Evidence map›Paper›PMID 39366713›Full record

ArticleBMJ open2024

Development of a vocational rehabilitation intervention to support return-to-work and well-being following major trauma: a person-based approach.

Kate Radford, Jade Kettlewell, Roshan das Nair, Richard Morriss, Jain Holmes, Blerina Kellezi, Stephen Timmons, Trevor Jones, Hereward Tresidder, Isobel Andrews and 10 more

Abstract read
In one paragraph

Article in BMJ open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  4. Review
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

20 authors.

Kate RadfordCentre for Rehabilitation and Ageing Research, School of Medicine, University of Nottingham, Nottingham, UK Kate.Radford@nottingham.ac.uk.ORCID http://orcid.org/0000-0001-6246-3180
Jade KettlewellCentre for Academic Primary Care, School of Medicine, University of Nottingham, Nottingham, UK.
Roshan das NairMental Health and Clinical Neuroscience, School of Medicine, University of Nottingham, Nottingham, UK.
Richard MorrissMental Health and Clinical Neuroscience, School of Medicine, University of Nottingham, Nottingham, UK.ORCID http://orcid.org/0000-0003-2910-4121
Jain HolmesCentre for Rehabilitation and Ageing Research, School of Medicine, University of Nottingham, Nottingham, UK.
Blerina KelleziCentre for Academic Primary Care, School of Medicine, University of Nottingham, Nottingham, UK.ORCID http://orcid.org/0000-0003-4825-3624
Stephen TimmonsCentre for Health Innovation, Leadership and Learning, University of Nottingham Business School, Nottingham, UK.
Trevor JonesCentre for Academic Primary Care, School of Medicine, University of Nottingham, Nottingham, UK.
Hereward TresidderCentre for Academic Primary Care, School of Medicine, University of Nottingham, Nottingham, UK.
Isobel AndrewsCentre for Academic Primary Care, School of Medicine, University of Nottingham, Nottingham, UK.
Kay BridgerDivision of Psychology, School of Social Sciences, Nottingham Trent University, Nottingham, UK.
Priya PatelMental Health and Clinical Neuroscience, School of Medicine, University of Nottingham, Nottingham, UK.
Rebecca LindleyCentre for Academic Primary Care, School of Medicine, University of Nottingham, Nottingham, UK.
Blanca De Dios PerezCentre for Rehabilitation and Ageing Research, School of Medicine, University of Nottingham, Nottingham, UK.ORCID http://orcid.org/0000-0002-5621-9445
Abigail StathamCentre for Rehabilitation and Ageing Research, School of Medicine, University of Nottingham, Nottingham, UK.
Tadeusz JonesCentre for Academic Primary Care, School of Medicine, University of Nottingham, Nottingham, UK.
Karen HoffmanBarts and the London NHS Trust, London, UK.
Marilyn JamesNottingham Clinical Trials Unit, School of Medicine, University of Nottingham, Nottingham, UK.
Denise KendrickCentre for Academic Primary Care, School of Medicine, University of Nottingham, Nottingham, UK.ORCID http://orcid.org/0000-0003-3603-6542
ROWTATE study team

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesMajor trauma centres (MTCs) save lives but rehabilitation to support return-to-work (RTW) is lacking. This paper describes development of a vocational rehabilitation intervention (the ROWTATE intervention) to support RTW following traumatic injury.

designSequential and iterative person-based approach in four stages-

resultsTrauma survivors described unmet needs relating to early advice about RTW; psychological support; pain management; hidden disabilities (eg, fatigue); estimating recovery; and community, amputee and musculoskeletal rehabilitation. Mechanisms of effective interventions identified in the review included early intervention, colocation, employer engagement, case coordination and work accommodations. Intervention features identified by IDWG members (n=13) from stages 1 and 2 were use of stepped-care approaches by occupational therapists (OTs) and clinical psychologists (CPs), OT/CP formulation for complex cases, assessment of mental health problems, individually tailored rehabilitation including vocational goal setting, cross-sector coordination/communication, employer engagement, phased RTW, education/advice for family/employers, exploration of work alternatives, ongoing review of physical and mental health needs, work stability monitoring. Conceptual testing ratified the logic model. Geography and long waiting lists were identified as potential delivery barriers.

conclusionsReal-world testing of the intervention is underway in a randomised controlled trial.

Indexed as

Rehabilitation, VocationalReturn to WorkWounds and InjuriesAdultFemaleFocus GroupsHumansMaleMiddle AgedSurvivorsTrauma CentersUnited Kingdomclinical trialimplementation scienceoccupational & industrial medicinepsychosocial interventionrehabilitation medicinetrauma management

Identifiers

PMID39366713
PMCPMC11459317

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.