Supporting People With Stroke to Return to Work in Singapore: Findings From a Pilot Vocational Rehabilitation Program

Zainal, Mohamad Nizar Bin; Wen, Pauline Koh Pei; Sien, Ng Yee; Kee, Kalya M.; Chieh, Kam Jin; Asano, Miho

doi:10.5014/ajot.2020.041376

Cited by 7 publications

(11 citation statements)

References 39 publications

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“…The remaining 5 intervention studies described vocational rehabilitation or work support programs 17,63–66,68,69 consisting of components such as detailed assessments of the person’s functional abilities and work environment 17,66,69 ; individualized physical rehabilitation 17 ; identification of strategies and support needs 17,63–66,68 ; liaison with the person’s employer 17,63–65,68,69 ; provision of assistive technology or equipment 17,69 ; and work trials either in the person’s actual work place 63–65,68 or in a volunteer placement designed to replicate the work setting 66 . Only 1 of the intervention studies was a randomized controlled trial, 16 while 1 was a retrospective cohort study 17 . The remaining 5 studies were case studies 69 or case series (with the number of participants ranging from 2 to 10) 64,66–68 .…”

Section: Resultsmentioning

confidence: 99%

“…66 Only 1 of the intervention studies was a randomized controlled trial, 16 while 1 was a retrospective cohort study. 17 The remaining 5 studies were case studies 69 or case series (with the number of participants ranging from 2 to 10). 64,[66][67][68] Details of the interventions are presented in Table 1.…”

Section: Scoping Reviewmentioning

confidence: 99%

“…Across the 7 primary studies, there were 7 different outcome domains used to evaluate returnto-work interventions, using 12 different outcome measures. The domains included whether the participant returned to work (measured by a binary "yes" or "no") [66][67][68][69] ; the rate of return to work (measured by either the number 16 or percentage 17 of participants); the level of return to work (measured by the number of working hours returned to 16,67,68 or the percentage of pre-stroke working hours returned to 64 ); and post-stroke role (measured by whether this was the same as the pre-stroke role or a different role 67 ). A further domain reported was the rate of return to work with adaptations of assistive devices, measured by the number of participants requiring these supports.…”

Section: Scoping Reviewmentioning

confidence: 99%

“…Quantitative primary research studies evaluating return-to-work interventions range from those that investigate specific impairment-based therapies (eg, use of technological devices to improve motor function through audio or visual feedback 16 ) to those that evaluate holistic vocational rehabilitation programs (eg, programs comprising physical rehabilitation, psychological support, employment support, and caregiver support. 17 ) Other quantitative studies have investigated factors affecting return to work. Among these studies, some focus on specific factors, such as pre-stroke socioeconomic status 18 or the presence of post-stroke fatigue.…”

Section: Introductionmentioning

confidence: 99%

“…There is a diverse body of literature on the topic. Quantitative primary research studies evaluating return-to-work interventions range from those that investigate specific impairment-based therapies (eg, use of technological devices to improve motor function through audio or visual feedback 16 ) to those that evaluate holistic vocational rehabilitation programs (eg, programs comprising physical rehabilitation, psychological support, employment support, and caregiver support 17 …”

Section: Introductionmentioning

confidence: 99%

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Return to work for adults following stroke: a scoping review of interventions, factors, barriers, and facilitators

Coutts

Cooper

2023

JBI Evidence Synthesis

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Introduction: Difficulties in returning to work can significantly impact individuals following a stroke (eg, their sense of purpose and self-esteem), not only financially, but also as they adjust to the change in their situation. Such difficulties may arise from communication disorders as well as physical impairments. Previous reviews on return to work post-stroke have focused on specific aspects, such as interventions, or barriers and facilitators, but have not provided a comprehensive map of the field. Further, no systematic or scoping reviews to date have focused on literature addressing return to work for people with communication disorders post-stroke.Inclusion criteria: This review considered literature that reported on interventions, barriers, and facilitators for return to work for adults (aged 16 years or older) following an ischemic or hemorrhagic stroke. Records focusing on transient ischemic attacks or acquired brain injury were excluded, as were those in which a comorbidity or disability (eg, learning disability, dementia, respiratory disorder) had a significant impact on the individual's ability to work. Methods: This review followed the JBI scoping review methodology. Primary research of any type, systematic and non-systematic reviews, and gray literature from developed countries written in English from 2010 to the present day were identified from 7 databases, 2 gray literature repositories, JBI Evidence Synthesis, and an internet search. Records were screened for relevance to the review topic by 2 independent reviewers, and data relevant to the review questions were extracted. Findings were presented as narrative supported by tables.Results: Of the 106 sources included, 61 addressed demographic-based, socioeconomic-based, impairment-based, or recovery-based factors related to return to work. One of these 61 sources, a narrative review, focused on communication disorders. Thirty-eight sources explored barriers and facilitators for return to work from different stakeholders' perspectives; 3 of these 38 sources, including 2 qualitative studies and 1 narrative review, focused on post-stroke communication disorders. Eleven sources focused on interventions, including 7 studies (reported across 9 sources) that developed or tested return-to-work interventions. Of these primary studies, 1 randomized controlled trial and 1 retrospective cohort study were identified. The remaining intervention studies were case studies or case series. None of these intervention studies addressed communication disorders.Conclusions: While there has been extensive research on factors, barriers, and facilitators for return to work poststroke, there is a lack of research on interventions supporting return to work. There is also a significant gap in the evidence base on returning to work with a post-stroke communication disorder, highlighting the need for further research in this important area.

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