{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T10:40:27Z","timestamp":1777891227827,"version":"3.51.4"},"reference-count":53,"publisher":"SAGE Publications","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["WOR"],"published-print":{"date-parts":[[2023,5,16]]},"abstract":"<jats:p>BACKGROUND: Traumatic brain injury (TBI) impacts an individual\u2019s workforce involvement post-injury. Support services and workplace accommodations that can help with work re-integration post-TBI may differ based on a person\u2019s sex and gender. The added impact of COVID-19 remains under-explored. OBJECTIVE: We aimed to investigate the support services and workplace accommodation needs and the impact of COVID-19 on work and mental health for persons with TBI, considering sex and gender. METHODS: A cross-sectional online survey was distributed. Descriptive and regression analyses were applied to uncover sex and gender differences, along with content analysis for open-ended responses. RESULTS: Thirty-two persons with TBI (62% women, 38% men) participated. Physiotherapy, occupational therapy, and counselling services were indicated as the most needed services by women and men. Modified hours\/days and modified\/different duties were the most needed workplace accommodations. Mental challenges impacting well-being was a highlighted concern for both men and women. Women scored poorer on the daily activity domain of the Quality of Life after Brain Injury \u2013 Overall Scale (p\u200a=\u200a0.02). Assistance with daily activities was highlighted by women for a successful transition to work, including housekeeping and caregiving. Men were more likely than women to experience change in employment status because of COVID-19 (p\u200a=\u200a0.02). Further, a higher percentage of men expressed concern about the inability to pay for living accommodations, losing their job, and not having future job prospects. CONCLUSION: Findings reveal important differences between men and women when transitioning to work post-TBI and emphasize the need for sex and gender considerations.<\/jats:p>","DOI":"10.3233\/wor-220437","type":"journal-article","created":{"date-parts":[[2022,12,30]],"date-time":"2022-12-30T11:47:49Z","timestamp":1672400869000},"page":"41-58","source":"Crossref","is-referenced-by-count":4,"title":["Employment and accommodation needs and the effect of COVID-19 on men and women with traumatic brain injury"],"prefix":"10.1177","volume":"75","author":[{"given":"Sara","family":"Hanafy","sequence":"first","affiliation":[{"name":"Rehabilitation Sciences Institute, University of Toronto, Toronto, ON, Canada"},{"name":"KITE-Toronto Rehabilitation Institute, University Health Network, Toronto, ON, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Angela","family":"Colantonio","sequence":"additional","affiliation":[{"name":"Rehabilitation Sciences Institute, University of Toronto, Toronto, ON, Canada"},{"name":"KITE-Toronto Rehabilitation Institute, University Health Network, Toronto, ON, Canada"},{"name":"Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada"},{"name":"Department of Occupational Science and Occupational Therapy, University of Toronto, Toronto, ON, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tatyana","family":"Mollayeva","sequence":"additional","affiliation":[{"name":"Rehabilitation Sciences Institute, University of Toronto, Toronto, ON, Canada"},{"name":"KITE-Toronto Rehabilitation Institute, University Health Network, Toronto, ON, Canada"},{"name":"Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada"},{"name":"Department of Occupational Science and Occupational Therapy, University of Toronto, Toronto, ON, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sarah","family":"Munce","sequence":"additional","affiliation":[{"name":"Rehabilitation Sciences Institute, University of Toronto, Toronto, ON, Canada"},{"name":"KITE-Toronto Rehabilitation Institute, University Health Network, Toronto, ON, Canada"},{"name":"Department of Occupational Science and Occupational Therapy, University of Toronto, Toronto, ON, Canada"},{"name":"Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, ON, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sally","family":"Lindsay","sequence":"additional","affiliation":[{"name":"Rehabilitation Sciences Institute, University of Toronto, Toronto, ON, Canada"},{"name":"Bloorview Research Institute, Holland Bloorview Kids Rehabilitation Hospital, Toronto, ON, Canada"},{"name":"Department of Occupational Science and Occupational Therapy, University of Toronto, Toronto, ON, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","reference":[{"key":"10.3233\/WOR-220437_ref1","doi-asserted-by":"crossref","first-page":"100","DOI":"10.1007\/s10926-013-9436-y","article-title":"What work means to people with work disability: A Scoping Review","volume":"24","author":"Saunders","year":"2014","journal-title":"J Occup Rehabil"},{"issue":"12","key":"10.3233\/WOR-220437_ref3","doi-asserted-by":"crossref","first-page":"987","DOI":"10.1016\/S1474-4422(17)30371-X","article-title":"Traumatic brain injury: Integrated approaches to improve prevention, clinical care, and research","volume":"16","author":"Maas","year":"2017","journal-title":"Lancet Neurol"},{"key":"10.3233\/WOR-220437_ref5","doi-asserted-by":"crossref","unstructured":"Little DM , Cook AJ , Morissette SB , et al. 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What sample size is \u201cenough\u201d in internet survey research? Academia (2012;6:1\u201310."},{"issue":"2","key":"10.3233\/WOR-220437_ref43","doi-asserted-by":"crossref","first-page":"i","DOI":"10.47263\/JASEM.4(2)01","article-title":"Sample size for survey research: Review and recommendations","volume":"4","author":"Memon","year":"2020","journal-title":"JASEM"},{"key":"10.3233\/WOR-220437_ref44","doi-asserted-by":"crossref","unstructured":"Bradshaw C , Atkinson S , Doody O . Employing a qualitative description approach in health care research. 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