Patients views on which return to work outcomes should be prioritised: a nominal group technique focus group

Objective: Injuries can have a long-lasting effect on ability to return-to-work, but there is little research on which outcomes are most important to patients. This study aims to identify and prioritise return-to-work outcomes important to patients for evaluating vocational rehabilitation interventions. Methods: Nominal group technique focus group with trauma patients. Results: Focus group participants (n=6) included mostly traumatic brain injuries, a range of occupation types, ages and both genders. Participants identified and prioritised their eight most important outcomes which were: sense of purpose and life satisfaction, understanding the impact of injury, assessment of readiness to return-to-work, using SMART (specific, measurable, achievable, relevant, time-bound) goals, facilitated reintegration to work, assessing capacity to return to work, collaboration between key stakeholders and improved employer and employee knowledge. Many of these were measures of the process of, rather than change outcomes of vocational rehabilitation. Conclusions: The range of outcomes identified by trauma patients highlights the complex process of return-to-work and the need for vocational rehabilitation evaluations to incorporate a broader range of outcomes. Measures of the process of vocational rehabilitation are also important to trauma patients and should be included in such evaluations