The primary aim of this study was to examine predictors of Return to Productive Roles (RTPR) in individuals with ABI following participation in a community-based RTPR intervention. One hundred and thirty participants were inducted to an ABI-specific RTPR programme. At induction, information on clinical and social demographics, previous education and employment roles were collected. Participants underwent a comprehensive neuropsychological assessment at baseline and completed assessments of disability, mental health and community integration. Participants were followed up at the end of their programme to assess RTPR. Three out of four participants who entered the RTPR programme returned to productive roles. Despite the relatively high levels of anxiety and depression in the sample, people who returned to productive roles were not significantly less anxious or depressed than those who did not. Logistic regression suggested that participants who returned to productive roles following the programme had higher levels of pre-ABI work engagement, less disability and performed better on neuropsychological assessment in terms of their language skills. Results suggest that these factors which cut across specific prior experience, cognitive performance, and social and disability areas of functioning represent barriers to an effective return to productive roles for people with ABI accessing RTPR intervention.

中文翻译：

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促进获得性脑损伤后恢复生产性角色：受伤前工作水平、当前能力和神经心理表现的影响

本研究的主要目的是检查参与基于社区的 RTPR 干预后 ABI 个体恢复生产角色 (RTPR) 的预测因素。一百三十名参与者被引入了 ABI 特定的 RTPR 计划。在入职时，收集了有关临床和社会人口统计、以前的教育和就业角色的信息。参与者在基线时接受了全面的神经心理学评估，并完成了对残疾、心理健康和社区融合的评估。参与者在他们的计划结束时被跟进以评估 RTPR。参加 RTPR 计划的四分之三的参与者恢复了生产性角色。尽管样本中的焦虑和抑郁程度相对较高，恢复到生产性角色的人的焦虑或抑郁程度并没有比没有恢复的人明显减少。Logistic 回归表明，在该计划后恢复到生产性角色的参与者在 ABI 之前的工作投入水平更高，残疾更少，并且在语言技能方面的神经心理学评估表现更好。结果表明，这些跨越特定先前经验、认知表现以及社会和残疾功能领域的因素代表了 ABI 获得 RTPR 干预的人有效恢复生产角色的障碍。较少的残疾，并在语言技能方面的神经心理学评估中表现更好。结果表明，这些跨越特定先前经验、认知表现以及社会和残疾功能领域的因素代表了 ABI 获得 RTPR 干预的人有效恢复生产角色的障碍。较少的残疾，并在语言技能方面的神经心理学评估中表现更好。结果表明，这些跨越特定先前经验、认知表现以及社会和残疾功能领域的因素代表了 ABI 获得 RTPR 干预的人有效恢复生产角色的障碍。