{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,20]],"date-time":"2026-03-20T09:06:45Z","timestamp":1773997605676,"version":"3.50.1"},"reference-count":52,"publisher":"CSIRO Publishing","issue":"2","license":[{"start":{"date-parts":[[2022,11,23]],"date-time":"2022-11-23T00:00:00Z","timestamp":1669161600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Brain Impairment"],"published-print":{"date-parts":[[2023,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S1443964622000274_as1\"><jats:title>Purpose:<\/jats:title><jats:p>To explore how vocational rehabilitation (VR) is currently delivered for individuals with acquired brain injury (ABI) across multiple stakeholder groups and identify areas for improvement in service delivery using the Consolidated Framework for Implementation Research (CFIR).<\/jats:p><\/jats:sec><jats:sec id=\"S1443964622000274_as2\"><jats:title>Methods:<\/jats:title><jats:p>Seven focus groups were conducted with rehabilitation clinicians; outreach providers, insurers\/regulators, VR providers and disability employment service providers (<jats:italic>n<\/jats:italic> = 44) experienced in VR of individuals with ABI. All groups were audio-recorded and transcribed verbatim. Data analysis was guided by the CFIR constructs.<\/jats:p><\/jats:sec><jats:sec id=\"S1443964622000274_as3\"><jats:title>Results:<\/jats:title><jats:p>All stakeholder groups believed they offered quality VR interventions given available resources and legislation, but many clients fell through the \u2018cracks\u2019. Themes that were identified included: a) number and complexity of systems supporting VR; b) fractured communication across systems, c) lack of knowledge by both stakeholders and clients in navigating systems, d) lack of expertise in supporting the vocational needs of clients with ABI and e) perceived limited awareness of ABI by employers.<\/jats:p><\/jats:sec><jats:sec id=\"S1443964622000274_as4\"><jats:title>Conclusion:<\/jats:title><jats:p>Stakeholders and clients need support to navigate Australia\u2019s complex VR pathways. Limited specialist ABI clinicians, VR providers and disability employment services were identified as barriers for effective VR. Domains of the CFIR were appropriate for organising and understanding how VR is delivered.<\/jats:p><\/jats:sec>","DOI":"10.1017\/brimp.2022.27","type":"journal-article","created":{"date-parts":[[2022,11,23]],"date-time":"2022-11-23T03:49:51Z","timestamp":1669175391000},"page":"347-370","source":"Crossref","is-referenced-by-count":4,"title":["Using framework analysis to understand multiple stakeholders\u2019 views of vocational rehabilitation following acquired brain injury"],"prefix":"10.1071","volume":"24","author":[{"given":"Venerina","family":"Johnston","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Charlotte","family":"Brakenridge","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Donna","family":"Valiant","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Charmaine Leow Kai","family":"Ling","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicole","family":"Andrews","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elise M.","family":"Gane","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ben","family":"Turner","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Melissa","family":"Kendall","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ray","family":"Quinn","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"67","published-online":{"date-parts":[[2022,11,23]]},"reference":[{"key":"S1443964622000274_ref34","doi-asserted-by":"publisher","DOI":"10.1017\/jrc.2016.14"},{"key":"S1443964622000274_ref52","doi-asserted-by":"publisher","DOI":"10.1097\/00002060-200111000-00011"},{"key":"S1443964622000274_ref8","doi-asserted-by":"publisher","DOI":"10.1177\/2333393617742282"},{"key":"S1443964622000274_ref13","doi-asserted-by":"publisher","DOI":"10.3233\/NRE-161370"},{"key":"S1443964622000274_ref22","doi-asserted-by":"crossref","first-page":"417","DOI":"10.1080\/026990599121476","article-title":"Prediction of community integration and vocational outcome 2-5 years after traumatic brain injury rehabilitation in Australia","volume":"13","author":"Fleming","year":"1999","journal-title":"Brain Injury"},{"key":"S1443964622000274_ref14","doi-asserted-by":"publisher","DOI":"10.1007\/s10926-018-9816-4"},{"key":"S1443964622000274_ref31","doi-asserted-by":"publisher","DOI":"10.1080\/09602011.2021.1969252"},{"key":"S1443964622000274_ref46","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.0b013e3182a4a451"},{"key":"S1443964622000274_ref4","unstructured":"AIHW, Australian Institute of Health and Welfare (2014). National community services data dictionary, https:\/\/www.aihw.gov.au\/reports\/technical-report\/national-community-services-data-dictionary-8."},{"key":"S1443964622000274_ref27","first-page":"192","article-title":"The meaning of work after acquired brain injury","volume":"16","author":"Johansson","year":"2006","journal-title":"European Journal of Public Health"},{"key":"S1443964622000274_ref29","doi-asserted-by":"publisher","DOI":"10.1080\/026990598122214"},{"key":"S1443964622000274_ref51","doi-asserted-by":"publisher","DOI":"10.1080\/15487768.2012.679582"},{"key":"S1443964622000274_ref36","doi-asserted-by":"publisher","DOI":"10.1097\/00001199-200108000-00005"},{"key":"S1443964622000274_ref35","volume-title":"Qualitative research: A guide to design and implementation","author":"Merriam","year":"2015"},{"key":"S1443964622000274_ref25","doi-asserted-by":"publisher","DOI":"10.1080\/09602011.2012.713314"},{"key":"S1443964622000274_ref7","first-page":"1","article-title":"A co-design approach to examine and develop pathways to open employment for people with acquired brain","author":"Bould","year":"2020","journal-title":"Brain Impairment"},{"key":"S1443964622000274_ref12","doi-asserted-by":"publisher","DOI":"10.1097\/00001199-200411000-00006"},{"key":"S1443964622000274_ref16","doi-asserted-by":"publisher","DOI":"10.1310\/tsr1804-325"},{"key":"S1443964622000274_ref40","unstructured":"Queensland Health, Q. 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