Work‐related predictors for return to work after stroke

Palstam, Annie; Westerlind, Emma; Persson, Hanna; Sunnerhagen, Katharina S.

doi:10.1111/ane.13067

Cited by 17 publications

(8 citation statements)

References 25 publications

(43 reference statements)

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“…In addition, most of the participants perceived a good stroke recovery, lived with a spouse, reported high life satisfaction, had high education, had worked for a long time in the same organization, and worked in a large organization. These factors have been reported to facilitate RTW ( 37 , 38 ). However, having a stroke might alter the persons’ views of important values in their life ( 18 ).…”

Section: Discussionmentioning

confidence: 98%

Perceived work situation and work ability among persons who are working one year after stroke

Lindgren

Pessah‐Rasmussen²,

Gard³

et al. 2022

JRM

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Objective: To explore how persons who have returned to work perceive their work situation and work ability one year after stroke. Design: Cross-sectional design. Subjects: A total of 88 persons of working age (mean age 52 (standard deviation; SD 8) years, 36% women), with mild to moderate disabilities following stroke, who had returned to work after one year [AQ14] participated in the study. Methods: A survey including a questionnaire regarding psychological and social factors at work (QPS Nordic) and 4 questions from the Work Ability Index (WAI) was posted to the participants. Results: According to the QPS Nordic survey, 69–94% of respondents perceived their work duties as well defined, and were content with their work performance. Most participants had good social support at work and at home. Between 51% and 64% of respondents reported that they seldom felt stressed at work, seldom had to work overtime, or that work demands interfered [AQ15] with family life. According to the WAI ≥75% of respondents perceived their work ability as sufficient, and they were rather [AQ3] sure that they would still be working 2 years hence. Conclusion: Persons who have returned to [AQ4] work one year after stroke appear to be content with their work situation and work ability. Appreciation at work, well-defined and meaningful work duties and support seem to be important for a sustainable work situation.

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Section: Discussionmentioning

confidence: 98%

Perceived work situation and work ability among persons who are working one year after stroke

Lindgren

Pessah‐Rasmussen²,

Gard³

et al. 2022

JRM

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“…The present study did not investigate changes in self-experienced symptoms and RTW due to work-related factors. Work-related factors have been shown to affect RTW after stroke 29,30 , and sickness presenteeism seems to be associated with the type of workplace 23 . Including work-related factors in future research about RTW and changes in self-perceived health and symptoms after stroke could help deepen the understanding of the deterioration in general health, and pain between 1 and 5 years post-stroke in the RTW group that was shown in the present study.…”

Section: Discussionmentioning

confidence: 99%

Differences in self-perceived general health, pain, and depression 1 to 5 years post-stroke related to work status at 1 year

Westerlind

Persson

Palstam

et al. 2020

Sci Rep

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Stroke is one of the most common diseases and has several potential consequences, such as psychological problems and pain. Return to work (RTW) after stroke in working-age individuals is incomplete. The present study aimed to investigate differences in self-perceived general health, pain, and depression between 1 and 5 years post-stroke related to RTW status. The study was nationwide, registry-based and the study population (n = 398) consisted of working-age people who had a stroke in 2011 and participated in 1-year and 5-year follow-up questionnaire surveys. Shift analyses with the Wilcoxon signed rank test and logistic regression were used. RTW within the first year post-stroke was associated with better self-perceived general health, less pain, and less depression both at 1 and 5 years post-stroke, compared with the no-RTW group. However, the RTW group had significant deterioration in general health and pain between 1 and 5 years, while the no-RTW group had no significant change. RTW was a significant predictor of lower odds of improvement in general health and pain between 1 and 5 years. This emphasizes the need for continued follow-up and support to ensure a balance between work and health for RTW individuals after stroke. Globally, stroke is the second largest cause of death and the second most common cause of disability 1. Although the total incidence of stroke is decreasing in most parts of the world, the number of disability adjusted life years is increasing 1 , as is the incidence of stroke in the working age population (20-64 years old) 2. Consequences of stroke, in addition to physical and cognitive impairment, include depression 3 and pain 4. The prevalence varies, but it has been estimated that approximately 1 of 3 suffers from depression 3 and up to half of the people have pain post-stroke 4. Ten years post-stroke, pain and psychological problems are two of the symptoms still experienced by a substantial proportion of people with stroke 5. Hypothetical recovery trajectories after stroke show a fast recovery during the first weeks and plateaus after approximately 6 months. After the initial 6 months the patterns are heterogeneous, with some people declining and some continuing to improve 6. In line with this, improvements in activities of daily living the first year poststroke has been reported, but between 1 and 3 years post-stroke there seems to be a small decline 7. Participants in another study reported less self-efficacy, less optimism and less proactive coping 2 years post-stroke compared with 2 months post-stroke 8. A decline in several self-reported functional aspects such as strength, activities of daily living, and mobility between 1 and 6 years post-stroke has also been reported 9. Absence from work due to sickness could have an effect on the individual's life situation as a whole. In addition to its impact on the financial situation, being on long-term sick leave is detrimental to psychological well-being and sleep 10 , and is even a risk factor for developing stroke 11. Working seems to...

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“…Despite this, only half of working age stroke survivors make a successful return to meaningful work, and they are two to three times more likely to be unemployed 8 years after their stroke than the general population 1. Although impairments in the stroke survivor’s physical, cognitive and communication abilities can affect this,4 5 social and environmental factors such as personal and employer beliefs and attitudes, job type and organisation size and the benefits system also play an important part 6 7…”

Section: Introductionmentioning

confidence: 99%

RETurn to work After stroKE (RETAKE) Trial: protocol for a mixed-methods process evaluation using normalisation process theory

et al. 2022

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ObjectivesThis mixed-method process evaluation underpinned by normalisation process theory aims to measure fidelity to the intervention, understand the social and structural context in which the intervention is delivered and identify barriers and facilitators to intervention implementation.SettingRETurn to work After stroKE (RETAKE) is a multicentre individual patient randomised controlled trial to determine whether Early Stroke Specialist Vocational Rehabilitation (ESSVR) plus usual care is a clinically and cost-effective therapy to facilitate return to work after stroke, compared with usual care alone. This protocol paper describes the embedded process evaluation.Participants and outcome measuresIntervention training for therapists will be observed and use of remote mentor support reviewed through documentary analysis. Fidelity will be assessed through participant questionnaires and analysis of therapy records, examining frequency, duration and content of ESSVR sessions. To understand the influence of social and structural contexts, the process evaluation will explore therapists’ attitudes towards evidence-based practice, competency to deliver the intervention and evaluate potential sources of contamination. Longitudinal case studies incorporating non-participant observations will be conducted with a proportion of intervention and usual care participants. Semistructured interviews with stroke survivors, carers, occupational therapists, mentors, service managers and employers will explore their experiences as RETAKE participants. Analysis of qualitative data will draw on thematic and framework approaches. Quantitative data analysis will include regression models and descriptive statistics. Qualitative and quantitative data will be independently analysed by process evaluation and Clinical Trials Research Unit teams, respectively. Linked data, for example, fidelity and describing usual care will be synthesised by comparing and integrating quantitative descriptive data with the qualitative findings.Ethics and disseminationApproval obtained through the East Midlands—Nottingham 2 Research Ethics Committee (Ref: 18/EM/0019) and the National Health ServiceResearch Authority. Dissemination via journal publications, stroke conferences, social media and meetings with national Stroke clinical leads.Trial registration numberISRCTN12464275.

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Work‐related predictors for return to work after stroke

Cited by 17 publications

References 25 publications

Perceived work situation and work ability among persons who are working one year after stroke

Perceived work situation and work ability among persons who are working one year after stroke

Differences in self-perceived general health, pain, and depression 1 to 5 years post-stroke related to work status at 1 year

RETurn to work After stroKE (RETAKE) Trial: protocol for a mixed-methods process evaluation using normalisation process theory

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