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Change in quality of life in relation to returning to work after acquired brain injury: a population-based register study
Örebro University, School of Health Sciences. University Health Care Research Center, Region Örebro County, Örebro, Sweden. (The Swedish Institute for Disability Research)ORCID iD: 0000-0002-7048-1925
Örebro University, School of Law, Psychology and Social Work. (The Swedish Institute for Disability Research)ORCID iD: 0000-0002-4578-0501
Örebro University, School of Law, Psychology and Social Work. University Health Care Research Center, Region Örebro County, Örebro, Sweden. (The Swedish Institute for Disability Research)ORCID iD: 0000-0002-6703-7575
2018 (English)In: Brain Injury, ISSN 0269-9052, E-ISSN 1362-301X, p. 1-9Article in journal (Refereed) Epub ahead of print
Abstract [en]

PURPOSE: This study investigated changes in quality of life (QoL) in relation to return to work among patients with acquired brain injury (ABI).

METHOD: The sample consisted of 1487 patients with ABI (63% men) aged 18-66 years (mean age 52) from the WebRehab Sweden national quality register database. Only patients who worked at least 50% at admission to hospital and were on full sick leave at discharge from hospital were included. QoL was measured by the EuroQol EQ-5D questionnaire.

RESULTS: Patients who returned to work perceived a larger improvement in QoL from discharge to follow-up one year after injury compared to patients who had not returned to work. This difference remained after adjustment for other factors associated with improved QoL, such as having a university education, increased Extended Glasgow Outcome Scale scores and getting one's driving licence reinstated.

CONCLUSION: Return to work is an important factor for change in QoL among patients with ABI, even after adjusting for other factors related to QoL. This is consistent with the hypothesis that having employment is meaningful, increases self-esteem and fosters participation in society. Thus, helping patients with ABI return to work has a positive influence on QoL.

Place, publisher, year, edition, pages
Informa Healthcare, 2018. p. 1-9
Keywords [en]
Stroke, life satisfaction, rehabilitation, traumatic brain injury, vocational rehabilitation
National Category
Neurology Occupational Therapy
Identifiers
URN: urn:nbn:se:oru:diva-69466DOI: 10.1080/02699052.2018.1517224PubMedID: 30296173OAI: oai:DiVA.org:oru-69466DiVA, id: diva2:1254640
Available from: 2018-10-09 Created: 2018-10-09 Last updated: 2018-11-19Bibliographically approved
In thesis
1. Återgång i arbete efter förvärvad hjärnskada: livskvalitet, möjligheter och hinder
Open this publication in new window or tab >>Återgång i arbete efter förvärvad hjärnskada: livskvalitet, möjligheter och hinder
2018 (Swedish)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

In Sweden, about 35–40 percent of people who acquire a brain injury can return to work. To be able to help people with acquired brain injury to return to work, it is important to know about experiences and factors that facilitate return to work and how they affect quality of life. The overall aim of this thesis is to investigate the opportunities and barriers for people with acquired brain injury to return to work, as well as the importance of returning to work for their quality of life. Four studies were conducted: two interview studies and two register studies, giving qualitative and quantitative data.The major finding in this thesis was that people with acquired brain injury who could return to work had high functioning in all levels of the biopsychosocial model. The opportunities increased if the return to work was individually adapted in all phases of the process and if the person was motivated and supported by support persons with commitment, cooperation and adaptation. Those who had a university education, got their driver’s license reinstated, had high motor function and could return towork showed the greatest increase in their quality of life.Return to work is a complex process for people with acquired brain injury that could be successful if they are motivated, can balance the internal and external demands to return to work, get individual adaptation, and receive committed support. Their quality of life also increased more if theywere able to return to work.

Place, publisher, year, edition, pages
Örebro: Örebro University, 2018. p. 120
Series
Studies from The Swedish Institute for Disability Research, ISSN 1650-1128 ; 94
Keywords
Return to work, acquired brain injury, rehabilitation, quality of life, quality inference, register analysis
National Category
Other Health Sciences
Identifiers
urn:nbn:se:oru:diva-69352 (URN)978-91-7529-267-0 (ISBN)
Public defence
2018-12-14, Örebro universitet, Prismahuset, Hörsal P1, Fakultetsgatan 1, Örebro, 09:00 (Swedish)
Opponent
Supervisors
Available from: 2018-10-08 Created: 2018-10-08 Last updated: 2018-11-19Bibliographically approved

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Matérne, MarieStrandberg, ThomasLundqvist, Lars-Olov

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