Impact of personal and environmental factors on employment outcome two years after moderate-to-severe traumatic brain injury.
DOI:
https://doi.org/10.2340/16501977-1168Abstract
OBJECTIVES: To describe employment outcomes and assess the impact of personal and environmental factors on employment outcomes 2 years after moderate-to-severe traumatic brain injury. DESIGN/SUBJECTS: A prospective cohort of 100 patients with moderate-to-severe traumatic brain injury, aged 16-55 years, hospitalized in a Trauma Referral Centre during the period 2005-2007 and followed up at 1 and 2 years post-injury. METHODS: Variables of interest were divided into personal and environmental factors. Personal factors include socio-demographics (age, gender, education, work demands, marital status and child-care). Environmental factors included social (support by friends), institutional (number of rehabilitation services, need for well-coordinated healthcare services), and physical (access to own transportation) factors. A multivariate logistic regression analysis was conducted with employment (working part-/full-time or studying) at 2-year follow-up as the dependent variable, and including independent variables based on significance from a univariate analysis, adjusting for injury severity. RESULTS: At the 2-year follow-up, 44% of patients were employed. Patients with less severe injuries (odds ratio (OR)_=_1.2, p_=_0.03), those supported by friends (OR_=_3.5, p_=_0.07), those not in need of well-coordinated health services (OR_=_4.1, p_=_0.04), and patients driving a vehicle at the 1-year follow-up (OR_=_8.4, p_<_0.001) were more likely to be employed at the 2-year follow-up. CONCLUSION: Rehabilitation professionals should be aware of the role of environmental factors when planning vocational rehabilitation services after traumatic brain injury.Downloads
Downloads
Published
How to Cite
Issue
Section
License
All digitalized JRM contents is available freely online. The Foundation for Rehabilitation Medicine owns the copyright for all material published until volume 40 (2008), as from volume 41 (2009) authors retain copyright to their work and as from volume 49 (2017) the journal has been published Open Access, under CC-BY-NC licences (unless otherwise specified). The CC-BY-NC licenses allow third parties to copy and redistribute the material in any medium or format and to remix, transform, and build upon the material for non-commercial purposes, provided proper attribution to the original work.
From 2024, articles are published under the CC-BY licence. This license permits sharing, adapting, and using the material for any purpose, including commercial use, with the condition of providing full attribution to the original publication.