Therefore, the inclusion criteria were modified to recruit patients up to 12 weeks postinjury and following discharge. A feature enabling participants to refer themselves back to the ROWTATE intervention within the 12-month intervention period was included to accommodate those whose recovery is delayed, for example, people awaiting amputations or having multiple surgeries. The logic model was further developed following the codesign workshops to address driving and transport issues, the involvement of GPs and other stakeholders from the employment/charitable sectors. A summary of changes to the logic model over time are shown in em linha supplemental table 7.
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However, previous longitudinal studies96 and our interviews with trauma survivor’s highlighted unmet need for addressing psychological problems at different time points following trauma. Therefore, we opted to include assessment of psychological problems at two key time points to ensure those who develop psychological problems later after injury, which may threaten work stability,97 are given timely support using evidence-based interventions for anxiety, depression and PTSD,
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78 questioned whether excessive attention to symptoms and the person’s limitations in daily click here life, and insufficient focus on RTW could have negatively impacted on RTW. Similarly, Scheenen et al
Desde sua fundaçãeste, a agência tem se dedicado a promover e gerenciar carreiras por modelos utilizando um enfoque personalizado e estratfoigico, garantindo de que cada talento atinja seu máximo potencial.
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To identify the key issues, support needs and challenges faced in RTW, we conducted semistructured interviews and focus groups with trauma survivors and service providers. A topic guide, informed by the International Classification of Functioning, Disability and Health (ICF),52 thus taking account of contextual factors affecting RTW and by our previous research in stroke33 and TBI34 (see on-line supplemental files 1 and 2), explored lived experiences of trauma survivors who were working or studying prior to injury, and the views of healthcare professionals with experience of delivering rehabilitation within the trauma pathway.
SCIs79 80 and polytrauma models65 were predominantly compensatory and focused on adaptation to the disability, emphasising the importance of crossing service boundaries, facilitating access to VR and employment services and modifying or adjusting the work environment to accommodate the injury or disability. The RTW coordinator intervention for people with polytrauma,65 referenced evidence from systematic reviews supporting five factors that significantly reduce work disability duration and costs, suggesting potential mechanisms affecting work outcomes.
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