A metacognitive contextual approach for facilitating return to work following acquired brain injury: three descriptive case studies.
OBJECTIVE
To describe the implementation of a metacognitive contextual approach for facilitating return to work for individuals with acquired brain injury (ABI).


METHODS
Participants included three individuals with ABI (one male aged 33 years with head injury, one male aged 51 years with stroke, and one female aged 43 years with head injury) who were 3-7 years post-injury and were experiencing long-term unemployment.


METHODS
Individuals participated in a 16-week metacognitive contextual intervention in the community that emphasized executive strategy training and enhancement of social contextual factors in the return to work process.


RESULTS
Each participant met their employment goals, achieving a paid work placement within a 3-16 week period following the intervention with durable outcomes. The participant with a less positive employment prognosis attained a faster work placement than the other participants but required more intensive on-the-job support.


CONCLUSIONS
This study provides preliminary support regarding the efficacy of a metacognitive contextual approach in vocational rehabilitation following ABI.
Ownsworth
Tamara
T
School of Psychology, Griffith University, Nathan, QLD 4111, Australia. t.ownsworth@griffith.edu.au
D000328:Adult; D001930:Brain Injuries / Q000534:rehabilitation*; D003071:Cognition / Q000502:physiology; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009042:Motivation; D009483:Neuropsychological Tests; D011569:Psychiatric Status Rating Scales; D011597:Psychomotor Performance / Q000502:physiology; D012050:Rehabilitation, Vocational / Q000379:methods*; D012931:Social Environment; D000071939:Stroke Rehabilitation