Investigation of factors related to employment outcome following traumatic brain injury: a critical review and conceptual model

Ownsworth, T. and McKenna, K. (2004) Investigation of factors related to employment outcome following traumatic brain injury: a critical review and conceptual model. Disability And Rehabilitation, 26 13: 765-784. doi:10.1080/09638280410001696700


Author Ownsworth, T.
McKenna, K.
Title Investigation of factors related to employment outcome following traumatic brain injury: a critical review and conceptual model
Journal name Disability And Rehabilitation   Check publisher's open access policy
ISSN 0963-8288
Publication date 2004-01-01
Sub-type Critical review of research, literature review, critical commentary
DOI 10.1080/09638280410001696700
Open Access Status Not Open Access
Volume 26
Issue 13
Start page 765
End page 784
Total pages 20
Editor D. Mueller
Place of publication UK
Publisher Taylor & Francis
Language eng
Subject C1
321024 Rehabilitation and Therapy - Occupational and Physical
730303 Occupational, speech and physiotherapy
Abstract Purpose : The purpose of this article is to critically review the literature to examine factors that are most consistently related to employment outcome following traumatic brain injury (TBI), with a particular focus on metacognitive skills. It also aims to develop a conceptual model of factors related to employment outcome. Method : The first stage of the review considered 85 studies published between 1980 and December 2003 which investigated factors associated with employment outcome following TBI. English-language studies were identified through searches of Medline and PsycINFO, as well as manual searches of journals and reference lists. The studies were evaluated and rated by two independent raters (Kappa = 0.835) according to the quality of their methodology based upon nine criteria. Fifty studies met the criteria for inclusion in the second stage of the review, which examined the relationship between a broad range of variables and employment outcome. Results : The factors most consistently associated with employment outcome included pre-injury occupational status, functional status at discharge, global cognitive functioning, perceptual ability, executive functioning, involvement in vocational rehabilitation services and emotional status. Conclusions : A conceptual model is presented which emphasises the importance of metacognitive, emotional and social environment factors for improving employment outcome.
Keyword Rehabilitation
Factors Predicting Return
Motor-vehicle Accidents
Closed-head Injury
Community Integration
Ecological Validity
Self-awareness
Posttraumatic-stress
Impaired Awareness
Work
Q-Index Code C1

Document type: Journal Article
Sub-type: Critical review of research, literature review, critical commentary
Collections: Excellence in Research Australia (ERA) - Collection
2005 Higher Education Research Data Collection
School of Health and Rehabilitation Sciences Publications
 
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Citation counts: TR Web of Science Citation Count  Cited 113 times in Thomson Reuters Web of Science Article | Citations
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Created: Wed, 15 Aug 2007, 13:15:03 EST