The delivery of the ReWork-Stroke program: A process evaluation.
Ulla Johansson, Annika Öst Nilsson, Annie Hansen Falkdal and 3 others
PMID 34633348WHAT IT FOUND
Two OTs delivered a stroke return-to-work program to 13 clients.
They found workplace visits, building alliances with clients, and coordinating with employers were key. The three-month work trial limit was often too short for clients to fully realize their new limitations.
Key findings
01The program was highly flexible and person-centered, with delivery varying significantly between clients based on individual needs and workplace demands.
02OTs identified building an alliance with the client, locating intervention at the workplace, and coordinating with stakeholders as the primary mechanisms of impact.
03The three-month limit for work trials was perceived as too short, often causing clients to realize the full extent of their limitations only after the trial was ending.
STILL TO COME
How it was doneWhat they foundWhat it means for PTsWhat it means for OTsWhat it means for SLPs
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What it does not show
The study involved only two OTs and 13 clients, limiting generalizability. The data reflects the OTs' perspectives and logbook records, not direct client or employer interviews in this specific paper. The context is specific to the Swedish social insurance system and its regulations regarding work trials. The study is a process evaluation, so it does not measure clinical outcomes or effectiveness of the program.
Declared interests
The authors declare no conflicts of interest. The study was approved by the Regional Ethical Review Board in Stockholm.
The easy way to misread this
Do not interpret this as evidence that the ReWork-Stroke program improves return-to-work rates or clinical outcomes. This is a process evaluation describing how the program was delivered and the OTs' experiences, not a trial measuring effectiveness.