Stroke in Working Age and Job Accommodation in Facilitating Transition Back to Work
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-68
SponsorFinnish Institute of Occupational Health
About this trial
The aim of this randomized controlled trial (RCT) is to investigate whether cognitive job accommodation intervention enhances return to work, work ability and performance after ischemic stroke in working-age population. The main questions are:
* Does the cognitive job accommodation intervention affect absenteeism and presenteeism after stroke? * Does the intervention affect work ability and perceived cognitive and emotional difficulties at work? * Does the intervention decrease mental strain, fatigue and negative mood symptoms after return to work? * Does the intervention affect life satisfaction among the stroke patients returning to work?
Researchers will compare the intervention group to a control group returning to work after stroke with current healthcare practices and work procedures.
Participants:
* At baseline, 6 and 12 month follow-up web-based questionnaires and cognitive tests are administered. * At 3 month follow-up participants fill in Brain Work Questionnaire (BWQ) that measures cognitive demands and difficulties at work.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Ischemic stroke occurred within 12 month
At least mild cognitive, emotional and/or state alertness symptoms detected in neuropsychological assessment in subacute phase
Employed when the stroke occurred and has workplace where to return
Occupational health services (OHS) available
Disqualifiers
Work status - professional driver or some other safety critical occupation where even mild cognitive impairments restrict return to work
Former neurological or psychiatric disorder or developmental disability affecting significantly cognition
Trial design
Design model
Parallel
Treatments tested in this trial
Cognitive job accommodation
Other interventionJob accommodation focused on the cognitive aspects at work
Treatment groups
100 Participants
are divided into 2 treatment groupsGroup A: Cognitive job accommodationExperimental treatment 1 intervention
Group B: Reference groupNo intervention 0 interventions
Trial outcomes
Primary outcomes
1
Absenteeism and presenteeism
Absenteeism and presenteeism are evaluated with World Health Organization's Health and Work Performance Questionnaire (HPQ) using both absolute and relative measures. Absolute absenteeism: hours in 4 week (higher value indicates worse outcome). Absolute presenteeism: single question measure of own job performance (score 0-10) analyzed according to the HPQ instructions (higher value indicates better outcome). Relative absenteeism: working hours in 4 week / expected working hours in 4 week. Relative presenteeism: evaluation of own job performance (score 0-10) / evaluation of most other workers job performance (score 0-10). This score is restricted to the range of 0.25 to 2.0 according to HPQ instructions. In both relative scores higher values indicate better outcome.
Time frame
6 and 12 months2
Work ability
Estimate of the current work ability measured with single question (score range 0-10, higher score indicate better outcome) from Work Ability Index. Estimate of future work ability measured with single question (categorical variable: yes, no, maybe) from Work Ability Index.
Time frame
6 and 12 monthsSecondary outcomes
1
Perceived success in returning to work
Subjectively evaluated success in returning to work. Single item question with 5 point Likert scale (5= very good; 1= very bad).
Time frame
6 and 12 months2
Cognitive demands of work and related difficulties
Frequency of different cognitive demands at work and related perceived difficulties measured with Brain Work Questionnaire. Frequency values are reported as averaged occurrence/week (lower values indicate better outcome), and related difficulties in ordinal response variable (0=no difficulties, 1=sometimes difficult, 2=often difficult). Higher value indicates worse outcome.
Time frame
3 and 12 months3
Cognitive symptoms at work
Cognitive symptoms at work measured with The Cognitive Function at Work Questionnaire total score (score range 0-58: higher value indicates worse outcome)
Time frame
6 and 12 months4
Stress
Estimates of perceived stress. General stress measured with single item stress question (score range 1-5, lower value indicates better outcome). Theme specific stress (at home, work and financial). Ordinal 4 point response scales. Questions from INTERSTROKE study.
Time frame
6 and 12 monthsOther outcomes
1
Cognitive test performance
Performance in web-based cognitive tests measuring reaction time, attention, executive functions and verbal memory functions. Applied cognitive tests are Task Switching test and Verbal memory test (modified version of the RAVLT).
Time frame
6 and 12 months2
Level of social support
Self-reported level of social support measured with Oslo Social Support Scale 3-item version (OSSS-3). Sum score range 3-14. Higher score represent better outcome.
Time frame
6 and 12 monthsSponsors and contacts
Click on the lead sponsor to view all of their trials.
Finnish Institute of Occupational Health
Lead sponsor
Helsinki University Central Hospital
Collaborator
Finnish Work Environment Fund
Collaborator
Source ClinicalTrials.gov