The effect of a workplace intervention programme on return to work after stroke: a randomised controlled trial

Ntsiea, Veronica; Aswegen, H. van; Lord, Susan; Olorunju, Steve

doi:10.1016/j.physio.2015.03.2007

Cited by 19 publications

(49 citation statements)

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“…After screening abstracts, 202 titles matched the inclusion criteria and were read in full text. Thirteen studies examined statistical associations between workplace factors and work retention after ABI and were included after reading full-text articles35–47 (see figure 1 for the full Preferred Reporting Items for Systematic Reviews and Meta-Analyses flowchart and reasons for exclusion).…”

Section: Resultsmentioning

confidence: 99%

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What characterises work and workplaces that retain their employees following acquired brain injury? Systematic review

et al. 2020

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ObjectivesThe objective of this study was to conduct a systematic review assessing workplace factors related to work retention (or return to work) in employees with acquired brain injury (ABI). Additionally, we aimed to synthesise the evidence and state of knowledge on this subject.MethodsA database search was performed in nine relevant electronic databases. Inclusion criteria were quantitative peer-reviewed publications empirically investigating the relationship between work/workplace factors and work retention in employees following ABI. The methodological quality was determined by Effective Public Health Practice Project scoring, and evidence was synthesised narratively.ResultsThirteen studies were included. We found moderate evidence for a negative relationship between manual work and work retention. We also found limited evidence for a U-shaped relationship between workload and complete work retention at 6 months and no relationship at 12 months; a positive relationship between managers, compared with non-managers, and faster work retention; a positive relationship between large enterprise size defined as ≥250 employees, and no relationship between large enterprise size, defined as ≥1000 employees, and work retention.ConclusionRelative to individual factors, there is little evidence on specific workplace factors’ relationship to work retention among employees with ABI. For most workplace factors, there were too few high-quality studies to designate evidence as more than limited or insufficient. Future studies should replicate rigorous studies of well-defined modifiable workplace factors related to work retention.PROSPERO registration numberCRD42018082201.

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Section: Resultsmentioning

confidence: 99%

“…All studies were published in English between 1987 and 2017. The majority of the studies used a longitudinal design (n=11); one used a randomised controlled trial (RCT) design (n=1)43; and one cross-sectional design (n=1) 36. The duration of follow-up or time since injury varied from 6 months to 7 years.…”

Section: Resultsmentioning

confidence: 99%

What characterises work and workplaces that retain their employees following acquired brain injury? Systematic review

et al. 2020

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“…7,22 Our study provides highquality data needed for accurate, bottom-up calculations of the cumulative economic consequences of these common health events. 22 In addition, our identification of high-risk subgroups may assist in targeting interventions, policies and legislation to promote return to work, [23][24][25] which itself is associated with well-being and life satisfaction among those having these health events. 26 Previous studies have attempted to quantify labour market outcomes associated with acute MI, 27-32 stroke 28,29,[33][34][35][36] and cardiac arrest 37 but had substantial methodological limitations.…”

Section: Discussionmentioning

confidence: 99%

Effects of cardiovascular and cerebrovascular health events on work and earnings: a population-based retrospective cohort study

Garland

Jeon

Stepner

et al. 2019

CMAJ

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S erious acute health events can be life-altering, because survivors can experience lasting reductions in functional status and quality of life. The ability to work and earn income-labour market outcomes-are important patientcentred outcomes 1 for individuals of working age, influencing economic well-being, sense of self and quality of life. 2,3 Health events may start a cascade where new disability causes earnings losses, which contribute to cost-related nonadherence to medication, 4 which contributes to worsened and even new health problems. 5,6 Lost productivity and informal care substantially contribute to the economic and societal consequences of health events. 7 Although interventions to ameliorate these consequences may be beneficial, a necessary first step to inform their design and testing is obtaining accurate data on the size of and risk factors for work and earnings losses after common health events in working-age populations. Cardiovascular and cerebrovascular diseases are the most common causes of death worldwide. 8 Specifically, the health events of acute myocardial infarction (MI), cardiac arrest and stroke are common causes of admission to hospital, increasing health care costs, disability and death. 9 One-third of acute MIs, one-quarter of strokes and 40% of cardiac arrests occur in people of working age who are aged 65 years or younger. 10-12 Prior studies of outcomes in the labour market after these health events have had serious methodological limitations or RESEARCH VULNERABLE POPULATIONS

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“…International konnten neurologische Rehabilitationsmaßnahmen mit einem konkreten Bezug zum Arbeitsplatz ein dreimal besseres Outcome hinsichtlich des erfolgreichen RTW als Maßnahmen ohne Arbeitsplatzbezug bescheinigt werden [39]. National gelang bisher kein Überlegenheitsnachweis der MBOR in der Neurologie im Vergleich zur herkömmlichen Rehabilitation, wobei nur eine randomisierte kontrollierte Studie vorliegt [13,14].…”

Section: Mbor In Der Neurologieunclassified

Die Medizinisch-beruflich orientierte Rehabilitation (MBOR) in der Neurologie erfordert eine individualisierte Rehabilitandenidentifikation

Leniger

Heßling

2019

Fortschr Neurol Psychiatr

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ZusammenfassungZur Erhöhung einer erfolgreichen beruflichen Wiedereingliederung nach akuter oder bei chronischer Erkrankung entwickelte die Deutsche Rentenversicherung die medizinisch-beruflich orientierte Rehabilitation (MBOR) als strategische Weiterentwicklung der herkömmlichen medizinischen Rehabilitation. Obwohl in einigen Indikationen bereits Überlegenheitsnachweise der MBOR gegenüber der herkömmlichen Rehabilitation hinsichtlich der beruflichen Wiedereingliederung vorliegen, gelang dies für die Neurologie bisher noch nicht. Aktuelle Studien zur MBOR in der Neurologie verweisen auf die Vielschichtigkeit klinisch anamnestischer Charakteristika der MBOR-Zielgruppe, die eine Definition einer besonderen beruflichen Problemlage (BBPL) als Zugangsvoraussetzung in die neurologische MBOR erschwert. Zudem beeinflussen die heterogenen Störungsbilder, die zahlreichen Komorbiditäten und die Rehabilitationsform (AHB, HV) eine BBPL-Identifikation maßgeblich. So identifizieren standardisierte BBPL-Screeninginstrumente mit dem Fokus auf sozialmedizinische Kriterien eine BBPL unzureichender als eine Individualanamnese. In der Neurologie empfiehlt sich trotz höheren Aufwands ein individualisiertes BBPL-Screening zur Beginn der Rehabilitationsmaßnahme.

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The effect of a workplace intervention programme on return to work after stroke: a randomised controlled trial

Cited by 19 publications

References 0 publications

What characterises work and workplaces that retain their employees following acquired brain injury? Systematic review

What characterises work and workplaces that retain their employees following acquired brain injury? Systematic review

Effects of cardiovascular and cerebrovascular health events on work and earnings: a population-based retrospective cohort study

Die Medizinisch-beruflich orientierte Rehabilitation (MBOR) in der Neurologie erfordert eine individualisierte Rehabilitandenidentifikation

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