Centre for Research & Development, Uppsala University, Gävle, Sweden.
Department of Neurobiology, Care Sciences and Society, Division of Occupational Therapy, Karolinska Institutet, Huddinge, Sweden.
Work. 2021;70(2):467-478. doi: 10.3233/WOR-213585.
The ReWork-Stroke program was developed to meet the need for a person-centered rehabilitation program addressing return to work after stroke and was provided by occupational therapists (OTs).
To gain knowledge on the implementation process of the ReWork-Stroke program, the mechanisms of impact, and the contextual factors that might have affected the process.
A case study design was used. Data were collected by interviews with two ReWork-Stroke providers and their logbooks of 13 clients. Content analysis was applied.
The ReWork-Stroke program varied in duration (12-48 weeks) and was largely implemented according to plan regarding components and how they were provided. It was mostly delivered at the workplace. Mechanisms of impact were building alliances with clients, providing intervention at the workplace, informing about stroke, assigning co-workers as tutors for clients, and collaboration between stakeholders.
The ReWork-Stroke program can be implemented according to plan and is a flexible person-centered program in which stakeholders, coordinated by an OT, plan and take actions, mostly at the workplace, for the client's return to work. A key factor was recognizing the current work ability after stroke. Further program development includes a more structured evaluation and technical solutions for supporting stakeholders.
ReWork-Stroke 计划的开发是为了满足中风后重返工作岗位的以人为中心的康复计划的需求，并由职业治疗师（OT）提供。
了解 ReWork-Stroke 计划的实施过程、影响机制以及可能影响该过程的背景因素。
采用案例研究设计。通过对两名 ReWork-Stroke 提供者及其 13 名客户的日志进行访谈收集数据。采用内容分析法。
ReWork-Stroke 计划的持续时间（12-48 周）各不相同，在组件及其提供方式方面基本按计划实施。它主要在工作场所进行。影响机制包括与客户建立联盟、在工作场所提供干预、告知中风情况、为客户分配同事作为导师以及利益相关者之间的合作。
ReWork-Stroke 计划可以按计划实施，是一个灵活的以人为中心的计划，利益相关者在 OT 的协调下，主要在工作场所为客户的重返工作岗位制定和采取行动。一个关键因素是认识到中风后的当前工作能力。进一步的计划开发包括更结构化的评估和技术解决方案，以支持利益相关者。
