A Tailored Occupational Therapist-Led Vocational Intervention for People With Stroke: Protocol for a Pilot Randomized Controlled Trial

被引：2

作者：

O'Keefe, Sophie ^{[1
,2
]}

Radford, Kathryn ^{[3
]}

Farrin, Amanda ^{[4
]}

Oakman, Jodi ^{[5
]}

Alves-Stein, Serena ^{[6
,7
]}

Cloud, Geoffrey ^{[7
,8
]}

Douglas, Jacinta ^{[9
]}

Stanley, Mandy ^{[10
]}

Lannin, Natasha A. ^{[1
,7
,11
]}

机构：

[1] La Trobe Univ, Sch Allied Hlth Human Serv & Sport, Melbourne, Vic, Australia

[2] Monash Univ, Dept Occupat Therapy, Frankston, Australia

[3] Univ Nottingham, Nottingham, England

[4] Univ Leeds, Inst Clin Trials Res, Leeds, W Yorkshire, England

[5] La Trobe Univ, Sch Psychol & Publ Hlth, Ctr Ergon & Human Factors, Bundoora, Vic, Australia

[6] Alfred Hlth, Dept Occupat Therapy, Prahran, Vic, Australia

[7] Monash Univ, Dept Neurosci, Melbourne, Vic, Australia

[8] Alfred Hlth, Dept Neurol, Prahran, Vic, Australia

[9] La Trobe Univ, Sch Allied Hlth, Living Disabil Res Ctr, Bundoora, Vic, Australia

[10] Edith Cowan Univ, Sch Med & Hlth Sci, Joondalup, Australia

[11] Alfred Hlth, Prahran, Vic, Australia

来源：

JMIR RESEARCH PROTOCOLS | 2022年 / 11卷 / 10期

关键词：

return to work; vocational rehabilitation; acquired brain injury; stroke; traumatic brain injury; neuroscience; rehabilitation; intervention; feasibility; stroke recovery; resume work; PATIENTS EXPERIENCES; WORK; RETURN; OUTCOMES; ADULTS; SCALE;

D O I：

10.2196/40548

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

Background: Resuming work after stroke is a common goal of working-age adults, yet there are few vocational rehabilitation programs designed to address the unique challenges faced following stroke. The Work intervention was developed to address these gaps. Objective: This paper presents a protocol that outlines the steps that will be undertaken to pilot both the intervention and trial processes for the Work trial. Methods: The Work trial is a 2-arm, prospective, randomized, blinded-assessor study with intention-to-treat analysis. A total of 54 adults of working age who have experienced a stroke <4 months prior will be randomized 1:1 to either (1) an experimental group who will receive a 12-week early vocational intervention (Work intervention) plus usual clinical rehabilitation or (2) a control group who will receive only their usual clinical rehabilitation. Results: Outcomes include study and intervention feasibility and intervention benefit. In addition to evaluating the feasibility of delivering vocational intervention early after stroke, benefit will be assessed by measuring rates of vocational participation and quality-of-life improvements at the 3- and 6-month follow-ups. Process evaluation using data collected during the study, as well as postintervention individual interviews with participants and surveys with trial therapists, will complement quantitative data. Conclusions: The results of the trial will provide details on the feasibility of delivering the Work intervention embedded within the clinical rehabilitation context and inform future trial processes. Pilot data will enable a future definitive trial to determine the clinical effectiveness of vocational rehabilitation when delivered in the early subacute phase of stroke recovery. Trial Registration: Australian New Zealand Clinical Trials Registry ACTRN12619001164189; https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=378112&isReview=true International Registered Report Identifier (IRRID): DERR1-10.2196/40548

引用

页数：7

共 25 条

[1]

[Anonymous], 2016, Commissioning guidance for rehabilitation

[2]

[Anonymous], 2018, National stroke audit: rehabilitation services report 2018

[3] Outcomes validity and reliability of the modified Rankin scale: Implications for stroke clinical trials - A literature review and synthesis [J].