Cognitive and self-regulation skills for employment among people with brain injury: A comparison of employed and non-employed people using mixed analysis.

IF 1.7 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Tomoko Miyahara, Yuya Nakajima, Atsuo Naya, Daisuke Shimizu, Rumi Tanemura
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引用次数: 0

Abstract

Background: Employment for people with brain injuries is challenging, and identifying the factors that can be improved by rehabilitation and establishing appropriate intervention methods are imperative.

Objective: To examine whether differences in cognitive functions and self-regulation skills exist between employed and non-employed people with brain injuries. In addition, we explored the self-regulation skills characteristic of employed people by qualitatively comparing them to those of non-employed people.

Methods: Using a mixed research method, demographic data, neuropsychological tests, self-efficacy, and self-regulation skills were compared between 38 people with brain injuries (16 employed and 22 unemployed) in the community. Subsequently, self-regulation skills were assessed by the Self-Regulation Skills Interview (SRSI), and participants' responses were qualitatively compared.

Results: No significant differences were observed in demographic data and neuropsychological tests, but employed people showed significantly better SRSI scores than unemployed people (p <  0.01). The qualitative analysis of the SRSI showed that employed people recognised themselves as having more specific symptoms than unemployed people. For example, they recognised the behaviour 'when having more than one errand, forgetting it', whereas non-employed people only recognised the category 'failure of prospective memory'. Furthermore, employed people reviewed their behaviour and developed ingenious coping strategies, such as 'looking back on appointments that have been made', 'writing down as soon as having a schedule', whereas unemployed people only exhibited categories such as 'writing schedules on the cell phone'.

Conclusions: Self-regulation skills, such as recognising specific symptoms and developing relevant coping strategies, are effective for gaining employment.

脑损伤患者的就业认知和自我调节技能:使用混合分析法对就业者和非就业者进行比较。
背景:脑损伤患者的就业具有挑战性,确定康复治疗可改善的因素并制定适当的干预方法势在必行:目的:研究脑损伤患者的认知功能和自我调节能力在就业者和非就业者之间是否存在差异。此外,我们还通过定性比较就业者与非就业者的自我调节能力,探讨就业者的自我调节能力特点:采用混合研究法,比较了 38 名社区脑损伤患者(16 名就业者和 22 名失业者)的人口统计学数据、神经心理学测试、自我效能感和自我调节技能。随后,通过自我调节技能访谈(SRSI)对自我调节技能进行了评估,并对参与者的回答进行了定性比较:结果:在人口统计学数据和神经心理学测试中未发现明显差异,但就业者的 SRSI 分数明显高于失业者(P < 0.01)。对 SRSI 的定性分析显示,就业者比失业者认识到自己有更具体的症状。例如,他们认识到 "当有不止一件差事时,会忘记它 "这一行为,而非就业者只认识到 "前瞻性记忆失败 "这一类别。此外,就业者会回顾自己的行为,并制定巧妙的应对策略,如 "回顾已做的预约"、"一旦有日程安排就写下来",而失业者只表现出 "在手机上写日程安排 "等类别:结论:自我调节技能,如识别特定症状和制定相关应对策略,对获得就业非常有效。
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来源期刊
Work-A Journal of Prevention Assessment & Rehabilitation
Work-A Journal of Prevention Assessment & Rehabilitation PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
3.00
自引率
30.40%
发文量
739
期刊介绍: WORK: A Journal of Prevention, Assessment & Rehabilitation is an interdisciplinary, international journal which publishes high quality peer-reviewed manuscripts covering the entire scope of the occupation of work. The journal''s subtitle has been deliberately laid out: The first goal is the prevention of illness, injury, and disability. When this goal is not achievable, the attention focuses on assessment to design client-centered intervention, rehabilitation, treatment, or controls that use scientific evidence to support best practice.
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