Work Limitations 4 Years After Mild Traumatic Brain Injury: A Cohort Study
| Autor: | Alice Theadom, Suzanne Barker-Collo, Kelly Jones, Michael Kahan, Braden Te Ao, Kathryn McPherson, Nicola Starkey, Valery Feigin, Robert Kydd, P. Alan Barber, Varsha Parag, Paul Brown, Anthony Dowell, Shanthi Ameratunga, Grant Christey, Amy Jones, Natalie Hardaker |
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| Rok vydání: | 2016 |
| Předmět: |
Adult
Employment Male medicine.medical_specialty Time Factors Work Limitations Questionnaire Traumatic brain injury Poison control Work Capacity Evaluation Physical Therapy Sports Therapy and Rehabilitation Efficiency Hospital Anxiety and Depression Scale Cohort Studies 03 medical and health sciences 0302 clinical medicine Return to Work Injury prevention medicine Humans 030212 general & internal medicine Brain Concussion Trauma Severity Indices Rehabilitation Rivermead post-concussion symptoms questionnaire Middle Aged medicine.disease Mood Socioeconomic Factors Physical therapy Female Psychology 030217 neurology & neurosurgery Cohort study New Zealand |
| Zdroj: | Archives of physical medicine and rehabilitation. 98(8) |
| ISSN: | 1532-821X |
| Popis: | Objective To explore employment status, work limitations, and productivity loss after mild traumatic brain injury (TBI). Design Inception cohort study over 4 years. Setting General community. Participants Adults (N=245; >16y at the time of injury) who experienced a mild TBI and who were employed prior to their injury. Interventions Not applicable. Main Outcome Measures Details of the injury, demographic information, and preinjury employment status were collected from medical records and self-report. Symptoms and mood were assessed 1 month postinjury using the Rivermead Post-Concussion Symptom Questionnaire and the Hospital Anxiety and Depression Scale. Postinjury employment status and work productivity were assessed 4 years postinjury using the Work Limitations Questionnaire. Results Four years after mild TBI, 17.3% of participants had exited the workforce (other than for reasons of retirement or to study) or had reduced their working hours compared with preinjury. A further 15.5% reported experiencing limitations at work because of their injury. Average work productivity loss was 3.6%. The symptom of taking longer to think 1 month postinjury significantly predicted work productivity loss 4 years later (β=.47, t =3.79, P ≤.001). Conclusions Although changes in employment status and difficulties at work are likely over time, the results indicate increased unemployment rates, work limitations, and productivity loss in the longer term after a mild TBI. Identification of cognitive difficulties 1 month after TBI in working aged adults and subsequent interventions to address these difficulties are required to facilitate work productivity. |
| Databáze: | OpenAIRE |
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