Developing A Conceptual Framework for Early Intervention Vocational Rehabilitation for People Following Spinal Cord Injury

• DOI: 10.1007/s10926-022-10060-9
• Publication Date: 2022-08-04T16:02:50Z
• Authors: Jennifer A. Dunn; R. A. Martin; J. J. Hackney; J. L. Nunnerley; D. L. Snell; J. A. Bourke; T. Young; A. Hall; S. Derrett
• Keywords: Conceptual framework; Health psychology; Conceptual model

Abstract Purpose Early intervention vocational rehabilitation (EIVR) can improve return to work (RTW) outcomes for people with spinal cord injury (SCI). However, mechanisms explaining how and why EIVR works are not well understood. This study aims develop a conceptual framework describing key of effect following SCI. Methods We synthesised data from realist literature review interviews SCI (n = 30), survey who had received 37), focus group providers community providers. first the an initial programme theory contexts in which activated produce outcomes. Then we used groups further refine theory. Finally, was developed support knowledge dissemination. Results By ensuring consistent messaging across multi-disciplinary team, programmes establish maintain hope that is possible injury. Conversations about allow individuals determine priority These conversations also self-efficacy by providing individualized envisage pathways toward RTW goals worker identity. The findings highlight resources required trigger activation these mechanisms. Conclusions specific as health condition, therefore enabling this be applied other populations face similar impairments barriers.