{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T21:25:09Z","timestamp":1777929909171,"version":"3.51.4"},"reference-count":49,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2024,11,29]],"date-time":"2024-11-29T00:00:00Z","timestamp":1732838400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100009321","name":"icare","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100009321","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100012049","name":"State Insurance Regulatory Authority","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100012049","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["WORK: A Journal of Prevention, Assessment &amp; Rehabilitation"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Most research into vocational re-integration following severe acquired brain injury (ABI) has focused on returning to pre-injury employment. While there is significant demand for new employment post-ABI, much less is known about this return-to-work (RTW) pathway.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To compare and contrast the clinical profiles and outcomes achieved through vocational rehabilitation (VR) following severe ABI according to RTW pathway.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Secondary data analysis of the Vocational Intervention Program efficacy trial (VIP1.0). Participants with severe ABI undertaking a VR program were re-classified into two RTW pathway groups: return to pre-injury employment (Fast-Track; FT) or obtaining new employment (New-Track; NT). Competitive employment status (Yes\/No) and clinician ratings of disability and participation were collected pre- and post-intervention and at 3-month follow-up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>47 (46%) participants undertook a FT pathway and 55 (54%) a NT pathway. Compared to FT, NT participants were less educated, more likely to be single, further post-injury, already attempted to RTW unsuccessfully post-injury, and less likely to complete the VR intervention. For both pathways, employment rates improved from pre- to post-intervention and remained stable at follow-up. While FT was associated with high RTW success (post-intervention: 89%; follow-up: 88%), a significant minority of NT participants also achieved competitive employment (post-intervention: 34%; follow-up: 45%). FT participants were also rated as demonstrating greater improvements in work-related participation from pre- to post-intervention than NT.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Despite its challenges, VR interventions targeting new employment can lead to beneficial RTW outcomes for many individuals unable to return to their previous employer following severe ABI.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10519815241293893","type":"journal-article","created":{"date-parts":[[2025,2,11]],"date-time":"2025-02-11T06:53:44Z","timestamp":1739256824000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Impact of return-to-work pathway on vocational outcomes following severe acquired brain injury: A secondary analysis of the VIP1.0 trial"],"prefix":"10.1177","author":[{"given":"Thomas M","family":"Gates","sequence":"first","affiliation":[{"name":"Brain Injury Rehabilitation Research Group, Ingham Institute for Applied Medical Research, Sydney, NSW, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Philippa","family":"McRae","sequence":"additional","affiliation":[{"name":"Brain Injury Rehabilitation Research Group, Ingham Institute for Applied Medical Research, Sydney, NSW, Australia"},{"name":"Brain Injury Rehabilitation Directorate, Agency for Clinical Innovation, NSW Health, Sydney, NSW, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maysaa","family":"Daher","sequence":"additional","affiliation":[{"name":"Brain Injury Rehabilitation Research Group, Ingham Institute for Applied Medical Research, Sydney, NSW, Australia"},{"name":"Brain Injury Rehabilitation Directorate, Agency for Clinical Innovation, NSW Health, Sydney, NSW, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Grahame K","family":"Simpson","sequence":"additional","affiliation":[{"name":"Brain Injury Rehabilitation Research Group, Ingham Institute for Applied Medical Research, Sydney, NSW, Australia"},{"name":"School of Health Sciences, Faculty of Medicine and Health, University of Sydney, Sydney, NSW, Australia"},{"name":"John Walsh Centre for Rehabilitation Research, Northern Sydney Local Health District, Sydney, NSW, 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