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Stakeholder perspectives on a return-to-work cognitive intervention after stroke.

Nicole Yun Ching Chen1, Andrea Chee1, Yanhong Dong1,2

  • 1Yong Loo Lin School of Medicine, National University of Singapore, Singapore.

Clinical Rehabilitation
|January 19, 2026
PubMed
Summary

Stakeholders identified barriers and preferences for return-to-work cognitive interventions after stroke. Co-designing these interventions is crucial for improving workforce reintegration for stroke survivors.

Keywords:
Strokecognitioninterventionrehabilitationreturn to work

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Area of Science:

  • Neuroscience and Rehabilitation
  • Occupational Health
  • Health Services Research

Background:

  • Stroke survivors face significant challenges in returning to work, highlighting a gap in current rehabilitation services.
  • Existing post-stroke support often lacks specific interventions to address the complexities of workforce reintegration.
  • Understanding stakeholder perspectives is essential for developing effective return-to-work strategies.

Purpose of the Study:

  • To investigate stakeholder experiences and preferences regarding return-to-work after stroke.
  • To inform the co-design of a cognitive intervention aimed at facilitating return-to-work for stroke survivors.
  • To address the identified gap in post-stroke rehabilitation concerning vocational recovery.

Main Methods:

  • In-depth, semi-structured interviews were conducted with diverse stakeholder groups.
  • Reflexive thematic analysis, guided by Braun and Clarke's six-phase approach, was used for data analysis.
  • Purposive sampling ensured representation from stroke survivors, caregivers, healthcare professionals, and employers.

Main Results:

  • Three core themes emerged: barriers to return-to-work, intervention content preferences, and intervention delivery preferences.
  • Key barriers included lack of resource awareness, support scheme ineligibility, and workplace misunderstandings.
  • Stakeholders desired interventions covering awareness, adjustment, goal setting, self-management, and navigating the return-to-work process.

Conclusions:

  • Synthesized stakeholder insights are vital for co-designing a patient-centered return-to-work cognitive intervention.
  • The findings support a paradigm shift towards an ecological approach to enhance post-stroke workforce reintegration.
  • Addressing identified barriers and preferences can improve vocational outcomes for stroke survivors.