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Facilitating Return to work through Early-Specialist Health-based interventions



2013- 2016


For many people suffering a traumatic brain injury (TBI), returning to work can be seen as a primary goal for many who survive. However, returning to work after TBI can be difficult, with a large societal and personal cost. Further, not everyone in the UK who suffers a TBI has access to vocational rehabilitation services to help them return to an existing job or find a new one.

FRESH is a feasibility randomised control trial.

The trial aims to:

  • Test whether an early job retention intervention for supporting people with Traumatic Brain Injury (TBI) to return to work that was developed in Nottingham, can be delivered in three new NHS trauma centres (Preston, London and Leeds)
  • Whether we can measure the effects and cost effectiveness of this intervention compared to usual NHS rehabilitation

  • Dr Kate Radford, University of Nottingham
  • Dr Chris Sutton, UCLan

  • Professor Caroline Watkins, UCLan
  • Denise Forshaw
  • Dr Mal Auton
  • Jane Burnell
  • Alison Hadley

  • University of Nottingham
  • Lancashire Teaching Hospitals NHS Foundation Trust
  • Royal London Hospital
  • The University of Leeds 

NIHR HTA programme

Radford, Kathryn A, Phillips, Julie, Jones, Trevor, Gibson, Ali, Sutton, Chris J, Watkins, Caroline Leigh, Sach, Tracey, Duley, Lelia, Walker, Marian, Drummond, Avril, Hoffman, Karen, O'Connor, Rory, Forshaw, Denise and Shakespeare, David (2015) Facilitating return to work through early specialist health-based interventions (FRESH): protocol for a feasibility randomised controlled trial.  Pilot and Feasibility Studies, 1, 24. http://pilotfeasibilitystudies.biomedcentral.com/articles/10.1186/s40814-015-0017-z