@article{ref1,
title="Employment trajectories after spinal cord injury: results from a 5-year prospective cohort study",
journal="Archives of physical medicine and rehabilitation",
year="2014",
author="Ferdiana, Astri and Post, Marcel Wm and Hoekstra, Trynke and van der Woude, Luc and van der Klink, Jac Jl and Bültmann, Ute",
volume="95",
number="11",
pages="2040-2046",
abstract="OBJECTIVE: To identify different employment trajectories in individuals with spinal cord injury (SCI) after discharge from initial rehabilitation and to determine predictors of different trajectories from demographic, injury, functional and psychological characteristics. <br><br>DESIGN: Prospective cohort study with baseline measurement at the start of active rehabilitation, a measurement at discharge and follow-up measurements at 1, 2 and 5 years after discharge. SETTING: Eight rehabilitation centres with SCI units in the Netherlands. PARTICIPANTS: A total of 176 people with acute SCI, aged between 18 and 60 years at baseline, who completed at least two follow-up measurements. INTERVENTIONS: Not applicable MAIN OUTCOME MEASURE: Employment was defined as having paid work for ≥12 hours/week. <br><br>RESULTS: Using latent class growth mixture modeling, three distinct employment trajectories were identified: 1) no employment group (22.2%), i.e., participants without employment pre-SCI and during 5-year follow-up; 2) low employment group (56.3%), i.e., participants with pre-SCI employment and a low, slightly increasing probability of employment during 5-year follow-up; and 3) steady employment group (21.6%), i.e., participants with continuous employment pre-SCI and within 5-year follow-up. Predictors of steady employment versus low employment were having secondary education (OR=4.32, 95% CI 1.69-11.02) and a higher Functional Independence Measure motor-score (OR=1.04, 95% CI 1.01-1.06) at discharge. <br><br>CONCLUSION: Distinct employment trajectories following SCI were identified. More than half of individuals with SCI had a low employment trajectory, and only one-fifth of individuals with SCI had a steady employment trajectory. Secondary education and higher functional independence level predicted steady employment.<p /> <p>Language: en</p>",
language="en",
issn="0003-9993",
doi="10.1016/j.apmr.2014.04.021",
url="http://dx.doi.org/10.1016/j.apmr.2014.04.021"
}