title: Prospective randomized controlled trial of resource facilitation on community participation and vocational outcome following brain injury.
abstract: OBJECTIVE
  To examine the impact of resource facilitation (RF) on return to work, participation in home and community activities, and depression.
  
  
  METHODS
  Twenty-two people with acquired brain injury (mean age = 43 years; mean education = 13.3 years).
  
  
  METHODS
  A prospective randomized controlled trial of RF compared with standard care. All participants received standard follow-up services, but participants in the RF group were also assigned a resource facilitator to assist them in returning to work.
  
  
  RESULTS
  Participation increased significantly for both groups (F = 60.65, P < .0001), but the interaction between groups and time demonstrated greater improvement for the RF group relative to controls (F = 9.11, P < .007). Also, 64% of the RF group was employed at follow-up compared with 36% of the control group (Wald-Wolfkowitz z = -3.277, P < .0001). No significant differences were found between groups on measures of depression.
  
  
  CONCLUSIONS
  Resource facilitation services that have a clear focus on return to work may have a substantial impact on participation and unemployment after brain injury.
authors.affiliation: Rehabilitation Hospital of Indiana, Indianapolis, IN 46268, USA.
authors.forename: Lance E
authors.initials: LE
authors.lastname: Trexler
authors.forename: Laura C
authors.initials: LC
authors.lastname: Trexler
authors.forename: James F
authors.initials: JF
authors.lastname: Malec
authors.forename: Daniel
authors.initials: D
authors.lastname: Klyce
authors.forename: Devan
authors.initials: D
authors.lastname: Parrott
mesh_terms: D000328:Adult; D001930:Brain Injuries / Q000534:rehabilitation*; D003256:Community Participation; D004651:Employment; D005260:Female; D006801:Humans; D008297:Male; D011446:Prospective Studies; D012050:Rehabilitation, Vocational; D012944:Social Support