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  4. Evaluating the feasibility of ReWork-SCI: a person-centred intervention for return-to-work after spinal cord injury

Evaluating the feasibility of ReWork-SCI: a person-centred intervention for return-to-work after spinal cord injury

BMJ Open, 2020 · DOI: 10.1136/bmjopen-2019-036000 · Published: January 1, 2020

Spinal Cord InjuryOccupational HealthRehabilitation

Simple Explanation

This study explores how well a new program called ReWork-SCI works for people with spinal cord injuries who want to return to their jobs. The program focuses on the individual needs of each person. The study looks at whether people are willing to participate in the program, if the program is acceptable to them, and whether the study design itself is good for measuring the program's success. The program involves a coordinator who helps people with spinal cord injuries create a plan to return to work, considering their personal circumstances and working with their employer.

Study Duration
6 Months
Participants
7 (2 women and 5 men)
Evidence Level
Pre-test and post-test, single group, feasibility study

Key Findings

  • 1
    The ReWork-SCI program was found to be feasible, with participants adhering to the program and finding it acceptable.
  • 2
    All participants developed a plan for returning to work within 3 months, and some had already started working part-time or doing work trials after 6 months.
  • 3
    Challenges included staff shortages, integrating the program into the existing spinal cord injury team, and ensuring the program remained focused on the individual.

Research Summary

The study evaluated the feasibility of ReWork-SCI, a person-centred intervention for return-to-work (RTW) after spinal cord injury (SCI), and the study design for evaluating it. ReWork-SCI involves a structured and coordinated intervention process led by a coordinator within a SCI rehabilitation team, focusing on individual needs and goals. The study found ReWork-SCI feasible with good adherence and acceptability, contributing to a systematic design of individualized plans, decision-making, and trust-building in the RTW process after SCI.

Practical Implications

Individualized RTW Plans

The intervention can contribute to a systematic design of an individualized plan for RTW after SCI.

Improved Decision-Making

ReWork-SCI can facilitate decision-making in the RTW process.

Building Trust

The intervention can build trust in the RTW process for individuals with SCI.

Study Limitations

  • 1
    Small sample size limits the ability to determine variance in a future trial.
  • 2
    Generalizability is limited due to the small sample and urban setting of participants.
  • 3
    Blinding of data collectors was not addressed in this study.

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