Inst, Dept Neurobiol Care Sci & Soc, Huddinge, Sweden.
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- Asaba, Eric (författare)
- Karolinska Institutet,Karolinska Inst, Dept Neurobiol Care Sci & Soc, Huddinge, Sweden.;Stockholms Sjukhem Fdn, Res Educ & Dev Unit, Stockholm, Sweden.
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Karolinska Institutet Karolinska Inst, Dept Neurobiol Care Sci & Soc, Huddinge, Sweden;Rehab Stn Stockholm, R&D Unit, Rehab Stn Stockholm Spinalis, Stockholm, Sweden. (creator_code:org_t)
- 2020-08-20
- 2020
- Engelska.
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Ingår i: BMJ Open. - : BMJ. - 2044-6055. ; 10:8
- Relaterad länk:
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https://doi.org/10.1...
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https://uu.diva-port... (primary) (Raw object)
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https://bmjopen.bmj....
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https://urn.kb.se/re...
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https://doi.org/10.1...
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http://kipublication...
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Abstract
Ämnesord
Stäng
- Objectives To evaluate the feasibility of: (1) ReWork-SCI with regard to adherence and acceptability and (2) a study design for evaluating ReWork-SCI with regard to recruitment, retention and outcome measures. Design Pre-test and post-test, single group, feasibility study. Setting Spinal cord injury (SCI) unit at a regional rehabilitation centre in Sweden. Participants Two women and five men (n=7). Eligible criteria: (1) sustained traumatic or non-traumatic SCI; (2) completed the first acute care episode in a hospital; (3) between 18 to 65 years of age; (4) assessed by a physician as approachable for participation in the intervention; (5) history of permanent or temporary employment; (6) self-reported desire to return to work; and (7) ability to communicate in English or Swedish. Intervention ReWork-SCI is a person-centred intervention for return-to-work (RTW), developed and evaluated using the Medical Research Council's guidelines. ReWork-SCI follows a person-centred, structured and coordinated intervention process led by a coordinator within a SCI rehabilitation team. Outcome measures The feasibility of ReWork-SCI and a study design was evaluated using a set of outcome measurement tools, vocational data, logbooks and semi-structured interviews. Results All eligible participants accepted enrolment and follow-up. All participants had a plan for RTW after 3 months and four participants had initiated part-time work or work trial 6 months after commencement of intervention. Adherence and acceptability were overall good. Challenges of the intervention related to the person-centred follow-up, staff shortage and rootedness in the SCI team. Conclusions ReWork-SCI was feasible and can contribute to a systematic design of an individualised plan, facilitate decision-making and build trust in the RTW process after SCI. Core features of the intervention was the systematic structure, use of a person-centred approach and dialogue with the employer. For the effectiveness of ReWork-SCI, modifications and considerations of study design are needed.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Neurologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Neurology (hsv//eng)
Nyckelord
- rehabilitation medicine
- neurology
- qualitative research
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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