What is a return to work after stroke? 12-month outcomes in a feasibility trial
Bibliographic record
Abstract
Stroke is the single greatest cause of adult disability in the UK.A quarter of strokes affect people of working age; however, less than half of them return to work.This study described the nature of return to work and the help that people require to go back to work.A total of 46 participants were recruited from one English county.Participants were divided into 2 groups: a group receiving usual care and a group receiving extra rehabilitation.The study assessed their work status, the hours they worked, work accommodations, and what they earned at baseline, 3, 6 and 12 months after stroke.Most people returned to work after a mean of 90 days and stayed with the same employer.However, many people needed changes at work, worked fewer hours and earned less than they did before the stroke.Future research should investigate the implications of work adjustments for stroke survivors and whether the reported reductions in hours, status, roles and responsibilities are viewed as positive or negative.Objective: Stroke is the greatest cause of disability in adults.A quarter of strokes in the UK affect people of working age, yet under half of them return to work after stroke.There has been little investigation into what constitutes "return to work" following stroke.The aim of this study is to describe the work metrics of stroke survivor participants in a feasibility randomized controlled trial of an early stroke-specific vocational rehabilitation intervention.Methods: Retrospective analysis of trial data.Metrics on work status, working hours, workplace accommodations and costs were extracted from trial outcomes gathered by postal questionnaire at 3, 6, and 12 months' post-randomization for 46 stroke participants in a feasibility randomized controlled trial.Participants were randomized to receive vocational rehabilitation (intervention) or usual care (control).Results: Two-thirds (n = 29; 63%) of participants returned to work at some point in the 12 months following stroke.Participants took a mean of 90 days to return to work.Most returned to the same role with an existing employer.Only one-third of participants who were employed full-time at stroke onset were working full-time at 12 months post-stroke.Most participants experienced a reduction in pre-stroke earnings.Workplace accommodations were more common among intervention group participants.More intervention participants than control participants reported satisfaction with work at both 6 and 12 months post-randomization.Conclusion: This study illustrates the heterogeneous nature of return to work and the dramatic impact of stroke on work status, working hours and income.Longitudinal research should explore the socioeconomic legacy of stroke and include clear definitions of work and accurate measures of working hours and income from all sources.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.010 | 0.014 |
| Meta-epidemiology (narrow) | 0.001 | 0.001 |
| Meta-epidemiology (broad) | 0.003 | 0.003 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.002 | 0.002 |
| Scholarly communication | 0.002 | 0.003 |
| Open science | 0.001 | 0.001 |
| Research integrity | 0.004 | 0.004 |
| Insufficient payload (model declined to judge) | 0.008 | 0.001 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".