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Feasibility of the community-based Stay at Work Intervention (SAWI) for stroke survivors
journal contribution
posted on 2023-02-10, 04:29 authored by Alyna TurnerAlyna Turner, TJ De Wet, J McMurray, A Wrobel, H Smith, Ben ClissoldBen Clissold, Mohammadreza MohebbiMohammadreza Mohebbi, I KneeboneBACKGROUND: Rates of stroke in people of working age are increasing. Returning to work (RTW) after stroke is a key rehabilitation aspiration for younger stroke survivors. A pilot community-based Stay at Work Initiative (SAWI) was developed and delivered from March 2017 to December 2019. SAWI used a co-ordination based approach, covering rehabilitation and vocational recovery to support RTW in younger stroke survivors. OBJECTIVE: The aim of the study was to conduct a feasibility evaluation of SAWI. METHODS: A mixed methods approach was taken considering quantitative and qualitative data. Quantitative data included employment, mood, anxiety and fatigue outcomes at time of engagement with the service and at 6-months post-stroke. Qualitative data was collected on a sub-sample of SAWI clients who volunteered to participate in a semi-structured interview. RESULTS: Overall, there were 93 referrals to SAWI, with 42 clients completing an initial service meeting. Average working hours pre-stroke were high (mean 46.9, SD 22.0, range 5–100 hours/week). By 6 months post stroke, 71% (n = 29 of 41) of SAWI clients were working. For those with 6-month questionnaire information (n = 19), there was a significant reduction in cognitive fatigue, overall fatigue levels, and perceived impact of stroke on employment (medium effect sizes of r = 0.36, 0.34 and 0.40 respectively). No significant difference was seen on measures of mood or anxiety from pre- to post-intervention. Qualitative interviews with six SAWI participants highlighted the importance of personalised support that addresses individual needs during the RTW journey. CONCLUSIONS: A significant number of eligible participants referred to SAWI can engage with the service. RTW is able to be assessed as are potential predictor variables. Seventy one percent of participants had RTW at 6 months post-stroke. Mood, self-efficacy, adjustment, and fatigue likely impact RTW. Qualitative interviews identified that SAWI’s personalised support, tailored to individual need, was valued.
History
Journal
Journal of Vocational RehabilitationVolume
57Pagination
151-164Publisher DOI
ISSN
1052-2263eISSN
1878-6316Language
EnglishPublication classification
C1 Refereed article in a scholarly journalIssue
2Publisher
IOS PRESSUsage metrics
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Keywords
Science & TechnologyLife Sciences & BiomedicineRehabilitationStrokeworkrehabilitationfeasibility studiesreturn to workTRAUMATIC BRAIN-INJURYRETURN-TO-WORKVOCATIONAL-REHABILITATIONADULTSClinical ResearchClinical Trials and Supportive ActivitiesMental HealthBehavioral and Social Science7.1 Individual care needs7 Management of diseases and conditionsMental health3 Good Health and Well BeingSocial Work not elsewhere classified
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