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Table 13 Mentorship for Vocational Rehabilitation and Productivity Post ABI

Author Year Country Study Design Sample Size Methods Outcome
Kolakowsky-Hayner et al. (2012) USA Pre-Post Ninitial=131, Nfinal=77 Population: TBI=80, Spinal Cord Injury=39, Other=12; Mean Age=20.3yr; Gender: Male=89, Female=42; Mean Time Post Injury=503 days. Intervention: Patients were matched with a trained mentor (>2 yr post injury) and met with them 3x/mo for the Back on Track to Success Mentoring Program. Outcome Measures: Return to work/school, Disability Rating Scale (DRS), Participation Index of the Mayo-Portland Adaptability Inventory (M2PI), Supervision Rating Scale (SRS), Craig Handicap Assessment and Reporting Technique-Short Form (CHART). 1.        30 of 57 TBI participants were considered a program success (i.e. returned to school/work). 2.        Of the 42 total program successes, 29 (69.0%) had returned to school and 13 (31.0%) returned to work. 3.        There were significant improvements seen in the M2PI (p=0.007), the DRS (p<0.001), and SRS (p<0.001) in program successes. For program failures, there was a significant improvement seen in the DRS (p<0.001) but not the other two measures. 4.        For participants who were successful in the program, CHART subscale increases were shown for cognitive independence (p=0.001) and mobility (p<0.001), as well as improvements on M2PI (p=0.0007), DRS (p<0.001) and SRS (p<0.001).
Curl et al. (1996) USA Case Series NInitial=9, NFinal=9 Population: TBI=9; Mean age= 34yr; Gender: Male=8, Female=1; Mean Time Post Injury=>1yr; Severity: Mild=0, Moderate=0, Severe=9. Intervention: Participants took part in a vocational rehabilitation program that focused on utilizing coworkers as trainers in the work environment. Coworkers provided regular performance feedback using a “tell, show, watch, coach” approach, and provided worker-implemented tools as necessary to resolve performance deficits. Outcome Measures: Participants’ vocational outcomes (employment status, job placement, salary), coworkers’ abilities to work with and mentor participants with TBI. 1.        Seven of the 9 participants were employed at the time of the program evaluation. 2.        Coworker trainers learned to apply the basic teaching sequence and basic organizational tools. 3.        The coworker training model was assistive for approximately one third of the participants.