Predictors of productivity outcomes for secondary and tertiary students following traumatic brain injury

Primary objective: This prospective longitudinal study aimed to identify rates and predictors of productivity outcomes (educational or vocational) at 1 year post-injury in young people studying prior to sustaining a traumatic brain injury (TBI). Methods and procedures: A total of n = 145 with complicated mild-severe injuries, studying at secondary (45.2 ) or tertiary (54.8 ) levels pre-injury, participated. Mean age at injury = 18.6 years (SD = 3.29) and mean duration of PTA = 21.9 days (SD = 27.18). Pre-injury demographic (gender, age, level of study, living situation), injury related (severity, physical injuries) and concurrent post-injury (independence in ADLs and self-reported cognitive, behavioural, emotional sequelae) predictors were entered into logistic regressions. Main outcomes: Of those participants categorized as productive (79.3 ), 60 were studying, with 40 employed. Participants with longer PTA and those with reduced initiative and self-centredness were less likely to be productive . The overall relationship between PTA and productivity appeared to be linear in nature, with PTA duration of more than 80 days, reducing the probability of being productive at 1 year to 50 . Conclusions: PTA duration and behavioural sequelae were the strongest predictors of productivity in those studying prior to injury. Allied health supports should be targeted towards reducing the impact of and compensating for barriers such as reduced initiative in order to maximize productive outcomes in this group