Feasibility of the community-based Stay at Work Intervention (SAWI) for stroke survivors

Turner, A; De Wet, TJ; McMurray, J; Wrobel, A; Smith, H; Clissold, B; Mohebbi, M; Kneebone, I

Feasibility of the community-based Stay at Work Intervention (SAWI) for stroke survivors

Turner, A De Wet, TJ McMurray, J Wrobel, A Smith, H Clissold, B Mohebbi, M Kneebone, I

Permalink

Publisher:: IOS Press
Publication Type:: Journal Article
Citation:: Journal of Vocational Rehabilitation, 2022, 57, (2), pp. 151-164
Issue Date:: 2022-01-01

Closed Access

	Filename	Description	Size
	19828127_9363828380005671.pdf		254.61 kB	Adobe PDF	View/Open

Copyright Clearance Process

Recently Added
In Progress
Closed Access

This item is closed access and not available.

Full metadata record

Field	Value	Language
dc.contributor.author	Turner, A
dc.contributor.author	De Wet, TJ
dc.contributor.author	McMurray, J
dc.contributor.author	Wrobel, A
dc.contributor.author	Smith, H
dc.contributor.author	Clissold, B
dc.contributor.author	Mohebbi, M
dc.contributor.author	Kneebone, I https://orcid.org/0000-0003-3324-7264
dc.date.accessioned	2022-11-14T03:19:25Z
dc.date.available	2022-11-14T03:19:25Z
dc.date.issued	2022-01-01
dc.identifier.citation	Journal of Vocational Rehabilitation, 2022, 57, (2), pp. 151-164
dc.identifier.issn	1052-2263
dc.identifier.issn	1878-6316
dc.identifier.uri	http://hdl.handle.net/10453/163435
dc.description.abstract	BACKGROUND: Rates of stroke in people of working age are increasing. Returning to work (RTW) after stroke is a key rehabilitation aspiration for younger stroke survivors. A pilot community-based Stay at Work Initiative (SAWI) was developed and delivered from March 2017 to December 2019. SAWI used a co-ordination based approach, covering rehabilitation and vocational recovery to support RTW in younger stroke survivors. OBJECTIVE: The aim of the study was to conduct a feasibility evaluation of SAWI. METHODS: A mixed methods approach was taken considering quantitative and qualitative data. Quantitative data included employment, mood, anxiety and fatigue outcomes at time of engagement with the service and at 6-months post-stroke. Qualitative data was collected on a sub-sample of SAWI clients who volunteered to participate in a semi-structured interview. RESULTS: Overall, there were 93 referrals to SAWI, with 42 clients completing an initial service meeting. Average working hours pre-stroke were high (mean 46.9, SD 22.0, range 5-100 hours/week). By 6 months post stroke, 71% (n = 29 of 41) of SAWI clients were working. For those with 6-month questionnaire information (n = 19), there was a significant reduction in cognitive fatigue, overall fatigue levels, and perceived impact of stroke on employment (medium effect sizes of r = 0.36, 0.34 and 0.40 respectively). No significant difference was seen on measures of mood or anxiety from pre- to post-intervention. Qualitative interviews with six SAWI participants highlighted the importance of personalised support that addresses individual needs during the RTW journey. CONCLUSIONS: A significant number of eligible participants referred to SAWI can engage with the service. RTW is able to be assessed as are potential predictor variables. Seventy one percent of participants had RTW at 6 months post-stroke. Mood, self-efficacy, adjustment, and fatigue likely impact RTW. Qualitative interviews identified that SAWI's personalised support, tailored to individual need, was valued.
dc.language	en
dc.publisher	IOS Press
dc.relation.ispartof	Journal of Vocational Rehabilitation
dc.relation.isbasedon	10.3233/JVR-221206
dc.rights	info:eu-repo/semantics/closedAccess
dc.subject	1607 Social Work
dc.subject.classification	Rehabilitation
dc.title	Feasibility of the community-based Stay at Work Intervention (SAWI) for stroke survivors
dc.type	Journal Article
utslib.citation.volume	57
utslib.for	1607 Social Work
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/Graduate School of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/Graduate School of Health/GSH.Clinical Psychology
utslib.copyright.status	closed_access	*
pubs.consider-herdc	false
dc.date.updated	2022-11-14T03:19:23Z
pubs.issue	2
pubs.publication-status	Published
pubs.volume	57
utslib.citation.issue	2

Abstract:

BACKGROUND: Rates of stroke in people of working age are increasing. Returning to work (RTW) after stroke is a key rehabilitation aspiration for younger stroke survivors. A pilot community-based Stay at Work Initiative (SAWI) was developed and delivered from March 2017 to December 2019. SAWI used a co-ordination based approach, covering rehabilitation and vocational recovery to support RTW in younger stroke survivors. OBJECTIVE: The aim of the study was to conduct a feasibility evaluation of SAWI. METHODS: A mixed methods approach was taken considering quantitative and qualitative data. Quantitative data included employment, mood, anxiety and fatigue outcomes at time of engagement with the service and at 6-months post-stroke. Qualitative data was collected on a sub-sample of SAWI clients who volunteered to participate in a semi-structured interview. RESULTS: Overall, there were 93 referrals to SAWI, with 42 clients completing an initial service meeting. Average working hours pre-stroke were high (mean 46.9, SD 22.0, range 5-100 hours/week). By 6 months post stroke, 71% (n = 29 of 41) of SAWI clients were working. For those with 6-month questionnaire information (n = 19), there was a significant reduction in cognitive fatigue, overall fatigue levels, and perceived impact of stroke on employment (medium effect sizes of r = 0.36, 0.34 and 0.40 respectively). No significant difference was seen on measures of mood or anxiety from pre- to post-intervention. Qualitative interviews with six SAWI participants highlighted the importance of personalised support that addresses individual needs during the RTW journey. CONCLUSIONS: A significant number of eligible participants referred to SAWI can engage with the service. RTW is able to be assessed as are potential predictor variables. Seventy one percent of participants had RTW at 6 months post-stroke. Mood, self-efficacy, adjustment, and fatigue likely impact RTW. Qualitative interviews identified that SAWI's personalised support, tailored to individual need, was valued.

Please use this identifier to cite or link to this item:

http://hdl.handle.net/10453/163435