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Return to work predicts perceived participation and autonomy by individuals with stroke
Emma Westerlind1, Hanna C Persson1, Karin Törnbom1
1Department of Clinical Neuroscience, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Disability and Rehabilitation
|May 10, 2019
Summary
Returning to work after a stroke significantly predicts higher self-perceived participation and autonomy in everyday life, highlighting the need for work-focused rehabilitation strategies for working-age stroke survivors.
Area of Science:
- Neurorehabilitation
- Occupational Therapy
- Public Health
Background:
- Stroke rehabilitation aims to restore participation in daily activities.
- Return to work is a critical factor for working-age stroke survivors.
- Long-term participation and autonomy post-stroke require further investigation.
Purpose of the Study:
- To determine if returning to work predicts long-term self-perceived participation and autonomy after stroke.
- To assess the relationship between work status and daily life engagement in stroke survivors.
Main Methods:
- A cohort of first-ever stroke survivors aged 18-63 years was studied.
- Work status was tracked via national sick-absence registers at 5-year follow-up.
- Self-perceived participation and autonomy were measured using the Impact on Participation and Autonomy questionnaire.
Main Results:
- 59% of participants returned to work 5 years post-stroke.
- The majority reported high levels of participation and autonomy.
- Working status was a significant predictor of higher participation and autonomy across all domains.
Conclusions:
- Returning to work is crucial for self-perceived participation and autonomy in working-age stroke survivors.
- Work-oriented rehabilitation and information are vital for stroke recovery.
- Optimizing return to work strategies can enhance long-term outcomes for stroke patients.
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