TBI-51A

Factors Associated with Vocational Outcome After Resource Facilitation for People with Brain Injury

Presentation Type:

Scientific Paper

General Subject Classification:

Community Integration/Participation

Time / Location:

Tue, 6/14, 2:15 PM
International West

Presenter(s):

Objectives:

  • Be aware of the initial findings on resource faciliation in brain injury,
  • Be able to describe factors that may be associated with vocational outcome, and
  • Be able to develop additional research questions on the effectiveness of resource facilitation.

Abstract:

A number of states now provide resource facilitation (RF) services for people with brain injury and a recent study by the present authors, among others, has found that these services may improve vocational outcome and participation in activities at home and in the community. This presentation examines factors that may contribute to vocational outcome and the RF process.

Additional analyses revealed that initial severity of cognitive impairment, level of depression, and level of participation were not correlated with return to work status (RTWS) at follow-up, although higher levels of depression at follow-up was found to be significantly associated with poorer RTWS (rho=.49, p=.025) and participation (rho=.837, p=.000). It was found that resumption of driving was highly correlated with RTWS and RF subjects were significantly more likely to be independent with driving at follow-up (rho=.56, p=.006). A two-predictor regression model using depression at recruitment and pre-injury income accounted for 34% of the variance in RTWS (F=4.09, p=.037). An interaction was also significant between depression and pre-injury income. This model predicted 51% of the variance in RTWS (F=5.17, p=.012).

Analysis of the RF processes revealed considerable variability in hours provided to each subject, although the number of hours provided was not significantly correlated with RTWS. Severity of cognitive impairment, level of depression, and level of participation at recruitment were not correlated with RF hours provided, but level of disability at follow-up was found to be significantly correlated with RF hours utilized (rho=.795, p=.003).

These findings suggest that absence of pre-existing depression, higher income, and resumption of independence with driving may be important determinants of RTWS and should be considering during the RF process. Intensity of RF services required may not be initially predicted based on the factors herein studied, but higher levels of disability at follow-up was positively correlated with service intensity.