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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.
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]
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.)
Database: Education Research Complete
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DbLabel: Education Research Complete
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PubType: Academic Journal
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  Data: Evaluating Training for Occupational Therapists and Clinical Psychologists to Deliver Vocational Rehabilitation Within a Clinical Trial: Mixed-Methods Study.
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  Data: <searchLink fieldCode="AR" term="%22Kellezi%2C+Blerina%22">Kellezi, Blerina</searchLink><relatesTo>1,2</relatesTo> (AUTHOR)<i> Blerina.kellezi@ntu.ac.uk</i><br /><searchLink fieldCode="AR" term="%22Holmes%2C+Jain%22">Holmes, Jain</searchLink><relatesTo>3,4</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Radford%2C+Kate%22">Radford, Kate</searchLink><relatesTo>3,4</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Nair%2C+Roshan+das%22">Nair, Roshan das</searchLink><relatesTo>5</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Lindley%2C+Rebecca%22">Lindley, Rebecca</searchLink><relatesTo>1,4</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Mann%2C+Claire%22">Mann, Claire</searchLink><relatesTo>1</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Andrews%2C+Isabel%22">Andrews, Isabel</searchLink><relatesTo>1</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Fallon%2C+Stephen%22">Fallon, Stephen</searchLink><relatesTo>1</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Kendrick%2C+Denise%22">Kendrick, Denise</searchLink><relatesTo>1</relatesTo> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Journal+of+Vocational+Rehabilitation%22">Journal of Vocational Rehabilitation</searchLink>. May2026, Vol. 64 Issue 3, p261-274. 14p.
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  Data: *<searchLink fieldCode="DE" term="%22Data+analysis%22">Data analysis</searchLink><br />*<searchLink fieldCode="DE" term="%22Occupational+therapists%22">Occupational therapists</searchLink><br />*<searchLink fieldCode="DE" term="%22Course+evaluation+%28Education%29%22">Course evaluation (Education)</searchLink><br />*<searchLink fieldCode="DE" term="%22Pre-tests+%26+post-tests%22">Pre-tests & post-tests</searchLink><br />*<searchLink fieldCode="DE" term="%22Vocational+rehabilitation%22">Vocational rehabilitation</searchLink><br />*<searchLink fieldCode="DE" term="%22Clinical+competence%22">Clinical competence</searchLink><br />*<searchLink fieldCode="DE" term="%22Research+methodology%22">Research methodology</searchLink><br />*<searchLink fieldCode="DE" term="%22Learning+strategies%22">Learning strategies</searchLink><br />*<searchLink fieldCode="DE" term="%22Inter-observer+reliability%22">Inter-observer reliability</searchLink><br />*<searchLink fieldCode="DE" term="%22Employment+reentry%22">Employment reentry</searchLink><br /><searchLink fieldCode="DE" term="%22Psychologists%22">Psychologists</searchLink><br /><searchLink fieldCode="DE" term="%22Research+funding%22">Research funding</searchLink><br /><searchLink fieldCode="DE" term="%22Interviewing%22">Interviewing</searchLink><br /><searchLink fieldCode="DE" term="%22Thematic+analysis%22">Thematic analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Intraclass+correlation%22">Intraclass correlation</searchLink><br /><searchLink fieldCode="DE" term="%22Statistics%22">Statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Confidence+intervals%22">Confidence intervals</searchLink><br /><searchLink fieldCode="DE" term="%22Psychosocial+factors%22">Psychosocial factors</searchLink>
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  Data: <searchLink fieldCode="DE" term="%22United+Kingdom%22">United Kingdom</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: 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]
– Name: AbstractSuppliedCopyright
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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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RecordInfo BibRecord:
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    Identifiers:
      – Type: doi
        Value: 10.1177/10522263261430878
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      – Code: eng
        Text: English
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        PageCount: 14
        StartPage: 261
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      – SubjectFull: Data analysis
        Type: general
      – SubjectFull: Occupational therapists
        Type: general
      – SubjectFull: Course evaluation (Education)
        Type: general
      – SubjectFull: Pre-tests & post-tests
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      – SubjectFull: Vocational rehabilitation
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      – SubjectFull: Clinical competence
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      – SubjectFull: Research methodology
        Type: general
      – SubjectFull: Learning strategies
        Type: general
      – SubjectFull: Inter-observer reliability
        Type: general
      – SubjectFull: Employment reentry
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      – SubjectFull: Psychologists
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      – SubjectFull: Research funding
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      – SubjectFull: Thematic analysis
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      – SubjectFull: Intraclass correlation
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      – SubjectFull: Statistics
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      – SubjectFull: Confidence intervals
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      – SubjectFull: Psychosocial factors
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      – SubjectFull: United Kingdom
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      – TitleFull: Evaluating Training for Occupational Therapists and Clinical Psychologists to Deliver Vocational Rehabilitation Within a Clinical Trial: Mixed-Methods Study.
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              Text: May2026
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