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Plain Language Title
The role of cognitive skills and rehabilitation in returning to work after traumatic shocking, upsetting brain injury: A systematic planned out, orderly, regular review
Review go over, check Question
Do cognitive factors predict whether someone returns to work after traumatic shocking, upsetting brain injury? Can cognition-based interventions help individuals living with traumatic shocking, upsetting brain injury return go back to work?
Background
About 2% of people in the United States are living with disabilities related to traumatic shocking, upsetting brain injury (TBI). Many people struggle to return go back to work after a brain injury. TBI tends to affect cognitive skills, which are important for performing any job. Certain interventions try to improve work outcomes by addressing cognition.
Search Date
The review go over, check includes studies published between 2000 and 2015.
Study Characteristics
All articles were published in English in peer-reviewed journals. Studies had to focus on adults between 18 and 65 years of age with TBI. Articles also had to focus on cognitive skills or cognitive rehabilitation. Studies related to acquired brain injury were included if they also included individuals with TBI. Articles were excluded if they included individuals with severe strong, serious, harmful, dangerous, very bad TBI, as opposed to mild gentle, not severe, slight, small or moderate medium, mild, controllable TBI. One exception was made for a large study that included some individuals with severe strong, serious, harmful, dangerous, very bad TBI, but mostly individuals with mild gentle, not severe, slight, small or moderate medium, mild, controllable TBI. Thirty articles met the inclusion criteria.
NIDILRR Affiliation
None
Key Results
Several many studies show that cognitive skills play an important role in return-to-work after TBI. Executive function appears to be especially important for returning to work. Several many studies also found that cognitive evaluations help to identify a person's ability skill, are able, can to work after TBI. These evaluations take many forms, such as standardized tests or interviews. However, the review go over, check finds that there is not much consistency in the way cognitive ability skill, are able, can and return-to-work outcomes are measured.
Finally, the findings suggest that cognitive rehabilitation is effective works well, good, strong at improving return-to-work outcomes after TBI. The most effective works well, good, strong rehabilitation programs focus more on compensatory strategies than remedial strategies. For example, training to use supportive devices is a compensatory strategy. Also, several many studies highlighted the importance of a multidisciplinary approach to rehabilitation.
Use of Statistics
The review go over, check does not use statistical analysis.
Quality of Evidence
The review go over, check rates the quality of the evidence using a standard five-level system. Eight of the 30 studies were in the top category, which includes randomized controlled trials, systematic planned out, orderly, regular reviews, and meta-analyses. Seven studies were in the bottom category, which mostly includes case studies and descriptive articles. The quality of the evidence is thus mixed. The results are also limited by inconsistencies in the way studies measure cognition and return-to-work outcomes. Also, most of the studies recruited participants through convenience sampling, which may bias the results.
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