Experiences of the return to work process after stroke while participating in a person-centred rehabilitation programme.
BACKGROUND
In Sweden, less than 50% of those getting stroke in working age return to work (RTW). Effective rehabilitation programmes need to be developed and therapeutic aspects understood.


OBJECTIVE
To explore and describe how persons with stroke experience their RTW process while participating in a person-centred rehabilitation programme focusing on RTW.


METHODS
Seven persons with mild or moderate stroke were interviewed twice during the intervention in the vocational training phase using semi-structured interviews. Data were analysed using grounded theory.


RESULTS
Having a coordinator by their side gave support and guidance during the RTW process. Knowledge of stroke, strategies and a straightforward communication created a structure for the RTW process. Expressing one's own wishes increased opportunities to influence and decide which path to follow in order to reach the goal.


CONCLUSIONS
Straightforward, open and recurring communication facilitated the possibility to adapt to the situation. These aspects increased insight and awareness which facilitated the RTW process.


CONCLUSIONS
The findings indicate that a precondition for a fruitful RTW process was that suitable platforms at work were created in which the actors involved could cooperate. This knowledge might also be valuable in the RTW process for people with other diagnosis.
a Department of Neurobiology, Care Sciences and Society, Division of Occupational Therapy , Karolinska Institutet , Huddinge , Sweden.|b Centre for Research & Development, Uppsala University/Region Gävleborg , Gävle , Sweden.
Annika
A
Öst Nilsson
a Department of Neurobiology, Care Sciences and Society, Division of Occupational Therapy , Karolinska Institutet , Huddinge , Sweden.|c Department of Neuroscience , Rehabilitation Medicine, Uppsala University , Uppsala , Sweden.
Gunilla
G
Eriksson
a Department of Neurobiology, Care Sciences and Society, Division of Occupational Therapy , Karolinska Institutet , Huddinge , Sweden.|b Centre for Research & Development, Uppsala University/Region Gävleborg , Gävle , Sweden.
Ulla
U
Johansson
d Unit of Intervention and Implementation Research for Worker Health, Karolinska Institutet , Solna , Sweden.
Therese
T
Hellman
D004651:Employment / Q000523:psychology; D005260:Female; D066296:Grounded Theory; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D008875:Middle Aged; D036301:Qualitative Research; D012050:Rehabilitation, Vocational / Q000379:methods*; D062707:Return to Work / Q000523:psychology*; D020521:Stroke
Coordinator; occupational therapy; qualitative method; vocational rehabilitation