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  4. Early vocational rehabilitation for people with spinal cord injury: a research protocol using realist synthesis and interviews to understand how and why it works

Early vocational rehabilitation for people with spinal cord injury: a research protocol using realist synthesis and interviews to understand how and why it works

BMJ Open, 2021 · DOI: 10.1136/bmjopen-2021-048753 · Published: January 5, 2021

Spinal Cord InjuryOccupational HealthRehabilitation

Simple Explanation

This research aims to understand how early vocational rehabilitation helps people with spinal cord injuries return to work. It will use a realist synthesis approach, which looks at how the context of the rehabilitation affects its success. The study will involve reviewing existing literature, interviewing people with spinal cord injuries, and surveying those who have received early vocational rehabilitation. The goal is to create a plan for implementing early intervention vocational rehabilitation to improve return-to-work outcomes for people with various acquired impairments.

Study Duration
24 months
Participants
40 people with SCI (interview) and past consumers of service (survey)
Evidence Level
Not specified

Key Findings

  • 1
    The study aims to explain how contextual factors trigger relevant mechanisms to facilitate return to work after SCI.
  • 2
    The research will identify context–mechanism–outcome (CMO) configurations to be tested and refined throughout the realist synthesis.
  • 3
    The study will explore experiences of early vocational rehabilitation and various contexts and mechanisms that appear to contribute (or not) to the successful negotiation of RTW.

Research Summary

This study employs a realist synthesis approach to understand how early vocational rehabilitation works for individuals with spinal cord injuries (SCI). The methods include a realist literature review, interviews with people with SCI, and a survey of people with SCI who received early vocational rehabilitation. The study aims to develop an early intervention vocational rehabilitation implementation plan for improving return to work outcomes for individuals with SCI and other acquired impairments.

Practical Implications

Improved RTW Outcomes

The research aims to identify effective strategies for early vocational rehabilitation to improve return-to-work rates for people with SCI.

Implementation Plan

The study will develop an implementation plan for early intervention vocational rehabilitation that can be applied to other acquired impairments.

Contextual Understanding

The realist approach will provide a deeper understanding of how contextual factors influence the success of vocational rehabilitation.

Study Limitations

  • 1
    Studies in only the English language will be included.
  • 2
    The perspectives of family or caregivers will not be explicitly gained during this study.
  • 3
    Not specified

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