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Associations between disability and employment 1 year after traumatic brain injury in a working age population
Andelic, Nada; Stevens, Lillian Flores; Sigurdardottir, Solrun; Arango-Lasprilla, Juan Carlos; Roe, Cecilie
Brain Injury, 2012, Volume 26 (Number 3), Seite 261-269, London: Taylor & Francis, ISSN: 0269-9052 (Print); 1362-301X (Online)
To investigate associations between disability and employment 1 year after traumatic brain injury (TBI) using the International Classification of Functioning, Disability and Health (ICF
) as a conceptual model.
A prospective study including 93 patients with moderate-to-severe TBI (aged 16 to 55 year). Disability components of the ICF
model (impairments, activity limitations and participation restrictions) and personal factors (age, gender, pre-injury employment status) were used as independent variables. The outcome measure was employment at 1 year post-injury categorized into unemployed and employed groups.
Personal factors, impairments (brain injury severity, overall trauma severity and number of impaired body functions) and activity limitations (motor and cognitive abilities) accounted for 57 percent of the variance in employment outcome. Multivariate analyses showed that the probabilities of being employed 1 year post-injury were 95 percent lower for patients who were unemployed pre-injury (OR?equal?0.05), 74 percent lower for those with more severe brain injury (OR?equal?0.26) and 82 percent lower for those with more cognitive limitations (OR?equal?0.18).
Rehabilitation professionals should take into account the importance of the ICF
model when planning vocational rehabilitation interventions for individuals with TBI and focus on targeting modifiable aspects related to employment outcome, such as the individual's cognitive ability.
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