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Moderating factors in return to work and job stability after traumatic brain injury


Autor/in:

Kreutzer, Jeffrey S.; Marwitz, J. H.; Walker, W. [u. a.]


Herausgeber/in:

Virginia Commonwealth University, Department of Physical Medicine and Rehabilitation


Quelle:

The Journal of Head Trauma Rehabilitation, 2003, Volume 18 (Number 2), Seite 128-138, Gaithersburg, Maryland: Aspen Publishers, ISSN: 0885-9701


Jahr:

2003



Abstract:


Objective:

To examine job stability moderating variables and develop a postinjury work stability prediction model.

Design:

Multicenter analysis of individuals with traumatic brain injury (TBI) who returned for follow-up at 1, 2, and 3, or 4 years postinjury, were of working age (between 18 and 62 years of age at injury), and were working preinjury.

Setting:

Six National Institute on Disability and Rehabilitation Research TBI Model System centers for coordinated acute and rehabilitation care.

Participants:

A total of 186 adults with TBI were included in the study.

Main outcome measures:

Job stability was categorized as stably employed (employed at all 3 follow-up intervals); unstably employed (employed at one or two of all three follow-up intervals); and unemployed (unemployed at all three follow-up intervals).

Results:

After injury, 34 % were stably employed, 27 % were unstably employed, and 39 % were unemployed at all three follow-up intervals. Minority group members, people who did not complete high school, and unmarried people were more likely to be unemployed. Driving independence was highly influential and significantly related to employment stability. A discriminant function analysis, which included age, length of unconsciousness and Disability Rating Scale scores at 1 year postinjury, accurately predicted job stability groupings.

Conclusion:

Data analysis provided evidence that employment stability is predictable with a combination of functional, demographic, and injury severity variables. Identification of people at risk for poor employment outcomes early on can facilitate rehabilitation planning and intervention.


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Bezugsmöglichkeit:


The Journal of Head Trauma Rehabilitation
Homepage: https://journals.lww.com/headtraumarehab/pages/default.aspx

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Referenznummer:

R/NV6881


Informationsstand: 24.10.2003

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