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 [4] ; Cynthia Chen [1] ; M. Carolyn Baum [5] ; Robert K. Heaton [2] ; Berrit Goodman ; Allen W. Heinemann [3]
-
[1] National University of Singapore
National University of Singapore
Singapur
-
[2] University of California System
University of California System
Estados Unidos
-
[3] Northwestern University
Northwestern University
Township of Evanston, Estados Unidos
-
[4] Program in Occupational Therapy and Department of Neurology, Washington University School of Medicine, St. Louis
-
[5] Program in Occupational Therapy, Washington University School of Medicine, St. Louis
-
- Localización: American Journal of Occupational Therapy, ISSN 0272-9490, Vol. 73, Nº. 2, 2019
- Idioma: inglés
- Texto completo no disponible (Saber más ...)
-
Resumen
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.
