Cognitive, Emotional, and Physical Functioning as Predictors of Paid Employment in People With Stroke, Traumatic Brain Injury, and Spinal Cord Injury
Our objective was to examine demographic, cognitive, emotional, and physical factors that predict return to paid employment for people after neurological injury. Four hundred eighty adults with stroke (n = 149), traumatic brain injury (n = 155), and spinal cord injury (n = 176) completed an occupati...
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Veröffentlicht in: | The American journal of occupational therapy 2019-03, Vol.73 (2), p.7302205010p1-7302205010p15 |
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container_title | The American journal of occupational therapy |
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creator | Wong, Alex W K Chen, Cynthia Baum, M Carolyn Heaton, Robert K Goodman, Berrit Heinemann, Allen W |
description | Our objective was to examine demographic, cognitive, emotional, and physical factors that predict return to paid employment for people after neurological injury.
Four hundred eighty adults with stroke (n = 149), traumatic brain injury (n = 155), and spinal cord injury (n = 176) completed an occupational outcome questionnaire and physical, emotional, and cognitive assessments at three rehabilitation facilities.
Odds of employment were predicted by being married or partnered, having more education, requiring fewer prompts for task sequencing, and having higher inhibitory control (but were not predicted by specific type of injury). Participants who returned to work within 3 mo were more likely to work with the same employer and to take a full-time position than those who returned later.
Executive functioning, in particular sequencing and inhibitory control, strongly predicts employment and highlights the importance of cognitive strategy training during occupational therapy with people who have sustained neurological injuries. |
doi_str_mv | 10.5014/ajot.2019.031203 |
format | Article |
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Four hundred eighty adults with stroke (n = 149), traumatic brain injury (n = 155), and spinal cord injury (n = 176) completed an occupational outcome questionnaire and physical, emotional, and cognitive assessments at three rehabilitation facilities.
Odds of employment were predicted by being married or partnered, having more education, requiring fewer prompts for task sequencing, and having higher inhibitory control (but were not predicted by specific type of injury). Participants who returned to work within 3 mo were more likely to work with the same employer and to take a full-time position than those who returned later.
Executive functioning, in particular sequencing and inhibitory control, strongly predicts employment and highlights the importance of cognitive strategy training during occupational therapy with people who have sustained neurological injuries.</description><identifier>ISSN: 0272-9490</identifier><identifier>EISSN: 1943-7676</identifier><identifier>DOI: 10.5014/ajot.2019.031203</identifier><identifier>PMID: 30915962</identifier><language>eng</language><publisher>United States: American Occupational Therapy Association</publisher><subject>Activities of daily living ; Analysis ; Brain injuries ; Employers ; Executive function (Psychology) ; Health aspects ; Psychological aspects ; Spinal cord injuries ; Stroke patients ; Workers</subject><ispartof>The American journal of occupational therapy, 2019-03, Vol.73 (2), p.7302205010p1-7302205010p15</ispartof><rights>Copyright © 2019 by the American Occupational Therapy Association, Inc.</rights><rights>COPYRIGHT 2019 American Occupational Therapy Association</rights><rights>Copyright © 2019 by the American Occupational Therapy Association, Inc. 2019</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c494t-442bac5e5e6ab1fc5f9e36fdd4cf9cd76b8d81be60f359a8da15ad5b9569eb0f3</citedby><cites>FETCH-LOGICAL-c494t-442bac5e5e6ab1fc5f9e36fdd4cf9cd76b8d81be60f359a8da15ad5b9569eb0f3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,776,780,881,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30915962$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wong, Alex W K</creatorcontrib><creatorcontrib>Chen, Cynthia</creatorcontrib><creatorcontrib>Baum, M Carolyn</creatorcontrib><creatorcontrib>Heaton, Robert K</creatorcontrib><creatorcontrib>Goodman, Berrit</creatorcontrib><creatorcontrib>Heinemann, Allen W</creatorcontrib><title>Cognitive, Emotional, and Physical Functioning as Predictors of Paid Employment in People With Stroke, Traumatic Brain Injury, and Spinal Cord Injury</title><title>The American journal of occupational therapy</title><addtitle>Am J Occup Ther</addtitle><description>Our objective was to examine demographic, cognitive, emotional, and physical factors that predict return to paid employment for people after neurological injury.
Four hundred eighty adults with stroke (n = 149), traumatic brain injury (n = 155), and spinal cord injury (n = 176) completed an occupational outcome questionnaire and physical, emotional, and cognitive assessments at three rehabilitation facilities.
Odds of employment were predicted by being married or partnered, having more education, requiring fewer prompts for task sequencing, and having higher inhibitory control (but were not predicted by specific type of injury). Participants who returned to work within 3 mo were more likely to work with the same employer and to take a full-time position than those who returned later.
Executive functioning, in particular sequencing and inhibitory control, strongly predicts employment and highlights the importance of cognitive strategy training during occupational therapy with people who have sustained neurological injuries.</description><subject>Activities of daily living</subject><subject>Analysis</subject><subject>Brain injuries</subject><subject>Employers</subject><subject>Executive function (Psychology)</subject><subject>Health aspects</subject><subject>Psychological aspects</subject><subject>Spinal cord injuries</subject><subject>Stroke patients</subject><subject>Workers</subject><issn>0272-9490</issn><issn>1943-7676</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><recordid>eNptklFrFDEUhQdR7Fp990kCgvjQXZOZSXbyItSl1ULBhVZ8DHeSzG7WTDImmcL-EP-vGXYtXZA8BO79zrnc5BTFW4IXFJP6E-x8WpSY8AWuSImrZ8WM8LqaL9mSPS9muFyWc15zfFa8inGHccmbqnxZnFWYE8pZOSv-rPzGmWQe9AW66n0y3oG9QOAUWm_30Uiw6Hp0cmoYt0EQ0TpoZWTyISLfoTUYlZWD9fteu4SMQ2vtB6vRT5O26C4F_yt73wcYe0hGoi8BMnPjdmPYHwbdDSYPRSsf1LH-unjRgY36zfE-L35cX92vvs1vv3-9WV3ezmXN6zSv67IFSTXVDFrSSdpxXbFOqVp2XKolaxvVkFYz3FWUQ6OAUFC05ZRx3ebiefH54DuMba-VzAsEsGIIpoewFx6MOO04sxUb_yBYXTFCWDb4eDQI_veoYxK9iVJbC077MYqS8IYy0lQ4o-8P6AasFsZ1PjvKCReXtCnz7xHWZGrxHyofpXsjvdOdyfUTwYcngq0Gm7bR23H6sHgK4gMog48x6O5xTYLFlCYxpUlMaRKHNGXJu6fP8yj4F5_qL3PByAA</recordid><startdate>20190301</startdate><enddate>20190301</enddate><creator>Wong, Alex W K</creator><creator>Chen, Cynthia</creator><creator>Baum, M Carolyn</creator><creator>Heaton, Robert K</creator><creator>Goodman, Berrit</creator><creator>Heinemann, Allen W</creator><general>American Occupational Therapy Association</general><general>The American Occupational Therapy Association, Inc</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20190301</creationdate><title>Cognitive, Emotional, and Physical Functioning as Predictors of Paid Employment in People With Stroke, Traumatic Brain Injury, and Spinal Cord Injury</title><author>Wong, Alex W K ; Chen, Cynthia ; Baum, M Carolyn ; Heaton, Robert K ; Goodman, Berrit ; Heinemann, Allen W</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c494t-442bac5e5e6ab1fc5f9e36fdd4cf9cd76b8d81be60f359a8da15ad5b9569eb0f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Activities of daily living</topic><topic>Analysis</topic><topic>Brain injuries</topic><topic>Employers</topic><topic>Executive function (Psychology)</topic><topic>Health aspects</topic><topic>Psychological aspects</topic><topic>Spinal cord injuries</topic><topic>Stroke patients</topic><topic>Workers</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wong, Alex W K</creatorcontrib><creatorcontrib>Chen, Cynthia</creatorcontrib><creatorcontrib>Baum, M Carolyn</creatorcontrib><creatorcontrib>Heaton, Robert K</creatorcontrib><creatorcontrib>Goodman, Berrit</creatorcontrib><creatorcontrib>Heinemann, Allen W</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>The American journal of occupational therapy</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wong, Alex W K</au><au>Chen, Cynthia</au><au>Baum, M Carolyn</au><au>Heaton, Robert K</au><au>Goodman, Berrit</au><au>Heinemann, Allen W</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Cognitive, Emotional, and Physical Functioning as Predictors of Paid Employment in People With Stroke, Traumatic Brain Injury, and Spinal Cord Injury</atitle><jtitle>The American journal of occupational therapy</jtitle><addtitle>Am J Occup Ther</addtitle><date>2019-03-01</date><risdate>2019</risdate><volume>73</volume><issue>2</issue><spage>7302205010p1</spage><epage>7302205010p15</epage><pages>7302205010p1-7302205010p15</pages><issn>0272-9490</issn><eissn>1943-7676</eissn><abstract>Our objective was to examine demographic, cognitive, emotional, and physical factors that predict return to paid employment for people after neurological injury.
Four hundred eighty adults with stroke (n = 149), traumatic brain injury (n = 155), and spinal cord injury (n = 176) completed an occupational outcome questionnaire and physical, emotional, and cognitive assessments at three rehabilitation facilities.
Odds of employment were predicted by being married or partnered, having more education, requiring fewer prompts for task sequencing, and having higher inhibitory control (but were not predicted by specific type of injury). Participants who returned to work within 3 mo were more likely to work with the same employer and to take a full-time position than those who returned later.
Executive functioning, in particular sequencing and inhibitory control, strongly predicts employment and highlights the importance of cognitive strategy training during occupational therapy with people who have sustained neurological injuries.</abstract><cop>United States</cop><pub>American Occupational Therapy Association</pub><pmid>30915962</pmid><doi>10.5014/ajot.2019.031203</doi><oa>free_for_read</oa></addata></record> |
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subjects | Activities of daily living Analysis Brain injuries Employers Executive function (Psychology) Health aspects Psychological aspects Spinal cord injuries Stroke patients Workers |
title | Cognitive, Emotional, and Physical Functioning as Predictors of Paid Employment in People With Stroke, Traumatic Brain Injury, and Spinal Cord Injury |
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