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- Johansson, Ulla, et al.
(författare)
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The delivery of the ReWork-Stroke program : A process evaluation
- 2021
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Ingår i: Work. - : IOS Press. - 1051-9815 .- 1875-9270. ; 70:2, s. 467-478
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: The ReWork-Stroke program was developed to meet the need for a person-centered rehabilitation program addressing return to work after stroke and was provided by occupational therapists (OTs). OBJECTIVE: To gain knowledge on the implementation process of the ReWork-Stroke program, the mechanisms of impact, and the contextual factors that might have affected the process. METHODS: A case study design was used. Data were collected by interviews with two ReWork-Stroke providers and their logbooks of 13 clients. Content analysis was applied. RESULTS: The ReWork-Stroke program varied in duration (12-48 weeks) and was largely implemented according to plan regarding components and how they were provided. It was mostly delivered at the workplace. Mechanisms of impact were building alliances with clients, providing intervention at the workplace, informing about stroke, assigning co-workers as tutors for clients, and collaboration between stakeholders. CONCLUSIONS: The ReWork-Stroke program can be implemented according to plan and is a flexible person-centered program in which stakeholders, coordinated by an OT, plan and take actions, mostly at the workplace, for the client's return to work. A key factor was recognizing the current work ability after stroke. Further program development includes a more structured evaluation and technical solutions for supporting stakeholders.
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| 3. |
- Johansson, Ulla, et al.
(författare)
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The ReWork-Stroke rehabilitation programme described by use of the TIDieR checklist
- 2021
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Ingår i: Scandinavian Journal of Occupational Therapy. - : Taylor & Francis. - 1103-8128 .- 1651-2014. ; 28:5, s. 375-383
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Tidskriftsartikel (refereegranskat)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.
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- Nilsson, Annika Öst, et al.
(författare)
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Experiences of the return to work process after stroke while participating in a person-centred rehabilitation programme
- 2017
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Ingår i: Scandinavian Journal of Occupational Therapy. - : Informa UK Limited. - 1103-8128 .- 1651-2014. ; 24:5, s. 349-356
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Tidskriftsartikel (refereegranskat)abstract
- Background: In Sweden, less than 50% of those getting stroke in working age return to work (RTW). Effective rehabilitation programmes need to be developed and therapeutic aspects understood.Aim: To explore and describe how persons with stroke experience their RTW process while participating in a person-centred rehabilitation programme focusing on RTW.Materials and methods: Seven persons with mild or moderate stroke were interviewed twice during the intervention in the vocational training phase using semi-structured interviews. Data were analysed using grounded theory.Results: Having a coordinator by their side gave support and guidance during the RTW process. Knowledge of stroke, strategies and a straightforward communication created a structure for the RTW process. Expressing one's own wishes increased opportunities to influence and decide which path to follow in order to reach the goal.Conclusion: Straightforward, open and recurring communication facilitated the possibility to adapt to the situation. These aspects increased insight and awareness which facilitated the RTW process.Significance: The findings indicate that a precondition for a fruitful RTW process was that suitable platforms at work were created in which the actors involved could cooperate. This knowledge might also be valuable in the RTW process for people with other diagnosis.
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- Öst Nilsson, Annika, et al.
(författare)
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Being a co-worker or a manager of a colleague returning to work after stroke : A challenge facilitated by cooperation and flexibility
- 2020
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Ingår i: Scandinavian Journal of Occupational Therapy. - : TAYLOR & FRANCIS LTD. - 1103-8128 .- 1651-2014. ; 27:3, s. 213-222
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Tidskriftsartikel (refereegranskat)abstract
- Background: The process of return to work is complex. Knowledge is scarce regarding the experiences from co-workers and employers about this process.Aim: To explore and describe how co-workers and managers experience the return to work process involving a colleague with stroke who is participating in a person-centred rehabilitation programme focusing on return to work including a work trial.Material and methods: Seven co-workers and four managers were interviewed during the work trial of a colleague with stroke.Results: Being a co-worker or manager was related to various challenging experiences; the emotional challenge of being a supportive co-worker or manager, the challenging experience of having too much responsibility, and the challenge of being supportive despite a lack of knowledge.Conclusions: The participants placed value on having support from the coordinator for handling different challenges, but despite this they experienced difficulties in being a valuable support. The limited time of work trial and occasional lack of support from the employer were aggravating aspects.
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| 6. |
- Öst Nilsson, Annika
(författare)
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ReWork-Stroke : content and experiences of a person-centred rehabilitation programme for return to work after stroke
- 2019
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- The process of return to work (RTW) after stroke is complex, less than half of those having stroke in working ages RTW. Guidelines targeting RTW in Sweden is lacking. The overall aim was to enhance the knowledge regarding rehabilitation for return to work after stroke and to explore how the person-centred rehabilitation programme ReWork-Stroke was translated into practice, for people who worked before their stroke, as well as the experiences of the involved stakeholders. Additionally, the aim was to explore changes in work potential and work performance while participating in the rehabilitation programme. Methods: Study I used a descriptive case study design to explore and describe the core elements of the ReWork-Stroke programme as they were documented by the coordinators, and their experiences of providing the programme to people who had had a stroke. The two interviews with the coordinators and their logbooks were analysed using content analysis. Study II applied a grounded theory approach in order to explore and describe how people that had had a stroke experienced the RTW process while participating in a person-centred rehabilitation programme focusing on RTW. Seven persons with mild or moderate stroke were interviewed twice at their work place during their work-trial. Study III was inspired by grounded theory aiming to explore and describe how co-workers and managers experienced the RTW process involving a colleague who had had stroke and participated in a person-centred rehabilitation programme focusing on RTW including a work-trial. Sixteen interviews were conducted with seven co-workers and four managers during the work-trial of a colleague who had had stroke. Study IV used a mixed method approach with an explanatory sequential design in order to explore changes in work potential and work performance while participating in a person-centred rehabilitation programme for people who worked before their stroke. Results: Time use, place and format for elements in the programme varied between clients. Core elements identified were: make aware of consequences of stroke; provide information to stakeholders; use of strategies to handle work tasks; assessments, goalsetting and evaluation of work ability; planning/follow up of work trial. The coordinators experienced their role to build an alliance between stakeholders and to give support and guidance during the RTW process. Knowledge of stroke, strategies and a straightforward communication facilitated the possibility to adapt to the situation for the persons that had had stroke. The co-workers and managers experienced various challenges; the emotional challenge of being a supportive co-worker or manager, the challenging experience of having too much responsibility and the challenge of being supportive despite lack of knowledge. Changes in work potential and work performance varied among the participants and were mostly in a positive direction. Various strategies were used by the coordinators in cooperation with those involved at the work place to handle the different needs. Conclusion: The ReWork-Stroke programme included various elements adapted to the needs of the individuals. The involvement of the coordinator seemed to facilitate the RTW process and collaboration among the different stakeholders. Establishing a commitment between the employer and all involved stakeholders was of importance.
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| 7. |
- Öst Nilsson, Annika, et al.
(författare)
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Work Potential and Work Performance during the First Try-Out of the Person-Centred Return to Work Rehabilitation Programme ReWork-Stroke : A Case Study
- 2020
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Ingår i: Healthcare. - : MDPI. - 2227-9032. ; 8:4
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Tidskriftsartikel (refereegranskat)abstract
- Background: This case study explores changes in work potential and work performance for ten people who worked before their stroke while participating in the ReWork-Stroke programme. It describes measures performed by the occupational therapists to enhance work potential and work performance and the participants' level of work re-entry nine months after the start of their work trial.Methods: Ten people who had experienced a mild or moderate stroke participated. Changes were assessed using the Worker Role Interview and the Assessment of Work Performance. Logbooks relating to work potential and work performance were analysed using content analysis.Results: The participants' work potential was in general supportive to returning to work at baseline and remained so at the three-month follow-up. Most changes occurred in the environmental factors regarding the participants' belief that adaptations at the workplace would make re-entry possible. Changes concerning work performance were predominately in a positive direction. Seven of the participants returned to paid work.Conclusion: The ReWork-Stroke programme seems promising for promoting changes in work potential, work performance, and return to paid work. However, further studies are needed to evaluate changes in work potential and work performance and the programme's effectiveness for increasing work re-entry for people who have had stroke.
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