Interventions to Facilitate Return to Work after Stroke: A Systematic Review

Gemma Pearce, Joan O’Donnell, Rebecca Pimentel, Elizabeth Blake and Lynette Mackenzie ()
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Gemma Pearce: School of Health Sciences, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW 2006, Australia
Joan O’Donnell: School of Health Sciences, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW 2006, Australia
Rebecca Pimentel: Occupational Therapy Helping Children, Frenchs Forest, NSW 2086, Australia
Elizabeth Blake: Occupational Therapy Department, Royal North Shore Hospital, St Leonards, NSW 2065, Australia
Lynette Mackenzie: School of Health Sciences, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW 2006, Australia

IJERPH, 2023, vol. 20, issue 15, 1-18

Abstract: Purpose: To gather knowledge about effective return to work interventions for survivors of stroke. Methods: A database search was conducted in MEDLINE, CINAHL, PsycINFO, Scopus, and Web of Science using keywords and medical subject headings. Studies were included if they met the following criteria: (i) studies published in English since the year 2000; (ii) adult patients aged 18–65 with a primary diagnosis of stroke; (iii) working pre-stroke; and (iv) intervention in which one of the primary outcomes is return to work. The methodological quality of included studies was assessed and the evidence synthesised. Results: Twelve studies were included, of which three were randomised controlled trials, four were retrospective studies, one was a cohort study, one was an explorative longitudinal study, one was a pre-post treatment observation study and two were pilot studies. The employment rate at follow-up ranged from 7% to 75.6%. Overall, there was limited published evidence regarding the effectiveness of interventions to promote return to work for this population, and it was unclear if return to pre-stroke work was the goal. Conclusion: A lack of large, controlled trials, variations in follow-up time and the definitions of return to work accounted for the large range of employment rates at follow-up. There is limited published high-quality evidence regarding the effectiveness of interventions to promote return to work in working-age survivors of stroke.

Keywords: stroke; cerebrovascular accident; CVA; work; employment (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2023
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