TY - JOUR
T1 - Cognitive, emotional, and physical functioning as predictors of paid employment in people with stroke, traumatic brain injury, and spinal cord injury
AU - Wong, Alex W.K.
AU - Chen, Cynthia
AU - Baum, M. Carolyn
AU - Heaton, Robert K.
AU - Goodman, Berrit
AU - Heinemann, Allen W.
N1 - Funding Information:
This study was supported by National Institute on Disability, Independent Living, and Rehabilitation Research Grant H133B090024 to the Shirley Ryan AbilityLab (Chicago). Alex W. K. Wong was supported in part by the Eunice Kennedy Shriver National of Child Health and Human Development National Center for Medical Rehabilitation Research Grant K12HD055931 and by Craig H. Neilsen Foundation Grants 290474 and 542448. The contents of this article do not necessarily represent the policy of the funding agencies. We acknowledge Megen Devine at Washington University School of Medicine for editorial assistance.
PY - 2019
Y1 - 2019
N2 - OBJECTIVE. Our objective was to examine demographic, cognitive, emotional, and physical factors that predict return to paid employment for people after neurological injury. METHOD. 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. RESULTS. 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. CONCLUSION. 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.
AB - OBJECTIVE. Our objective was to examine demographic, cognitive, emotional, and physical factors that predict return to paid employment for people after neurological injury. METHOD. 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. RESULTS. 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. CONCLUSION. 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.
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U2 - 10.5014/ajot.2019.031203
DO - 10.5014/ajot.2019.031203
M3 - Article
C2 - 30915962
AN - SCOPUS:85063946475
SN - 0272-9490
VL - 73
JO - American Journal of Occupational Therapy
JF - American Journal of Occupational Therapy
IS - 2
M1 - 7302205010
ER -