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Prospective Randomized Controlled Trial of Resource Facilitation on Community Participation and Vocational Outcome Following Brain Injury

Trexler, Lance E. PhD; Trexler, Laura C. OTR; Malec, James F. PhD, ABPP-Cn, Rp; Klyce, Daniel MA; Parrott, Devan BS

Section Editor(s): Bogner, Jennifer PhD, ABPP; Caplan, Bruce PhD, ABPP

Journal of Head Trauma Rehabilitation: November/December 2010 - Volume 25 - Issue 6 - p 440–446
doi: 10.1097/HTR.0b013e3181d41139
Focus on Clinical Research and Practice, Part 3: Original Article
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Objective: To examine the impact of resource facilitation (RF) on return to work, participation in home and community activities, and depression.

Participants: Twenty-two people with acquired brain injury (mean age = 43 years; mean education = 13.3 years).

Design: A prospective randomized controlled trial of RF compared with standard care. All participants received standard follow-up services, but participants in the RF group were also assigned a resource facilitator to assist them in returning to work.

Results: Participation increased significantly for both groups (F = 60.65, P < .0001), but the interaction between groups and time demonstrated greater improvement for the RF group relative to controls (F = 9.11, P < .007). Also, 64% of the RF group was employed at follow-up compared with 36% of the control group (Wald-Wolfkowitz z = −3.277, P < .0001). No significant differences were found between groups on measures of depression.

Conclusion: Resource facilitation services that have a clear focus on return to work may have a substantial impact on participation and unemployment after brain injury.

Rehabilitation Hospital of Indiana (Drs L. E. Trexler and Malec and Mrs L. C. Trexler and Mrs D. R. Parrott), Indianapolis; and Department of Psychological Sciences, Purdue University, West Lafayette, Indiana (Mr Klyce).

Corresponding Author: Devan Parrott, BS, Department of Rehabilitation Neuropsychology, Rehabilitation Hospital of Indiana, 4141 Shore Dr, Indianapolis, IN 46268 (devan.parrott@rhin.com).

This research was in part funded by a US Department of Health and Human Services, Health Resources and Services Administration, Traumatic Brain Injury Planning and Implementation Partnership Grant and by the Dr Lisa Thompson Center for Family Education at the Rehabilitation Hospital of Indiana.

© 2010 Lippincott Williams & Wilkins, Inc.