Facilitators of and barriers to return to work after mild traumatic injury: a thematic analysis

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Facilitators of and barriers to return to work after mild traumatic injury: a thematic analysis. / Graff, Heidi Jeannet; Deleu, Nicole W.; Christiansen, Peter ; Rytter, Hana Malá.

In: Neuropsychological Rehabilitation, 06.2020, p. 1-26.

Research output: Contribution to journalJournal articleResearchpeer-review

Harvard

Graff, HJ, Deleu, NW, Christiansen, P & Rytter, HM 2020, 'Facilitators of and barriers to return to work after mild traumatic injury: a thematic analysis', Neuropsychological Rehabilitation, pp. 1-26. https://doi.org/10.1080/09602011.2020.1778489

APA

Graff, H. J., Deleu, N. W., Christiansen, P., & Rytter, H. M. (2020). Facilitators of and barriers to return to work after mild traumatic injury: a thematic analysis. Neuropsychological Rehabilitation, 1-26. https://doi.org/10.1080/09602011.2020.1778489

Vancouver

Graff HJ, Deleu NW, Christiansen P, Rytter HM. Facilitators of and barriers to return to work after mild traumatic injury: a thematic analysis. Neuropsychological Rehabilitation. 2020 Jun;1-26. https://doi.org/10.1080/09602011.2020.1778489

Author

Graff, Heidi Jeannet ; Deleu, Nicole W. ; Christiansen, Peter ; Rytter, Hana Malá. / Facilitators of and barriers to return to work after mild traumatic injury: a thematic analysis. In: Neuropsychological Rehabilitation. 2020 ; pp. 1-26.

Bibtex

@article{52b7dba270d442eda73c027c84257cc5,
title = "Facilitators of and barriers to return to work after mild traumatic injury: a thematic analysis",
abstract = "Individuals with mild traumatic brain injury (mTBI) may experience protracted symptoms affecting their ability to work. Several actors may facilitate or act as a barrier to a successful return to work (RTW). This qualitative study used semi-structured in-depth interviews with 22 adults with mTBI at 2–5 years post injury, targeting experiences of how different actors facilitated or acted as a barrier in the RTW process, and encompassed the mTBI trajectory from the acute phase to the post-acute phase. A thematic analysis with a hermeneutical phenomenological approach was used to analyse data. Three main themes emerged. (1) Worker–employer relationship: Workplace accommodations such as decreased working hours, modified working conditions, and support from co-workers were lacking. (2) The role of the general practitioner: The general practitioner was lacking treatment and referral opportunities and failed to provide the patient with relevant and individualized guidance. (3) Municipal case management: Participants perceived being met with distrust by social workers, follow-up assessments were too frequent, unnecessary, and did not target concussion, and rehabilitation was referred too late. Clinical practice guidelines to improve referral to relevant concussion rehabilitation in case of persistent symptoms are needed to inform clinicians, employers, and public institutions to facilitate a successful RTW.",
keywords = "Faculty of Social Sciences, hjernerystelse, arbejde, hovedtraume, Mild traumatic brain injury, Concussion, Rehabilitation, Return to work",
author = "Graff, {Heidi Jeannet} and Deleu, {Nicole W.} and Peter Christiansen and Rytter, {Hana Mal{\'a}}",
year = "2020",
month = "6",
doi = "https://doi.org/10.1080/09602011.2020.1778489",
language = "English",
pages = "1--26",
journal = "Neuropsychological Rehabilitation",
issn = "0960-2011",
publisher = "Routledge",

}

RIS

TY - JOUR

T1 - Facilitators of and barriers to return to work after mild traumatic injury: a thematic analysis

AU - Graff, Heidi Jeannet

AU - Deleu, Nicole W.

AU - Christiansen, Peter

AU - Rytter, Hana Malá

PY - 2020/6

Y1 - 2020/6

N2 - Individuals with mild traumatic brain injury (mTBI) may experience protracted symptoms affecting their ability to work. Several actors may facilitate or act as a barrier to a successful return to work (RTW). This qualitative study used semi-structured in-depth interviews with 22 adults with mTBI at 2–5 years post injury, targeting experiences of how different actors facilitated or acted as a barrier in the RTW process, and encompassed the mTBI trajectory from the acute phase to the post-acute phase. A thematic analysis with a hermeneutical phenomenological approach was used to analyse data. Three main themes emerged. (1) Worker–employer relationship: Workplace accommodations such as decreased working hours, modified working conditions, and support from co-workers were lacking. (2) The role of the general practitioner: The general practitioner was lacking treatment and referral opportunities and failed to provide the patient with relevant and individualized guidance. (3) Municipal case management: Participants perceived being met with distrust by social workers, follow-up assessments were too frequent, unnecessary, and did not target concussion, and rehabilitation was referred too late. Clinical practice guidelines to improve referral to relevant concussion rehabilitation in case of persistent symptoms are needed to inform clinicians, employers, and public institutions to facilitate a successful RTW.

AB - Individuals with mild traumatic brain injury (mTBI) may experience protracted symptoms affecting their ability to work. Several actors may facilitate or act as a barrier to a successful return to work (RTW). This qualitative study used semi-structured in-depth interviews with 22 adults with mTBI at 2–5 years post injury, targeting experiences of how different actors facilitated or acted as a barrier in the RTW process, and encompassed the mTBI trajectory from the acute phase to the post-acute phase. A thematic analysis with a hermeneutical phenomenological approach was used to analyse data. Three main themes emerged. (1) Worker–employer relationship: Workplace accommodations such as decreased working hours, modified working conditions, and support from co-workers were lacking. (2) The role of the general practitioner: The general practitioner was lacking treatment and referral opportunities and failed to provide the patient with relevant and individualized guidance. (3) Municipal case management: Participants perceived being met with distrust by social workers, follow-up assessments were too frequent, unnecessary, and did not target concussion, and rehabilitation was referred too late. Clinical practice guidelines to improve referral to relevant concussion rehabilitation in case of persistent symptoms are needed to inform clinicians, employers, and public institutions to facilitate a successful RTW.

KW - Faculty of Social Sciences

KW - hjernerystelse

KW - arbejde

KW - hovedtraume

KW - Mild traumatic brain injury

KW - Concussion

KW - Rehabilitation

KW - Return to work

U2 - https://doi.org/10.1080/09602011.2020.1778489

DO - https://doi.org/10.1080/09602011.2020.1778489

M3 - Journal article

SP - 1

EP - 26

JO - Neuropsychological Rehabilitation

JF - Neuropsychological Rehabilitation

SN - 0960-2011

ER -

ID: 243336823