M V Ntsiea1, H Van Aswegen2, S Lord3, S Olorunju S4. 1. Department of Physiotherapy, Faculty of Health Sciences, School of Therapeutic Sciences, University of the Witwatersrand, Johannesburg, South Africa Veronica.Ntsiea@wits.ac.za. 2. Department of Physiotherapy, Faculty of Health Sciences, School of Therapeutic Sciences, University of the Witwatersrand, Johannesburg, South Africa. 3. Institute of Neuroscience, Newcastle University, UK. 4. Biostatistics Unit, Medical Research Council of South Africa, South Africa.
Abstract
OBJECTIVE: To determine the effect of a workplace intervention programme on the rate of return to work of previously employed stroke survivors in the Gauteng province of South Africa. DESIGN: A randomised controlled trial. SETTING:Participants' workplaces and three hospitals with stroke rehabilitation facilities. SUBJECTS:Eighty stroke survivors between the ages of 18 and 60 years who were employed at the time of stroke onset. INTERVENTION: The workplace intervention programme was tailored according to functional ability and workplace challenges of each stroke survivor. The control group received usual stroke care which took into consideration job requirements but without workplace intervention. MAIN OUTCOMES: The primary outcome was return to work rate. Secondary outcomes included activities of daily living (ADLs), mobility, basic cognitive function and perceived quality of life. RESULTS: At six months follow-up 60% (n = 24) of stroke survivors in the intervention group returned to work compared to 20% (n = 8) in the control group (P <0.001). The odds ratio for return to work for stroke survivors in the intervention group was 5.2. For every unit increase in the ADLs and cognitive assessment score, the odds of return to work increased by 1.7 and 1.3 respectively; those who returned to work had better quality of life than those who did not return to work (P = 0.05). CONCLUSION: A workplace intervention consisting of workability assessments and workplace visits was effective in facilitating return to work for stroke survivors in the Gauteng province of South Africa.
RCT Entities:
OBJECTIVE: To determine the effect of a workplace intervention programme on the rate of return to work of previously employed stroke survivors in the Gauteng province of South Africa. DESIGN: A randomised controlled trial. SETTING:Participants' workplaces and three hospitals with stroke rehabilitation facilities. SUBJECTS: Eighty stroke survivors between the ages of 18 and 60 years who were employed at the time of stroke onset. INTERVENTION: The workplace intervention programme was tailored according to functional ability and workplace challenges of each stroke survivor. The control group received usual stroke care which took into consideration job requirements but without workplace intervention. MAIN OUTCOMES: The primary outcome was return to work rate. Secondary outcomes included activities of daily living (ADLs), mobility, basic cognitive function and perceived quality of life. RESULTS: At six months follow-up 60% (n = 24) of stroke survivors in the intervention group returned to work compared to 20% (n = 8) in the control group (P <0.001). The odds ratio for return to work for stroke survivors in the intervention group was 5.2. For every unit increase in the ADLs and cognitive assessment score, the odds of return to work increased by 1.7 and 1.3 respectively; those who returned to work had better quality of life than those who did not return to work (P = 0.05). CONCLUSION: A workplace intervention consisting of workability assessments and workplace visits was effective in facilitating return to work for stroke survivors in the Gauteng province of South Africa.
Authors: Nicole Vogel; Stefan Schandelmaier; Thomas Zumbrunn; Shanil Ebrahim; Wout El de Boer; Jason W Busse; Regina Kunz Journal: Cochrane Database Syst Rev Date: 2017-03-30
Authors: Louise K Hoeffding; Maria Haahr Nielsen; Morten A Rasmussen; Anne Norup; Juan Carlos Arango-Lasprilla; Ulrikka K Kjær; Kristoffer Sølvsten Burgdorf; Kirsten Jensen Quas; Trine Schow Journal: Trials Date: 2017-08-10 Impact factor: 2.279
Authors: Caroline H van Dongen; Paulien H Goossens; Inge E van Zee; Kirsten N Verpoort; Thea P M Vliet Vlieland; Judith M van Velzen Journal: J Occup Rehabil Date: 2018-09