ORCID Profile
0000-0002-3457-4438
Current Organisation
Alfred Health
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Publisher: JMIR Publications Inc.
Date: 27-06-2022
Abstract: esuming work after stroke is a common goal of working-age adults, yet there are few vocational rehabilitation programs designed to address the unique challenges faced following stroke. The WORK intervention was developed to address these gaps. his study aims to test the WORK intervention, by piloting the intervention and trial processes. he WORK trial is a two-arm prospective randomized, blinded-assessor study design with intention to treat analysis. Fifty-four adults of working age who have experienced a stroke months prior, will be randomized 1:1 to either (i) experimental group who will receive a 12-week early vocational intervention (WORK intervention) plus usual clinical rehabilitation, or (ii) control group who will receive only their usual clinical rehabilitation. utcomes include study and intervention feasibility and intervention benefit. In addition to evaluating the feasibility of delivering vocational intervention early after stroke, benefit will be assessed by measuring rates of vocational participation and quality of life improvements at 3- and 6-months follow-up. Process evaluation using data collected during the study, as well as post-intervention in idual interviews with participants and surveys with trial therapists will complement quantitative data he results of the trial will provide details of the feasibility of delivering the WORK intervention embedded within the clinical rehabilitation context and inform future trial processes. Pilot data will enable a future definitive trial so as to determine the clinical effectiveness of vocational rehabilitation when delivered in the early sub-acute phase of stroke recovery. ww.anzctr.og.au ACTRN12619001164189, Date registered 20/08/2019
Publisher: Ovid Technologies (Wolters Kluwer Health)
Date: 03-2014
Publisher: Cambridge University Press (CUP)
Date: 30-05-2022
DOI: 10.1017/BRIMP.2022.8
Abstract: Participation in leisure activities is significantly impacted following acquired brain injury (ABI). Despite this being a common community rehabilitation goal, re-engagement with leisure activities following ABI is poorly addressed within Australian community rehabilitation services, which often cater to a mixed-diagnostic group of both ABI and non-ABI clients. To evaluate the feasibility and effect of a leisure reintegration group programme within a community rehabilitation service. A single-site, pre- and post-test feasibility study was conducted. Three cohorts of a semi-structured leisure group programme were offered, each conducted over eight sessions within 4 weeks. The Nottingham Leisure Questionnaire (NLQ) and Leisure Satisfaction Measure (LSM) were used as primary outcome measures. Measures of acceptability, including adherence, and a post-intervention participant survey were also completed. Of the 14 consenting participants, 9 completed all outcome measures. Mean change score for the NLQ was −3.63 ( p = 0.11) and the LSM 4.25 ( p = 0.46). The programme was well attended (79%), acceptable for ABI and non-ABI participants and able to be implemented within an existing community rehabilitation service. Providing a leisure reintegration group programme met an identified need, developed client and carer capacity and could be delivered within a community rehabilitation service for clients with mixed diagnoses including ABI. A larger trial is warranted to examine the effectiveness and cost-effectiveness of this intervention for people with ABI.
Publisher: Informa UK Limited
Date: 22-02-2023
Publisher: JMIR Publications Inc.
Date: 31-10-2022
DOI: 10.2196/40548
Abstract: Resuming work after stroke is a common goal of working-age adults, yet there are few vocational rehabilitation programs designed to address the unique challenges faced following stroke. The Work intervention was developed to address these gaps. This paper presents a protocol that outlines the steps that will be undertaken to pilot both the intervention and trial processes for the Work trial. The Work trial is a 2-arm, prospective, randomized, blinded-assessor study with intention-to-treat analysis. A total of 54 adults of working age who have experienced a stroke months prior will be randomized 1:1 to either (1) an experimental group who will receive a 12-week early vocational intervention (Work intervention) plus usual clinical rehabilitation or (2) a control group who will receive only their usual clinical rehabilitation. Outcomes include study and intervention feasibility and intervention benefit. In addition to evaluating the feasibility of delivering vocational intervention early after stroke, benefit will be assessed by measuring rates of vocational participation and quality-of-life improvements at the 3- and 6-month follow-ups. Process evaluation using data collected during the study, as well as postintervention in idual interviews with participants and surveys with trial therapists, will complement quantitative data. The results of the trial will provide details on the feasibility of delivering the Work intervention embedded within the clinical rehabilitation context and inform future trial processes. Pilot data will enable a future definitive trial to determine the clinical effectiveness of vocational rehabilitation when delivered in the early subacute phase of stroke recovery. Australian New Zealand Clinical Trials Registry ACTRN12619001164189 www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=378112& isReview=true DERR1-10.2196/40548
No related grants have been discovered for Serena Alves-Stein.