What is a return to work after stroke?: 12 month work outcomes in a feasibility trial

Sinclair, Emma and Radford, Kathryn A. and Grant, Mary and Terry, Jane (2014) What is a return to work after stroke?: 12 month work outcomes in a feasibility trial. Clinical Rehabilitation, 28 (4). pp. 403-415. ISSN 1477-0873

Full text not available from this repository.



Return to work (RTW) is an outcome in determining the effectiveness of rehabilitation post-stroke. However, stroke survivors (SS) may return to different roles with altered work status. Income, hours, responsibilities and job-satisfaction may be reduced. SS may be dissatisfied if unable to resume apriori work status; alternatively adjusted work status may be viewed positively if perceived as a way of reducing the risk of another stroke. The purpose of this study was to explore what is meant by RTW.


Information about the nature of RTW (job type, hours, roles, responsibilities) was extracted from 3, 6 and 12 month follow-up postal questionnaires in 46 SS participants in a feasibility randomised controlled trial investigating effectiveness of a vocational rehabilitation intervention.


Participants took a mean 90 (SD:70, range 7-227) days to RTW. 19/46 reported working at 12 months. In 17 who supplied complete data, 7(41%) reported reduced working hours. Participants incurred a mean wage loss of 44% against pre-stroke earnings. 10/17(59%) participants were in the same job with the same employer and 6(35%) were working in different/modified jobs (1 missing:). 10/17(59%) had work-place adjustments. 18/46 (39%) participants were happy with their work situation.


Participants experienced marked changes in work status post-stroke, with implications for job-satisfaction, financial security and quality of life. Research into psychological adjustment following altered vocational status in SS is warranted.


RTW is a complex outcome and may not translate to a return to pre-stroke vocational status. It is important to consider what constitutes a RTW following stroke.

Item Type: Article
RIS ID: https://nottingham-repository.worktribe.com/output/725811
Additional Information: Proceedings of the SRR Summer 2013 Meeting
Schools/Departments: University of Nottingham, UK > Faculty of Medicine and Health Sciences > School of Medicine > Division of Rehabilitation and Ageing
Identification Number: https://doi.org/10.1177/0269215513506172
Depositing User: Dziunka, Patricia
Date Deposited: 17 Jan 2017 09:47
Last Modified: 04 May 2020 16:45
URI: https://eprints.nottingham.ac.uk/id/eprint/39878

Actions (Archive Staff Only)

Edit View Edit View