The ReWork-Stroke rehabilitation programme described by use of the TIDieR checklist

Scand J Occup Ther. 2021 Jul;28(5):375-383. doi: 10.1080/11038128.2020.1790654. Epub 2020 Jul 20.

Abstract

Background: About half of those that have had stroke in working age return to work (RTW). Few rehabilitation programmes exist focussing RTW after stroke.

Aim: To produce a clear replicable description of the ReWork-Stroke rehabilitation programme targeting RTW for people of working age who have had stroke.

Materials and methods: The Template for Intervention Description and Replication 12 item checklist was used to describe the ReWork-Stroke programme developed 2013-2014. This paper presents the development, rationale and processes in the programme to enable replication and provide evidence for implementation.

Results: Occupational therapists (OTs) skilled in stroke rehabilitation contribute knowledge about consequences of stroke and coordinate stakeholders involved. The ReWork-Stroke is person-centred, includes individual plans and generic components, consists of a preparation and a work trial phase. During the preparation phase, resources and hindrances for RTW are mapped and a plan for work trial is elaborated. During the work trial phase, the intervention is located at the workplace. The OT conducts recurrent follow-ups and collaborates with employers/co-workers.

Conclusions: A person-centred programme has advantages in its flexibility to meet different needs between people and by this thorough description of ReWork-Stroke, others can replicate the programme and its fidelity and evidence can be strengthened.

Keywords: Return to work; coordination; occupational therapy; rehabilitation; stroke; workplace.

MeSH terms

  • Adult
  • Checklist / standards*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Patient Participation / methods*
  • Return to Work*
  • Stroke Rehabilitation / methods*
  • Stroke Rehabilitation / standards*
  • Sweden
  • Work Engagement*
  • Work Performance / education*