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Vocational wayfinding following spinal cord injury: In what contexts, how and why does early intervention vocational rehabilitation work?

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Title: Vocational wayfinding following spinal cord injury: In what contexts, how and why does early intervention vocational rehabilitation work?
Authors: Martin, Rachelle A.1,2 rachelle.martin@burwood.org.nz, Nunnerley, Joanne L.1,3, Young, Timothy1, Hall, Andrew4, Snell, Deborah L.3, Hackney, Jonathan J.1, Bourke, John A.1,5,6, Derrett, Sarah6, Dunn, Jennifer A.3
Source: Journal of Vocational Rehabilitation. 2022, Vol. 56 Issue 3, p243-254. 12p. 1 Diagram, 1 Chart.
Subject Terms: *Achievement, *Vocational rehabilitation, *Employment reentry, Spinal cord injuries, Work, Interviewing, Treatment effectiveness, Early medical intervention, Rehabilitation research
Abstract: BACKGROUND: Early intervention vocational rehabilitation (EIVR) is used to optimize return to work (RTW) outcomes for people following spinal cord injury (SCI). However, theoretical clarity is required about how EIVR works, for whom and under what circumstances. OBJECTIVE: To develop a theoretical understanding of how people respond to EIVR following SCI and the contexts in which mechanisms of intervention effect are likely to be activated. METHODS: Realist research methods were used to analyze interviews with 30 participants who had received EIVR following SCI. RESULTS: We conceptualized the reporting of our analyses using a travel metaphor, encapsulating the types and degree of wayfinding support participants required to think about, plan and action their vocational aspirations. Developing, maintaining and enacting hope, supporting self-identity and vocational identity, and focusing on environmental context adaptations required to enact vocational aspirations, appear to be critical mechanisms of intervention effect within EIVR. CONCLUSIONS: Various contexts and mechanisms of EIVR contribute to successful negotiation, achievement and sustainability of RTW outcomes for people following SCI. These theoretical understandings can refine EIVR service provision within SCI rehabilitation and inform how EIVR can improve RTW outcomes for people with acquired neurological conditions in other rehabilitation contexts. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Vocational Rehabilitation is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Vocational wayfinding following spinal cord injury: In what contexts, how and why does early intervention vocational rehabilitation work?
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  Data: <searchLink fieldCode="AR" term="%22Martin%2C+Rachelle+A%2E%22">Martin, Rachelle A.</searchLink><relatesTo>1,2</relatesTo><i> rachelle.martin@burwood.org.nz</i><br /><searchLink fieldCode="AR" term="%22Nunnerley%2C+Joanne+L%2E%22">Nunnerley, Joanne L.</searchLink><relatesTo>1,3</relatesTo><br /><searchLink fieldCode="AR" term="%22Young%2C+Timothy%22">Young, Timothy</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Hall%2C+Andrew%22">Hall, Andrew</searchLink><relatesTo>4</relatesTo><br /><searchLink fieldCode="AR" term="%22Snell%2C+Deborah+L%2E%22">Snell, Deborah L.</searchLink><relatesTo>3</relatesTo><br /><searchLink fieldCode="AR" term="%22Hackney%2C+Jonathan+J%2E%22">Hackney, Jonathan J.</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Bourke%2C+John+A%2E%22">Bourke, John A.</searchLink><relatesTo>1,5,6</relatesTo><br /><searchLink fieldCode="AR" term="%22Derrett%2C+Sarah%22">Derrett, Sarah</searchLink><relatesTo>6</relatesTo><br /><searchLink fieldCode="AR" term="%22Dunn%2C+Jennifer+A%2E%22">Dunn, Jennifer A.</searchLink><relatesTo>3</relatesTo>
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  Data: <searchLink fieldCode="JN" term="%22Journal+of+Vocational+Rehabilitation%22">Journal of Vocational Rehabilitation</searchLink>. 2022, Vol. 56 Issue 3, p243-254. 12p. 1 Diagram, 1 Chart.
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  Data: *<searchLink fieldCode="DE" term="%22Achievement%22">Achievement</searchLink><br />*<searchLink fieldCode="DE" term="%22Vocational+rehabilitation%22">Vocational rehabilitation</searchLink><br />*<searchLink fieldCode="DE" term="%22Employment+reentry%22">Employment reentry</searchLink><br /><searchLink fieldCode="DE" term="%22Spinal+cord+injuries%22">Spinal cord injuries</searchLink><br /><searchLink fieldCode="DE" term="%22Work%22">Work</searchLink><br /><searchLink fieldCode="DE" term="%22Interviewing%22">Interviewing</searchLink><br /><searchLink fieldCode="DE" term="%22Treatment+effectiveness%22">Treatment effectiveness</searchLink><br /><searchLink fieldCode="DE" term="%22Early+medical+intervention%22">Early medical intervention</searchLink><br /><searchLink fieldCode="DE" term="%22Rehabilitation+research%22">Rehabilitation research</searchLink>
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  Label: Abstract
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  Data: BACKGROUND: Early intervention vocational rehabilitation (EIVR) is used to optimize return to work (RTW) outcomes for people following spinal cord injury (SCI). However, theoretical clarity is required about how EIVR works, for whom and under what circumstances. OBJECTIVE: To develop a theoretical understanding of how people respond to EIVR following SCI and the contexts in which mechanisms of intervention effect are likely to be activated. METHODS: Realist research methods were used to analyze interviews with 30 participants who had received EIVR following SCI. RESULTS: We conceptualized the reporting of our analyses using a travel metaphor, encapsulating the types and degree of wayfinding support participants required to think about, plan and action their vocational aspirations. Developing, maintaining and enacting hope, supporting self-identity and vocational identity, and focusing on environmental context adaptations required to enact vocational aspirations, appear to be critical mechanisms of intervention effect within EIVR. CONCLUSIONS: Various contexts and mechanisms of EIVR contribute to successful negotiation, achievement and sustainability of RTW outcomes for people following SCI. These theoretical understandings can refine EIVR service provision within SCI rehabilitation and inform how EIVR can improve RTW outcomes for people with acquired neurological conditions in other rehabilitation contexts. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Journal of Vocational Rehabilitation is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.3233/JVR-221189
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        Text: English
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        PageCount: 12
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      – SubjectFull: Achievement
        Type: general
      – SubjectFull: Vocational rehabilitation
        Type: general
      – SubjectFull: Employment reentry
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      – SubjectFull: Spinal cord injuries
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      – SubjectFull: Work
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      – SubjectFull: Interviewing
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      – SubjectFull: Treatment effectiveness
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      – SubjectFull: Early medical intervention
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      – TitleFull: Vocational wayfinding following spinal cord injury: In what contexts, how and why does early intervention vocational rehabilitation work?
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              Text: 2022
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