abstract: 'Objective: Stroke is the greatest cause of disability in adults. A

  quarter of strokes in the UK affect people of working age, yet under

  half of them return to work after stroke. There has been little

  investigation into what constitutes ``return to work{''''} following

  stroke. The aim of this study is to describe the work metrics of stroke

  survivor participants in a feasibility randomized controlled trial of an

  early stroke-specific vocational rehabilitation intervention.

  Methods: Retrospective analysis of trial data. Metrics on work status,

  working hours, workplace accommodations and costs were extracted from

  trial outcomes gathered by postal questionnaire at 3, 6, and 12 months''

  post-randomization for 46 stroke participants in a feasibility

  randomized controlled trial. Participants were randomized to receive

  vocational rehabilitation (intervention) or usual care (control).

  Results: Two-thirds (n = 29; 63\%) of participants returned to work at

  some point in the 12 months following stroke. Participants took a mean

  of 90 days to return to work. Most returned to the same role with an

  existing employer. Only one-third of participants who were employed

  full-time at stroke onset were working full-time at 12 months

  post-stroke. Most participants experienced a reduction in pre-stroke

  earnings. Workplace accommodations were more common among intervention

  group participants. More intervention participants than control

  participants reported satisfaction with work at both 6 and 12 months

  post-randomization.

  Conclusion: This study illustrates the heterogeneous nature of return to

  work and the dramatic impact of stroke on work status, working hours and

  income. Longitudinal research should explore the socioeconomic legacy of

  stroke and include clear definitions of work and accurate measures of

  working hours and income from all sources.'
affiliation: 'Radford, K (Corresponding Author), Univ Nottingham, Queens Med Ctr,
  Nottingham NG7 2UH, England.

  Radford, Kathryn; Grant, Mary, I; Sinclair, Emma J.; Kettlewell, Jade; Watkin, Connor,
  Univ Nottingham, Sch Med, Nottingham NG7 2UH, England.'
article-number: jrm00048
author: Radford, Kathryn and Grant I, Mary and Sinclair, Emma J. and Kettlewell, Jade
  and Watkin, Connor
author-email: Radford@nottingham.ac.uk
author_list:
- family: Radford
  given: Kathryn
- family: Grant I
  given: Mary
- family: Sinclair
  given: Emma J.
- family: Kettlewell
  given: Jade
- family: Watkin
  given: Connor
da: '2023-09-28'
doi: 10.2340/16501977-2647
eissn: 1651-2081
files: []
issn: 1650-1977
journal: JOURNAL OF REHABILITATION MEDICINE
keywords: stroke; rehabilitation; work; brain injuries; vocational rehabilitation
keywords-plus: TO-WORK; REHABILITATION; FACILITATORS; BARRIERS; ADULTS
language: English
month: APR
number: '4'
number-of-cited-references: '45'
orcid-numbers: 'Kettlewell, Jade/0000-0002-6713-4551

  Radford, Kate/0000-0001-6246-3180'
papis_id: 24184903a1aa05893d7fa536c9784889
ref: Radford2020describingreturn
researcherid-numbers: 'Sinclair, Emma/GWM-4590-2022

  Kettlewell, Jade/AAV-6072-2020

  '
times-cited: '10'
title: 'DESCRIBING RETURN TO WORK AFTER STROKE: A FEASIBILITY TRIAL OF 12-MONTH OUTCOMES'
type: article
unique-id: WOS:000531099100001
usage-count-last-180-days: '1'
usage-count-since-2013: '8'
volume: '52'
web-of-science-categories: Rehabilitation; Sport Sciences
year: '2020'