What is a return to work after stroke?: 12 month work outcomes in a feasibility trial
Background: Return to work (RTW) is an outcome in determining the effectiveness of rehabilitation post-stroke. However, stroke survivors (SS) may return to different roles with altered work status. Income, hours, responsibilities and job-satisfaction may be reduced. SS may be dissatisfied if u...
| Main Authors: | , , , |
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| Format: | Article |
| Published: |
SAGE
2014
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| Online Access: | https://eprints.nottingham.ac.uk/39878/ |
| _version_ | 1848795935386107904 |
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| author | Sinclair, Emma Radford, Kathryn A. Grant, Mary Terry, Jane |
| author_facet | Sinclair, Emma Radford, Kathryn A. Grant, Mary Terry, Jane |
| author_sort | Sinclair, Emma |
| building | Nottingham Research Data Repository |
| collection | Online Access |
| description | Background:
Return to work (RTW) is an outcome in determining the effectiveness of rehabilitation post-stroke. However, stroke survivors (SS) may return to different roles with altered work status. Income, hours, responsibilities and job-satisfaction may be reduced. SS may be dissatisfied if unable to resume apriori work status; alternatively adjusted work status may be viewed positively if perceived as a way of reducing the risk of another stroke. The purpose of this study was to explore what is meant by RTW.
Method:
Information about the nature of RTW (job type, hours, roles, responsibilities) was extracted from 3, 6 and 12 month follow-up postal questionnaires in 46 SS participants in a feasibility randomised controlled trial investigating effectiveness of a vocational rehabilitation intervention.
Results/Findings:
Participants took a mean 90 (SD:70, range 7-227) days to RTW. 19/46 reported working at 12 months. In 17 who supplied complete data, 7(41%) reported reduced working hours. Participants incurred a mean wage loss of 44% against pre-stroke earnings. 10/17(59%) participants were in the same job with the same employer and 6(35%) were working in different/modified jobs (1 missing:). 10/17(59%) had work-place adjustments. 18/46 (39%) participants were happy with their work situation.
Discussion:
Participants experienced marked changes in work status post-stroke, with implications for job-satisfaction, financial security and quality of life. Research into psychological adjustment following altered vocational status in SS is warranted.
Conclusion:
RTW is a complex outcome and may not translate to a return to pre-stroke vocational status. It is important to consider what constitutes a RTW following stroke. |
| first_indexed | 2025-11-14T19:39:59Z |
| format | Article |
| id | nottingham-39878 |
| institution | University of Nottingham Malaysia Campus |
| institution_category | Local University |
| last_indexed | 2025-11-14T19:39:59Z |
| publishDate | 2014 |
| publisher | SAGE |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | nottingham-398782020-05-04T16:45:29Z https://eprints.nottingham.ac.uk/39878/ What is a return to work after stroke?: 12 month work outcomes in a feasibility trial Sinclair, Emma Radford, Kathryn A. Grant, Mary Terry, Jane Background: Return to work (RTW) is an outcome in determining the effectiveness of rehabilitation post-stroke. However, stroke survivors (SS) may return to different roles with altered work status. Income, hours, responsibilities and job-satisfaction may be reduced. SS may be dissatisfied if unable to resume apriori work status; alternatively adjusted work status may be viewed positively if perceived as a way of reducing the risk of another stroke. The purpose of this study was to explore what is meant by RTW. Method: Information about the nature of RTW (job type, hours, roles, responsibilities) was extracted from 3, 6 and 12 month follow-up postal questionnaires in 46 SS participants in a feasibility randomised controlled trial investigating effectiveness of a vocational rehabilitation intervention. Results/Findings: Participants took a mean 90 (SD:70, range 7-227) days to RTW. 19/46 reported working at 12 months. In 17 who supplied complete data, 7(41%) reported reduced working hours. Participants incurred a mean wage loss of 44% against pre-stroke earnings. 10/17(59%) participants were in the same job with the same employer and 6(35%) were working in different/modified jobs (1 missing:). 10/17(59%) had work-place adjustments. 18/46 (39%) participants were happy with their work situation. Discussion: Participants experienced marked changes in work status post-stroke, with implications for job-satisfaction, financial security and quality of life. Research into psychological adjustment following altered vocational status in SS is warranted. Conclusion: RTW is a complex outcome and may not translate to a return to pre-stroke vocational status. It is important to consider what constitutes a RTW following stroke. SAGE 2014-03-05 Article PeerReviewed Sinclair, Emma, Radford, Kathryn A., Grant, Mary and Terry, Jane (2014) What is a return to work after stroke?: 12 month work outcomes in a feasibility trial. Clinical Rehabilitation, 28 (4). pp. 403-415. ISSN 1477-0873 http://dx.doi.org/10.1177/0269215513506172 doi:10.1177/0269215513506172 doi:10.1177/0269215513506172 |
| spellingShingle | Sinclair, Emma Radford, Kathryn A. Grant, Mary Terry, Jane What is a return to work after stroke?: 12 month work outcomes in a feasibility trial |
| title | What is a return to work after stroke?: 12 month work outcomes in a feasibility trial |
| title_full | What is a return to work after stroke?: 12 month work outcomes in a feasibility trial |
| title_fullStr | What is a return to work after stroke?: 12 month work outcomes in a feasibility trial |
| title_full_unstemmed | What is a return to work after stroke?: 12 month work outcomes in a feasibility trial |
| title_short | What is a return to work after stroke?: 12 month work outcomes in a feasibility trial |
| title_sort | what is a return to work after stroke?: 12 month work outcomes in a feasibility trial |
| url | https://eprints.nottingham.ac.uk/39878/ https://eprints.nottingham.ac.uk/39878/ https://eprints.nottingham.ac.uk/39878/ |