The delivery of the ReWork-Stroke program: A process evaluation

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.

Assessment of Process Evaluations of Complex Stroke Rehabilitation and Secondary Stroke Prevention Trials—A Scoping Review

“…Among the 24 articles, presentation of exclusively PE results (n = 9), exclusively main trial results (n = 6), combined trial results with PE results (n = 2), main trial protocols for understanding of the intervention (n = 5) and similar qualitative article of a trial (n = 2) were analyzed. 12–35 Two (0.2%) articles were disputed by the 2 reviewers as to their eligibility, but the nonconcurrence was settled with the help of the other 2 reviewers. The PRISMA flow diagram is presented in Figure 2.…”

“…33 The Re-Work intervention PE had a case study design, of which there is limited information on its contribution to the analysis. 14…”

“…14–16, 20, 22–24, 26–28 Most of the trials were multicentered (n = 9), out of which AVERT was even a multicountry trial. 12–19, 28…”

“…12 The F@ce intervention evaluation used i-PARIHS (innovative-PARIHS)—MRC to base the research questions, data collection, and the methods employed and customized the PARIHS where the original i-PARIHS concept of recipients is renamed “implementers.” 17 The Re-Work evaluation used the categories analyzed obtained from the logbooks as a framework. 14 The psychological evaluation did not provide clarity on the use of the MRC elements. 15…”

Return to work after COVID-19: Experiences and expectations from the first wave of COVID-19 in Stockholm

“…This dilemma is known from other studies in which RTW has been explored from the perspective of i.e. persons with stroke [36][37][38], spinal cord injury [1,35,39], cancer [40,41], and mental illness [42]. Common for all these groups in a Swedish context, has been the challenge of coordinating the different health system and insurance requirements as well as receiving timely and relevant support.…”