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Replication of a Prospective Randomized Controlled Trial of Resource Facilitation to Improve Return to Work and
Lance E Trexler1, Devan R Parrott2, James F Malec1
1Rehabilitation Hospital of Indiana, Indianapolis, IN; Department of Physical Medicine and Rehabilitation, Indiana University School of Medicine, Indianapolis, IN.
Objective:
To determine the extent to which previous findings on the effectiveness of resource facilitation to impact return to work and school could be replicated.
Design:
Randomized controlled trial.
Setting:
Outpatient rehabilitation clinic.
Participants:
Outpatients with acquired brain injury (N=44).
Intervention:
Fifteen months of resource facilitation services.
Main Outcome Measures:
A revised version of the Vocational Independence Scale and the Mayo-Portland Adaptability Inventory-4 Participation Index.
Results:
Participants randomized to the resource facilitation group demonstrated a significant advantage in terms of rate and timing of return to productive community-based work relative to control participants. When examining only return to competitive work (and not return to school), 69% of the resource facilitation group was able to return compared with 50% of the control participants. Analyses of measures of participation in household and community activities revealed that both groups improved significantly over the 15-month study period, but no significant advantage for either group was demonstrated.
Conclusions:
This study replicates the positive impact of resource facilitation in improving productive community-based activity, including competitive employment and volunteering in the community.
