Employment Stability in the First 5 Years After Moderate-to-Severe Traumatic Brain Injury
| Autor: | Dominic DiSanto, Sureyya Dikmen, Kristin M. Graham, Bridget A. Cotner, Janet P. Niemeier, Tessa Hart, Amy K. Wagner, Therese M. O'Neil-Pirozzi, Shannon B. Juengst, Amanda R. Rabinowitz, Raj G. Kumar, Nathan D. Zasler, Christina Dillahunt-Aspillaga, Matthew R. Kesinger, Thomas A. Novack |
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| Rok vydání: | 2019 |
| Předmět: |
Adult
Employment Male Gerontology 030506 rehabilitation Time Factors Adolescent Traumatic brain injury medicine.medical_treatment Psychological intervention Physical Therapy Sports Therapy and Rehabilitation Rehabilitation Centers Young Adult 03 medical and health sciences 0302 clinical medicine Brain Injuries Traumatic Humans Medicine Longitudinal Studies Depression (differential diagnoses) Rehabilitation business.industry Age Factors Middle Aged medicine.disease Relative risk Regression Analysis Anxiety Female Observational study medicine.symptom 0305 other medical science business Psychosocial 030217 neurology & neurosurgery |
| Zdroj: | Archives of Physical Medicine and Rehabilitation. 100:412-421 |
| ISSN: | 0003-9993 |
| Popis: | Objective To characterize employment stability and identify predictive factors of employment stability in working-age individuals after moderate-to-severe traumatic brain injury (TBI) that may be clinically addressed. Design Longitudinal observational study of an inception cohort from the Traumatic Brain Injury Model Systems National Database (TBIMS-NDB) using data at years 1, 2, and 5 post-TBI. Setting Inpatient rehabilitation centers with telephone follow-up. Participants Individuals enrolled in the TBIMS-NDB since 2001, aged 18-59, with employment data at 2 or more follow-up interviews at years 1, 2, and 5 (N=5683). Interventions Not applicable. Main Outcome Measure Employment stability, categorized using post-TBI employment data as no paid employment (53.25%), stably (27.20%), delayed (10.24%), or unstably (9.31%) employed. Results Multinomial regression analyses identified predictive factors of employment stability, including younger age, white race, less severe injuries, preinjury employment, higher annual earnings, male sex, higher education, transportation independence postinjury, and no anxiety or depression at 1 year post-TBI. Conclusions Employment stability serves as an important measure of productivity post-TBI. Psychosocial, clinical, environmental, and demographic factors predict employment stability post-TBI. Notable predictors include transportation independence as well as the presence of anxiety and depression at year 1 post-TBI as potentially modifiable intervention targets. |
| Databáze: | OpenAIRE |
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