Mixed-methods non-randomised single-arm feasibility study assessing delivery of a remote vocational rehabilitation intervention for patients with serious injury: the ROWTATE study

作者：Blerina Këllezi, Jain Holmes, Jade Kettlewell, Rebecca Lindley, Kate Radford, Priya Patel, Kay Bridger, Natasha A. Lannin, Isobel Andrews, Lauren Blackburn, Adam Brooks, Roshan das Nair, Steve Fallon, Amanda Farrin, Karen Hoffman, Trevor Jones, Richard Morriss, Stephen Timmons, Denise Kendrick · 发表于：BMJ Open · 年份：2025 · DOI：10.1136/bmjopen-2025-104518 · 被引用次数：1 · 研究领域：Traumatic Brain Injury Research、Stroke Rehabilitation and Recovery、Musculoskeletal pain and rehabilitation

OBJECTIVES: This study aimed to evaluate the feasibility of delivering a vocational rehabilitation intervention (Return to Work After Trauma-ROWTATE), remotely to individuals recovering from traumatic injuries. The primary objectives were to assess therapists' training and competence, adapt the intervention and training for remote delivery and assess the feasibility and fidelity of remote delivery to inform a definitive randomised controlled trial. DESIGN: A mixed-methods feasibility study incorporating (1) telerehabilitation qualitative literature review, (2) qualitative interviews preintervention and postintervention with therapists and patients, (3) a team objective structured clinical examination to assess competency, (4) usefulness of training, attitudes towards (15-item Evidence-Based Practice Attitude Scale) and confidence in (4-item Evidence Based Practice Confidence Scale) evidence-based practice, intervention delivery confidence (8-bespoke questions) and intervention behaviour determinants (51-items Theoretical Domains Framework) and (5) single-arm intervention delivery feasibility study. SETTING: The study was conducted in two UK Major Trauma Centres. The intervention and training were adapted for remote delivery due to the COVID-19 pandemic. PARTICIPANTS: Therapists: Seven occupational therapists (OTs) and clinical psychologists (CPs) were trained, and six participated in competency assessment. Seven OTs and CPs participated in preintervention interviews and surve...