What is the study about?
This study aims to identitfy the predictive factors of employment stability for individuals after moderate to severe traumatic brain injury (TBI). Employment stability, was considered a dynamic measure that assesses employment over time and is thought to be a more sensitive employment measure than those looking only at employment vs unemployment at a fixed moment in time.
What did the study find?
This study found several predictive factors of stable employment for individuals following moderate to severe TBI, including: younger age, white race, less severe injuries, preinjury employment, higher annual earnings, male sex, higher education, transportation independence, and no depression or anxiety at 1-year post injury. Examining employment stability in this way captures the variations in multiple relevant variables, including demographic information, mental health, cognitive limitations, and transportation independence as related to moderate-to-severe TBI.
Who participated in the study?
Individuals with employment data (n=5683) enrolled in the Traumatic Brain Injury Model Systems National Database (TBIMS-NDB).
How was the study conducted?
This study was a longitudinal observational study using data at 1,2, and 5 years post injury from the TBIMS-NDB.
How can people use the results?
Individuals with TBI and their families can use the results of this study to better understand the factors related to employment stability following a moderate -to-severe TBI. Practitioners can use the the employment stability factors indentified by this study as intervetion targets to improve employent outcomes post-injury. Facilitating transportation independence as well as screening for and treating anxiety and depression post-TBI deserve further study as effective strategies to improve employment stability after TBI.
Reference
DiSanto, D., Kumar, R.G., Juengst, S.B., Hart, T., O’Neil-Pirozzi, T.M., Zasler, N.D., Novack, T.A., Dillahunt-Aspillaga, C., Graham, K.M., Cotner, B.A., Rabonowitz, A.R., Dikmen, S., Niemeier, J.P., Kesinger, M.R., Wagner, A.K. (2019). Employment stability in the first 5 years after moderate-to-severe traumatic brain injury. Archives of Physical Medicine and Rehabilitation 100 (3), 412-421.