Cognitive, emotional, and physical functioning as predictors of paid employment in people with stroke, traumatic brain injury, and spinal cord injury

Alex W.K. Wong*, Cynthia Chen, M. Carolyn Baum, Robert K. Heaton, Berrit Goodman, Allen Walter Heinemann

*Corresponding author for this work

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

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.

Original languageEnglish (US)
Article number7302205010
JournalAmerican Journal of Occupational Therapy
Volume73
Issue number2
DOIs
StatePublished - Jan 1 2019

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Spinal Cord Injuries
Stroke
Wounds and Injuries
Occupational Therapy
Rehabilitation
Demography
Education
Traumatic Brain Injury

ASJC Scopus subject areas

  • Occupational Therapy

Cite this

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title = "Cognitive, emotional, and physical functioning as predictors of paid employment in people with stroke, traumatic brain injury, and spinal cord injury",
abstract = "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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Cognitive, emotional, and physical functioning as predictors of paid employment in people with stroke, traumatic brain injury, and spinal cord injury. / Wong, Alex W.K.; Chen, Cynthia; Baum, M. Carolyn; Heaton, Robert K.; Goodman, Berrit; Heinemann, Allen Walter.

In: American Journal of Occupational Therapy, Vol. 73, No. 2, 7302205010, 01.01.2019.

Research output: Contribution to journalArticle

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AU - Goodman, Berrit

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