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Development and evaluation of an early specialised traumatic brain injury vocational rehabilitation training package

Holmes, Jain; Phillips, Julie; Morris, Richard; Bedekar, Yash; Tyerman, Ruth; Radford, Kathryn

Authors

Jain Holmes

Julie Phillips

Richard Morris

Yash Bedekar

Ruth Tyerman



Abstract

Background:
In a feasibility randomised controlled trial, training was developed to equip Occupational Therapists to deliver Early Specialised Traumatic Brain Injury Vocational Rehabilitation in the English National Health Service.

Methods:
The package was developed by "experts" in vocational rehabilitation and traumatic brain injury and included a manual, direct instruction by six trainers and opportunity for mentorship by four therapists. Following training, therapists were interviewed regarding the effectiveness and "ease of use" of the package. Interviews were analysed using the framework approach.

Results:
Five trained therapists were interviewed regarding the package. Results were organised into 6 categories: (1) motivation to participate in research; (2) impact of the learning environment; (3) changing confidence levels over time; (4) growing appreciation of complexities about the intervention; (5) acceptability of the training package; (6) lessons for future implementation.

Conclusions:
Therapists reported acquiring knowledge necessary to implement the intervention. Data indicates that training packages require detailed descriptions of the interventions being taught for local implementation in the NHS and for future research. Training materials are valued by therapists but require time for familiarisation and reminders from mentors help put training into practice. Therapists have concerns about implementing interventions within a research context, which researchers should address.

Citation

Holmes, J., Phillips, J., Morris, R., Bedekar, Y., Tyerman, R., & Radford, K. (in press). Development and evaluation of an early specialised traumatic brain injury vocational rehabilitation training package. British Journal of Occupational Therapy, 79(11), https://doi.org/10.1177/0308022616651645

Journal Article Type Article
Acceptance Date May 5, 2016
Online Publication Date Jun 29, 2016
Deposit Date Jun 15, 2016
Publicly Available Date Jun 29, 2016
Journal British Journal of Occupational Therapy
Print ISSN 0308-0226
Electronic ISSN 1477-6006
Publisher SAGE Publications
Peer Reviewed Peer Reviewed
Volume 79
Issue 11
DOI https://doi.org/10.1177/0308022616651645
Keywords Vocational rehabilitation, Traumatic brain injury, Implementation
Public URL http://eprints.nottingham.ac.uk/id/eprint/34005
Publisher URL http://bjo.sagepub.com/content/79/11/693
Copyright Statement Copyright information regarding this work can be found at the following address: http://eprints.nottingham.ac.uk/end_user_agreement.pdf

Files


Describing the Training Package for ESTVR MAIN DOCUMENT SECOND REVISION AAM.pdf (538 Kb)
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Copyright Statement
Copyright information regarding this work can be found at the following address: http://eprints.nottingham.ac.uk/end_user_agreement.pdf





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