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
Hauptverfasser: Wong, Alex W K, Chen, Cynthia, Baum, M Carolyn, Heaton, Robert K, Goodman, Berrit, Heinemann, Allen W
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container_end_page 7302205010p15
container_issue 2
container_start_page 7302205010p1
container_title The American journal of occupational therapy
container_volume 73
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
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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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