Even though clearly defined pathways for vocational re-entry are well recognized for conditions such as mental health, musculoskeletal dysfunction (MSD) and traumatic brain injury (TBI), none has been identified for stroke. There has been a lack of consensus regarding such clear pathways to vocational re-entry and the essential contents of return to work (RTW) interventions for stroke survivors. As part of a larger study aimed to design a RTW programme for stroke survivors, this study describes the concluding process through which Stroke Return to Work Intervention Programme (SReTWIP) was developed. Experts in the field of neurorehabilitation and vocational rehabilitation (VR) from 6 countries participated in this 3-round Delphi survey via e-mail. Concept mapping was used to triangulate findings from the Delphi with previous phases of the larger study. Content thematic analysis was conducted on qualitative data while descriptive statistic was used to analyze quantitative data. Fifteen experts with a mean age and mean duration of practice of 44.73 ± 9.48 years and 18.26 ± 8.71 years respectively participated in this study. The developed RTW programme (SReTWIP) is a 12 week programme that consisted of four interconnected phases of intervention viz.: an assessment phase, clinic-based work and non-work specific intervention phase, a work test placement phase and a client full participation in worker role phase. The experts agreed on a set of implementation strategies that included the use of interdisciplinary team, the tailoring of intervention to meet stroke survivor’s need, as well as the use of case management approach. The SReTWIP is the first step in developing a VR pathway that can ultimately enhance the RTW rates and quick resumption of the worker role of stroke survivors. The stroke survivor can move along the different phases of the SReTWIP after achieving competency in a preceding phase. Future work will include a feasibility study with other key stakeholders involved in RTW such as employers, informal caregivers and stroke survivors before its implementation.

中文翻译：

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中风幸存者重返工作干预计划 (SReTWIP) 的制定：德尔菲调查。


尽管针对心理健康、肌肉骨骼功能障碍 (MSD) 和创伤性脑损伤 (TBI) 等疾病的明确定义的职业重返途径已得到广泛认可，但尚未发现任何针对中风的途径。对于中风幸存者重返工作岗位的明确途径以及重返工作岗位（RTW）干预措施的基本内容，人们一直缺乏共识。作为一项旨在为中风幸存者设计 RTW 计划的大型研究的一部分，本研究描述了制定中风重返工作干预计划 (SReTWIP) 的最终过程。来自6个国家的神经康复和职业康复（VR）领域的专家通过电子邮件参与了本次3轮德尔福调查。概念图用于将德尔菲的发现与之前阶段的更大规模研究进行三角测量。对定性数据进行内容专题分析，对定量数据进行描述性统计分析。参与本研究的专家共 15 名，平均年龄和平均执业年限分别为 44.73±9.48 岁和 18.26±8.71 岁。开发的 RTW 计划 (SReTWIP) 是一个为期 12 周的计划，由四个相互关联的干预阶段组成，即：评估阶段、基于临床的工作和非工作特定干预阶段、工作测试安置阶段和客户全面参与工人角色阶段。专家们商定了一套实施策略，包括使用跨学科团队、定制干预措施以满足中风幸存者的需求，以及使用病例管理方法。 SReTWIP 是开发 VR 途径的第一步，该途径最终可以提高中风幸存者的 RTW 率并快速恢复工人角色。中风幸存者在获得前一阶段的能力后，可以沿着 SReTWIP 的不同阶段前进。未来的工作将包括在实施之前与参与 RTW 的其他主要利益相关者（例如雇主、非正式护理人员和中风幸存者）进行可行性研究。