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

Author:

Johansson Ulla1,Nilsson Annika Öst12,Falkdal Annie Hansen3,von Koch Lena45,Hellman Therese6,Eriksson Gunilla27

Affiliation:

1. Centre for Research & Development, Uppsala University, Gävle, Sweden

2. Department of Neurobiology, Care Sciences and Society, Division of Occupational Therapy, Karolinska Institutet, Huddinge, Sweden

3. Department of Community Medicine and Rehabilitation, Occupational Therapy, Umeå University, Umeå, Sweden

4. Neuro Theme, Karolinska University Hospital, Stockholm, Sweden

5. Department of Neurobiology, Care Sciences and Society, Division of Family Medicine and Primary Care, Karolinska Institutet, Huddinge, Sweden

6. Department of Medical Sciences, Occupational and Environmental Medicine, Uppsala University, Uppsala, Sweden

7. Department of Neuroscience, Rehabilitation Medicine, Uppsala University, Uppsala, Sweden

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.

Publisher

IOS Press

Subject

Public Health, Environmental and Occupational Health,Rehabilitation

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