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Using framework analysis to understand multiple stakeholders’ views of vocational rehabilitation following acquired brain injury327.89 kB
Published VersionCC BY V4.0, Open Access
Journal article
Using framework analysis to understand multiple stakeholders' views of vocational rehabilitation following acquired brain injury
Brain Impairment, Vol.24(2), pp.347-370
2023
PMID: 38167182
Abstract
Purpose:
To explore how vocational rehabilitation (VR) is currently delivered for individuals with acquired brain injury (ABI) across multiple stakeholder groups and identify areas for improvement in service delivery using the Consolidated Framework for Implementation Research (CFIR).
Methods:
Seven focus groups were conducted with rehabilitation clinicians; outreach providers, insurers/regulators, VR providers and disability employment service providers (n = 44) experienced in VR of individuals with ABI. All groups were audio-recorded and transcribed verbatim. Data analysis was guided by the CFIR constructs.
Results:
All stakeholder groups believed they offered quality VR interventions given available resources and legislation, but many clients fell through the 'cracks'. Themes that were identified included: a) number and complexity of systems supporting VR; b) fractured communication across systems, c) lack of knowledge by both stakeholders and clients in navigating systems, d) lack of expertise in supporting the vocational needs of clients with ABI and e) perceived limited awareness of ABI by employers.
Conclusion:
Stakeholders and clients need support to navigate Australia's complex VR pathways. Limited specialist ABI clinicians, VR providers and disability employment services were identified as barriers for effective VR. Domains of the CFIR were appropriate for organising and understanding how VR is delivered.
Details
- Title
- Using framework analysis to understand multiple stakeholders' views of vocational rehabilitation following acquired brain injury
- Authors
- Venerina Johnston (Corresponding Author) - The University of QueenslandCharlotte Brakenridge - The University of QueenslandDonna Valiant - The University of QueenslandCharmaine Leow Kai Ling - The University of QueenslandNicole Andrews - The University of QueenslandElise M. Gane - The University of QueenslandBen Turner - Princess Alexandra HospitalMelissa Kendall - Princess Alexandra HospitalRay Quinn - Princess Alexandra Hospital
- Publication details
- Brain Impairment, Vol.24(2), pp.347-370
- Publisher
- Cambridge University Press
- Date published
- 2023
- DOI
- 10.1017/BrImp.2022.27
- ISSN
- 1839-5252; 1443-9646
- PMID
- 38167182
- Copyright note
- © The Author(s), 2022. This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
- Grant note
- This work was supported by the RECOVER Injury Research Centre, The University of Queensland. The RECOVER Injury Research Centre is jointly funded by the Motor Accident and Insurance Commission and The University of Queensland.
- Organisation Unit
- School of Health - Occupational Therapy
- Language
- English
- Record Identifier
- 991054898102621
- Output Type
- Journal article
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- Collaboration types
- Domestic collaboration
- Web Of Science research areas
- Clinical Neurology
- Neurosciences
- Rehabilitation
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