Effective return-to-work interventions after acquired brain injury: A systematic review

Area of Science:

• Neuroscience
• Rehabilitation Medicine
• Occupational Health

Background:

• Acquired brain injury (ABI) presents significant challenges to an individual's ability to return to work (RTW).
• Identifying effective interventions is crucial for facilitating sustained employment and improving quality of life for ABI survivors.

Purpose of the Study:

• To synthesize evidence on effective RTW interventions for adult patients with non-progressive ABI.
• To identify key components of successful RTW strategies.

Main Methods:

• A comprehensive database search was conducted across PubMed, EMBASE, PsycINFO, CINAHL, and the Cochrane Library.
• Included studies focused on adult patients with ABI who were employed pre-injury, with interventions targeting RTW outcomes.
• Methodological quality was assessed, and evidence was evaluated qualitatively.

Main Results:

• Twelve studies (5 RCTs, 7 cohort studies) met inclusion criteria; nine had sufficient methodological quality.
• Strong evidence supports work-directed interventions combined with education/coaching for RTW.
• Indicative findings support work-directed interventions with skills training and education/coaching.

Conclusions:

• Effective RTW interventions for ABI patients integrate work-directed strategies with coaching/education and/or skills training.
• Key intervention components include tailored approaches, early engagement, patient/employer involvement, accommodations, and social/work-related skills training.
• These combined interventions show potential for facilitating sustained RTW in individuals with ABI.