Return to work after stroke: feasibility six year follow-up
Background: In a feasibility trial of early occupational therapy vocational rehabilitation (VR), more VR participants were in work at 12 months compared to those who received usual NHS rehabilitation after stroke (UC) (11 [65%] v 6 [35%]) (Radford et al., 2013). However, the longer-term is unknown...
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| Format: | Article |
| Language: | English English |
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College of Occupational Therapists
2018
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| Online Access: | https://eprints.nottingham.ac.uk/50605/ |
| _version_ | 1848798294492315648 |
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| author | Phillips, Julie |
| author_facet | Phillips, Julie |
| author_sort | Phillips, Julie |
| building | Nottingham Research Data Repository |
| collection | Online Access |
| description | Background: In a feasibility trial of early occupational therapy vocational rehabilitation (VR), more VR participants were in work at 12 months compared to those who received usual NHS rehabilitation after stroke (UC) (11 [65%] v 6 [35%]) (Radford et al., 2013). However, the longer-term is unknown.
Aim: To follow up and explore work status six years post stroke.
Method: Postal questionnaires measuring employment, income, mood, functional ability and quality of life (QoL) were sent to participants in an earlier feasibility trial by the lead stroke clinician. Respondents were invited to participate in interviews exploring working six years after stroke. Ethical and HRA approvals obtained (REC 16/EM/0423)
Results: Of 48 identified participants, five (10.4%) had died; 19/43 (44.2%) responded. Fourteen were men; mean age 62 (24-78) years. Respondents classified themselves as in paid work 10/19 (53%), voluntary work 3/19 (16%), full time education 1/19 (5%) and solely retired 5/19 (26%). Six respondents were working over the age of 65 (26.3%). Most remained with preinjury employers (11/13). Half (8/15 53%) reported a decrease in income since stroke. Compared to one year, mean functional ability improved marginally from 56.6 (SD 12) to 59.4 (SD 9) but quality of life reduced from mean 77.4 (SD 11) vs 70.7 (SD14). Six interviewees felt working was the correct decision but lacked support with invisible impairments (fatigue, memory) which impacted workability.
Conclusion: Work remains important to stroke survivors. Vocational rehabilitation should address hidden disabilities. Response bias may have influenced these findings. |
| first_indexed | 2025-11-14T20:17:29Z |
| format | Article |
| id | nottingham-50605 |
| institution | University of Nottingham Malaysia Campus |
| institution_category | Local University |
| language | English English |
| last_indexed | 2025-11-14T20:17:29Z |
| publishDate | 2018 |
| publisher | College of Occupational Therapists |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | nottingham-506052018-06-10T18:25:38Z https://eprints.nottingham.ac.uk/50605/ Return to work after stroke: feasibility six year follow-up Phillips, Julie Background: In a feasibility trial of early occupational therapy vocational rehabilitation (VR), more VR participants were in work at 12 months compared to those who received usual NHS rehabilitation after stroke (UC) (11 [65%] v 6 [35%]) (Radford et al., 2013). However, the longer-term is unknown. Aim: To follow up and explore work status six years post stroke. Method: Postal questionnaires measuring employment, income, mood, functional ability and quality of life (QoL) were sent to participants in an earlier feasibility trial by the lead stroke clinician. Respondents were invited to participate in interviews exploring working six years after stroke. Ethical and HRA approvals obtained (REC 16/EM/0423) Results: Of 48 identified participants, five (10.4%) had died; 19/43 (44.2%) responded. Fourteen were men; mean age 62 (24-78) years. Respondents classified themselves as in paid work 10/19 (53%), voluntary work 3/19 (16%), full time education 1/19 (5%) and solely retired 5/19 (26%). Six respondents were working over the age of 65 (26.3%). Most remained with preinjury employers (11/13). Half (8/15 53%) reported a decrease in income since stroke. Compared to one year, mean functional ability improved marginally from 56.6 (SD 12) to 59.4 (SD 9) but quality of life reduced from mean 77.4 (SD 11) vs 70.7 (SD14). Six interviewees felt working was the correct decision but lacked support with invisible impairments (fatigue, memory) which impacted workability. Conclusion: Work remains important to stroke survivors. Vocational rehabilitation should address hidden disabilities. Response bias may have influenced these findings. College of Occupational Therapists 2018-03-19 Article PeerReviewed application/pdf en https://eprints.nottingham.ac.uk/50605/1/UKOTRF%20Key%20findings%20J%20Phillips%20final.pdf application/pdf en https://eprints.nottingham.ac.uk/50605/7/Revised%20UKOTRF%20Report%20-%20accepted%20final%20version%2015.1.2018.pdf Phillips, Julie (2018) Return to work after stroke: feasibility six year follow-up. UK Occupational Therapy Research Funding . Neurological practice Occupational therapy Long term conditions https://www.rcot.co.uk/sites/default/files/UKOTRF%20Key%20findings%20J%20Phillips%20final_0.pdf |
| spellingShingle | Neurological practice Occupational therapy Long term conditions Phillips, Julie Return to work after stroke: feasibility six year follow-up |
| title | Return to work after stroke: feasibility six year follow-up |
| title_full | Return to work after stroke: feasibility six year follow-up |
| title_fullStr | Return to work after stroke: feasibility six year follow-up |
| title_full_unstemmed | Return to work after stroke: feasibility six year follow-up |
| title_short | Return to work after stroke: feasibility six year follow-up |
| title_sort | return to work after stroke: feasibility six year follow-up |
| topic | Neurological practice Occupational therapy Long term conditions |
| url | https://eprints.nottingham.ac.uk/50605/ https://eprints.nottingham.ac.uk/50605/ |