This study identified predictors of employment for individuals with traumatic brain injury (TBI). Data from 4,923 individuals with TBI were extracted from the Rehabilitation Services Administration’s Case Service Report (RSA-911) database. A multiple logistic regression model using demographics, disability-related variables, vocational rehabilitation (VR) service variables, and their interactions correctly classified 69.5% of the cases as successfully employed or not successfully employed. The model explained approximately 27.1% of the variance in employment outcomes. Results indicated that level of education, race/ethnicity, age at application, preemployment status, Supplemental Security Income (SSI), Social Security Disability Insurance (SSDI), comorbid depression, and case expenditure were significantly associated with employment outcomes (all p ≤ .05). VR variables that showed the most significant positive effect on employment outcomes were on-the-job support, job placement, and on-the-job training. Race/ethnicity moderated the effect of college training, supported employment, transportation, and extended evaluation or work trial assessment services on employment outcomes. The findings have implications for promoting the use of those VR services that are strongly related to employment outcomes for persons with TBI. They also point to the need for rehabilitation personnel to address some of the demographic and disability-related barriers to successful employment.

中文翻译：

---

创伤性脑损伤的州联邦职业康复：哪些预测因素与就业结果相关？

该研究确定了创伤性脑损伤 (TBI) 患者就业的预测因素。从康复服务管理局的案例服务报告 (RSA-911) 数据库中提取了 4,923 名 TBI 患者的数据。使用人口统计、残疾相关变量、职业康复 (VR) 服务变量及其相互作用的多元逻辑回归模型正确地将 69.5% 的案例分类为成功就业或未成功就业。该模型解释了大约 27.1% 的就业结果差异。结果表明，教育水平、种族/民族、申请年龄、就业前状态、补充保障收入 (SSI)、社会保障残疾保险 (SSDI)、共病抑郁症、和个案支出与就业结果显着相关（所有 p ≤ .05）。对就业结果显示出最显着积极影响的 VR 变量是在职支持、就业安置和在职培训。种族/民族调节了大学培训、支持就业、交通和扩展评估或工作试验评估服务对就业结果的影响。研究结果对促进使用与 TBI 患者的就业结果密切相关的 VR 服务具有重要意义。他们还指出，康复人员需要解决一些成功就业的人口和残疾相关障碍。和在职培训。种族/民族调节了大学培训、支持就业、交通和扩展评估或工作试验评估服务对就业结果的影响。研究结果对促进使用与 TBI 患者的就业结果密切相关的 VR 服务具有重要意义。他们还指出，康复人员需要解决一些成功就业的人口和残疾相关障碍。和在职培训。种族/民族调节了大学培训、支持就业、交通和扩展评估或工作试验评估服务对就业结果的影响。研究结果对促进使用与 TBI 患者的就业结果密切相关的 VR 服务具有重要意义。他们还指出，康复人员需要解决一些成功就业的人口和残疾相关障碍。