OTSurveyOccupational therapy international2025

Factors Influencing Return to Work Among Women With Acquired Brain Injury.

Zareena Darries, Mogammad Shaheed Soeker

PMID 40949607

WHAT IT FOUND

61.2% of these women with acquired brain injury had returned to work.

Each extra year of age made return less likely, while support from managers at work made it about five times more likely. Education, marital status and impairment did not predict return.

Key findings

01Being older was linked to a lower chance of returning to work: the odds fell by about 9.5% for each additional year of age (OR = 0.905).

02Support from managers or supervisors at work predicted return to work, with those women about five times more likely to return than women who had support from family and friends (OR = 5.660, 95% CI = 1.117, 28.666).

03Marital status, whether the women had received medical or therapeutic treatment, whether they had impairment-related restrictions, the type of vocational intervention they received, and support from family and friends did not predict return to work.

STILL TO COME

How it was doneWhat they foundWhat it means for OTs

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What it does not show

Everyone was recruited from the vocational rehabilitation units of two tertiary hospitals, where patients are usually taken on because they have a vocational goal. That likely selects women who were already motivated to work, and the authors say the high return rate may not reflect women with acquired brain injury more widely. Most interviews were done by telephone because few eligible women attended on the clinic dates. The authors say this limited response time and may have affected the answers. Seventeen questionnaires were incomplete and those women were left out of the analysis, so the findings rest on 139 of the 177 women who agreed to take part. The survey was completed once. It shows what goes together with returning to work, not what causes it. Cognitive, perceptual, physical and emotional difficulties were combined into one yes-or-no category, so the study cannot say whether some kinds of impairment matter more than others. Nothing was collected about the type of jobs the women returned to or how long those jobs lasted, and the authors say including informal and self-employment in the definition may itself have affected the return rate.

The easy way to misread this

Do not read the fivefold workplace support result as proof that changing a manager's behaviour will get women back to work. The comparison was between women supported by managers and women supported by family and friends, not between support and no support, and this was a single survey taken at one point in time, so it can show an association but not cause and effect.

Summarised by AI from the full paper, without a clinician reviewing it. Check it against the source before it changes what you do. Read it on PubMed →