Evaluating Training for Occupational Therapists and Clinical Psychologists to Deliver Vocational Rehabilitation Within a Clinical Trial: Mixed-Methods Study.
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| Title: | Evaluating Training for Occupational Therapists and Clinical Psychologists to Deliver Vocational Rehabilitation Within a Clinical Trial: Mixed-Methods Study. |
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| Authors: | Kellezi, Blerina1,2 (AUTHOR) Blerina.kellezi@ntu.ac.uk, Holmes, Jain3,4 (AUTHOR), Radford, Kate3,4 (AUTHOR), Nair, Roshan das5 (AUTHOR), Lindley, Rebecca1,4 (AUTHOR), Mann, Claire1 (AUTHOR), Andrews, Isabel1 (AUTHOR), Fallon, Stephen1 (AUTHOR), Kendrick, Denise1 (AUTHOR) |
| Source: | Journal of Vocational Rehabilitation. May2026, Vol. 64 Issue 3, p261-274. 14p. |
| Subject Terms: | *Data analysis, *Occupational therapists, *Course evaluation (Education), *Pre-tests & post-tests, *Vocational rehabilitation, *Clinical competence, *Research methodology, *Learning strategies, *Inter-observer reliability, *Employment reentry, Psychologists, Research funding, Interviewing, Thematic analysis, Intraclass correlation, Statistics, Confidence intervals, Psychosocial factors |
| Geographic Terms: | United Kingdom |
| Abstract: | Background: Delayed return-to-work is common after serious injury. Vocational rehabilitation (VR) supports people to return to/remain in work. We developed training for occupational therapists (OTs) and clinical psychologists (CPs) to deliver a VR intervention (Return to Work After Trauma-ROWTATE) to UK trauma patients within a large-scale randomised controlled trial. Objectives: Evaluate the training, OT/CP competence and confidence to deliver ROWTATE, attitudes/confidence in evidence-based practice (EBP). Methods: Competency was assessed through Team Objective Structured Clinical Examination and two tasks (management plan, employer letter). Intraclass correlation coefficients (ICCs) estimated inter-rater reliability. Questionnaires measured EBP attitudes (EBPAS-36) and confidence (EPIC) pre and post-training and confidence in ROWTATE delivery post-training. Semi-structured interviews captured training experiences and confidence. Results: 47 OTs and 16 CPs completed training. Competency scores were high (OT range=27.5–37.5; CP range=28.5–37; maximum=38). Inter-rater reliability was moderate (OT ICC=0.56, 95%CI 0.18,0.77; CP ICC=0.73, 95%CI −0.22,0.93). EBPAS-36 scores were high pre and post-training with no significant increase post-training. OT confidence in applying evidence (P = 0.01) and evaluating effect of their actions (P = 0.04) increased significantly post-training. OTs and CPs had high confidence (80–100% across questions) in delivering ROWTATE. Conclusions: VR training resulted in high competency scores, improvements in EBP confidence and high confidence in delivering ROWTATE. [ABSTRACT FROM AUTHOR] |
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| Database: | Education Research Complete |
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| Abstract: | Background: Delayed return-to-work is common after serious injury. Vocational rehabilitation (VR) supports people to return to/remain in work. We developed training for occupational therapists (OTs) and clinical psychologists (CPs) to deliver a VR intervention (Return to Work After Trauma-ROWTATE) to UK trauma patients within a large-scale randomised controlled trial. Objectives: Evaluate the training, OT/CP competence and confidence to deliver ROWTATE, attitudes/confidence in evidence-based practice (EBP). Methods: Competency was assessed through Team Objective Structured Clinical Examination and two tasks (management plan, employer letter). Intraclass correlation coefficients (ICCs) estimated inter-rater reliability. Questionnaires measured EBP attitudes (EBPAS-36) and confidence (EPIC) pre and post-training and confidence in ROWTATE delivery post-training. Semi-structured interviews captured training experiences and confidence. Results: 47 OTs and 16 CPs completed training. Competency scores were high (OT range=27.5–37.5; CP range=28.5–37; maximum=38). Inter-rater reliability was moderate (OT ICC=0.56, 95%CI 0.18,0.77; CP ICC=0.73, 95%CI −0.22,0.93). EBPAS-36 scores were high pre and post-training with no significant increase post-training. OT confidence in applying evidence (P = 0.01) and evaluating effect of their actions (P = 0.04) increased significantly post-training. OTs and CPs had high confidence (80–100% across questions) in delivering ROWTATE. Conclusions: VR training resulted in high competency scores, improvements in EBP confidence and high confidence in delivering ROWTATE. [ABSTRACT FROM AUTHOR] |
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| ISSN: | 10522263 |
| DOI: | 10.1177/10522263261430878 |
