Contextual influences on employment of people with dual diagnosis: spinal cord injury and traumatic brain injury

Boyle, Claire L.; Nott, Melissa; Baguley, Ian; Ranka, Judy

doi:10.1111/1440-1630.12133

Cited by 8 publications

(7 citation statements)

References 27 publications

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“…( 2008 ) d Volker et al ( 2015 ) Wåhlin et al ( 2012 ) Waynor et al ( 2016 ) a Motivation Awang et al ( 2016 ) Boyle et al . ( 2014 ) d Braathen et al ( 2007 ) Lydell et al (2011) b, d Puolakka et al . ( 2008 ) f Saperstein et al ( 2011 ) Elfving et al .…”

Section: Resultsunclassified

“…Of the eight quantitative studies which investigated the association between motivation and work participation (Table 1 : Awang et al 2016 ; Boyle et al 2014 ; Braathen et al 2007 ; Elving et al 2009; Lydell et al 2011 ; Puolakka et al 2008 ; Saperstein et al 2011 ; Wan Kasim et al 2014 ), five found a positive association (Awang et al 2016 ; Boyle et al 2014 ; Braathen et al 2007 ; Lydell et al 2011 ; Saperstein et al 2011 ). One additional quantitative study only found an influence of motivation for some forms of work participation (Puolakka et al 2008 ).…”

Section: Resultsmentioning

confidence: 99%

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Person-related factors associated with work participation in employees with health problems: a systematic review

Wit

Wind

Hulshof

et al. 2018

Int Arch Occup Environ Health

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PurposeThe objective of this systematic review was to explore and provide systematically assessed information about the association between person-related factors and work participation of people with health problems. The research question was: what is the association between selected person-related factors and work participation of workers with health problems?MethodsA systematic review was carried out in PubMed and PsycINFO to search for original papers published between January 2007 and February 2017. The risk of bias of the studies included was assessed using quality assessment tools from the Joanna Briggs Institute. The quality of evidence was assessed using the GRADE framework for prognostic studies.ResultsIn total, 113 studies were included, all of which addressed the association between person-related factors and work participation. The factors positively associated with work participation were positive expectations regarding recovery or return to work, optimism, self-efficacy, motivation, feelings of control, and perceived health. The factors negatively associated with work participation were fear-avoidance beliefs, perceived work-relatedness of the health problem, and catastrophizing. Different coping strategies had a negative or a positive relationship with work participation.ConclusionsThe results of this review provide more insight into the associations between different cognitions and perceptions and work participation. The results of this study suggest that person-related factors should be considered by occupational- and insurance physicians when they diagnose, evaluate or provide treatment to employees. Further research is required to determine how these physicians could obtain and apply such information and whether its application leads to a better quality of care.Electronic supplementary materialThe online version of this article (10.1007/s00420-018-1308-5) contains supplementary material, which is available to authorized users.

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Section: Resultsunclassified

Section: Resultsmentioning

confidence: 99%

Person-related factors associated with work participation in employees with health problems: a systematic review

Wit

Wind

Hulshof

et al. 2018

Int Arch Occup Environ Health

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“…Most importantly, other factors than demographics and injury-related variables, such as differences in the environment or psychological resources that have not been accounted for in this study, may explain variation in LMP. In order to identify suitable intervention targets for an enhanced LMP of persons with SCI, future empirical and experimental research needs to address modifiable environmental and personal factors in relation to bodily capacity [15, 17, 46–49]. In the comparison of the amount of work performed by employed people from the SCI and the general population, stratification by gender, age group and lesion level yielded small sample sizes in some cases precluding meaningful interpretation.…”

Section: Discussionmentioning

confidence: 99%

Labor Market Integration of People with Disabilities: Results from the Swiss Spinal Cord Injury Cohort Study

Reinhardt

Post²,

Fekete

et al. 2016

PLoS ONE

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ObjectivesWe aimed to describe labor market participation (LMP) of persons with spinal cord injury (SCI) in Switzerland, to examine potential determinants of LMP, and to compare LMP between SCI and the general population.MethodsWe analyzed data from 1458 participants of employable age from the cross-sectional community survey of the Swiss Spinal Cord Injury Cohort Study. Data on LMP of the Swiss general population were obtained from the Swiss Federal Statistical Office. Factors associated with employment status as well as the amount of work performed in terms of full-time equivalent (FTE) were examined with regression techniques.Results53.4% of the participants were employed at the time of the study. Adjusted odds of being employed were increased for males (OR = 1.73, 95% CI 1.33–2.25) and participants with paraplegia (OR = 1.78, 95% CI 1.40–2.27). The likelihood of being employed showed a significant concave relationship with age, peaking at age 40. The relation of LMP with education was s-shaped, while LMP was linearly related to time since injury. On average, employment rates were 30% lower than in the general population. Males with tetraplegia aged between 40 and 54 showed the greatest difference. From the 771 employed persons, the majority (81.7%) worked part-time with a median of 50% FTE (IRQ: 40%-80%). Men, those with younger age, higher education, incomplete lesions, and non-traumatic etiology showed significantly increased odds of working more hours per week. Significantly more people worked part-time than in the general population with the greatest difference found for males with tetraplegia aged between 40 and 54.ConclusionsLMP of persons with SCI is comparatively high in Switzerland. LMP after SCI is, however, considerably lower than in the general population. Future research needs to show whether the reduced LMP in SCI reflects individual capacity adjustment, contextual constraints on higher LMP or both.

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“…Recovery of function after cervical SCI is retarded by a moderate TBI in the contra lateral hemisphere (14). A high level of social support is vital to help these patients in their daily lives (19). In resource-limited settings, such as in Kenya, where support is inadequate, the risk is real in dual diagnoses patients of losing out on paid employment, concomitant emotional changes and increased dependence.…”

Section: Discussionmentioning

confidence: 99%

Head injury with concurrent cervical spine injury

Kiboi¹,

Omar²,

Omar³

2019

Ann Afr Surg.

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Dual diagnoses of moderate or severe head injuries occurring concurrently with cervical spine injuries are postulated to have very poor outcomes. These outcomes are unknown in resource-limited settings. Methods: Patient files with dual diagnoses between 2012 and 2016 at the Kenyatta National Hospital (KNH) were reviewed retrospectively. Clinical and outcome parameters were identified for each case and SPSS version 20 was used for correlation and regression tests. Results: Eleven patient files were identified; patients' median age was 34 years. C2 was the modal cervical spine injury level. The most common clinical presentation (63%) was loss of consciousness; 45% of patients had a Glasgow Outcome score ≤1. Using Pearson correlation study, age was significantly positively correlated with outcome: r = 0.751, n = 11, p = 0.008. A significant regression equation was found (F (1, 9) = 11.624, p <0.001) with an adjusted R2 of 0.515 to predict outcome on the Glasgow Outcome Scale based on age. Conclusion: For patients with dual diagnoses in a resource-limited setting, survival rate is 45%; and older patients have poorer outcomes. Neurosurgeons practising in areas with limited resources should keep this in mind with the hope of attaining better outcomes.

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Contextual influences on employment of people with dual diagnosis: spinal cord injury and traumatic brain injury

Cited by 8 publications

References 27 publications

Person-related factors associated with work participation in employees with health problems: a systematic review

Person-related factors associated with work participation in employees with health problems: a systematic review

Labor Market Integration of People with Disabilities: Results from the Swiss Spinal Cord Injury Cohort Study

Head injury with concurrent cervical spine injury

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