TY - JOUR
T1 - Stroke survivors' long-term participation in paid employment
AU - van Meijeren-Pont, Winke
AU - van Velzen, Judith M.
AU - Volker, Gerard
AU - Arwert, Henk J.
AU - Meesters, Jorit J. L.
AU - de Kloet, Arend J.
AU - van Bennekom, Coen A. M.
AU - Vliet Vlieland, Thea P. M.
AU - Tamminga, Sietske J.
AU - Oosterveer, Daniëlla M.
N1 - Publisher Copyright: © 2024 - The authors. Published by IOS Press.
PY - 2024/3/8
Y1 - 2024/3/8
N2 - BACKGROUND: Knowledge on long-term participation is scarce for patients with paid employment at the time of stroke. OBJECTIVE: Describe the characteristics and the course of participation (paid employment and overall participation) in patients who did and did not remain in paid employment. METHODS: Patients with paid employment at the time of stroke completed questions on work up to 30 months after starting rehabilitation, and the Utrecht Scale for Evaluation of Rehabilitation-Participation (USER-P, Frequency, Restrictions and Satisfaction scales) up to 24 months. Baseline characteristics of patients with and without paid employment at 30 months were compared using Fisher's Exact Tests and Mann-Whitney U Tests. USER-P scores over time were analysed using Linear Mixed Models. RESULTS: Of the 170 included patients (median age 54.2 interquartile range 11.2 years; 40% women) 50.6% reported paid employment at 30 months. Those returning to work reported at baseline more working hours, better quality of life and communication, were more often self-employed and in an office job. The USER-P scores did not change statistically significantly over time. CONCLUSION: About half of the stroke patients remained in paid employment. Optimizing interventions for returning to work and achieving meaningful participation outside of employment seem desirable.
AB - BACKGROUND: Knowledge on long-term participation is scarce for patients with paid employment at the time of stroke. OBJECTIVE: Describe the characteristics and the course of participation (paid employment and overall participation) in patients who did and did not remain in paid employment. METHODS: Patients with paid employment at the time of stroke completed questions on work up to 30 months after starting rehabilitation, and the Utrecht Scale for Evaluation of Rehabilitation-Participation (USER-P, Frequency, Restrictions and Satisfaction scales) up to 24 months. Baseline characteristics of patients with and without paid employment at 30 months were compared using Fisher's Exact Tests and Mann-Whitney U Tests. USER-P scores over time were analysed using Linear Mixed Models. RESULTS: Of the 170 included patients (median age 54.2 interquartile range 11.2 years; 40% women) 50.6% reported paid employment at 30 months. Those returning to work reported at baseline more working hours, better quality of life and communication, were more often self-employed and in an office job. The USER-P scores did not change statistically significantly over time. CONCLUSION: About half of the stroke patients remained in paid employment. Optimizing interventions for returning to work and achieving meaningful participation outside of employment seem desirable.
KW - Return to work
KW - community participation
KW - disability and health
KW - international classification of functioning
KW - personal satisfaction
KW - rehabilitation
KW - vocational rehabilitation
UR - http://www.scopus.com/inward/record.url?scp=85187184461&partnerID=8YFLogxK
U2 - 10.3233/WOR-230037
DO - 10.3233/WOR-230037
M3 - Article
C2 - 37781842
SN - 1051-9815
VL - 77
SP - 839
EP - 850
JO - Work (Reading, Mass.)
JF - Work (Reading, Mass.)
IS - 3
ER -