Stroke Circulatory System Stroke, not specified as haemorrhage or infarction
Conditions
Interventions
This study will involve 760 stroke survivors (420 ESSVR plus usual care, 340 usual care alone), who are employed at stroke onset, and their carers (if applicable). Two occupational therapists from 20
Sponsors
University of Nottingham
Eligibility
Sex/Gender
All
Age
18 Years to 100 Years
Inclusion criteria
Inclusion criteria: 1. Age =18 years 2. Admitted to hospital with new stroke (all severities) 3. In work at stroke onset (including self-employed, paid or unpaid) 4. Willing and have capacity to provide informed consent to participate in the study 5. Have sufficient proficiency in English to contribute to the data collection required for research
Exclusion criteria
Exclusion criteria: Not intending to work
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Self-reported return to work of at least 2 hours per week at 12 months post randomisation. This may be a return to a pre-stroke job or a new job. This will be recorded as a positive response to the question: ‘Are you currently in work(paid or unpaid) for at least 2 hours per week?’; Timepoint(s): 12 months post-randomisation | — |
Secondary
| Measure | Time frame |
|---|---|
| All secondary outcomes are measured at 3, 6 and 12 months: 1. Work-related outcomes: return to work with same employer, number of hours worked, number of days in work 2. Mood, assessed using the Hospital Anxiety & Depression Scale (HADS) anxiety and depression scores 3. Physical function, assessed using the Nottingham Extended Activities of Daily Living scale (NEADL) summary score 4. Social participation, assessed using the Community Integration Questionnaire (CIQ) social and productivity scores 5. Work self-efficacy, measured using a single question from the work ability index 6. Health-related quality of life, measured using the EuroQoL 5 dimension health questionnaire, 5 level (EQ-5D-5L) 7. Health and social care resource use and wider resource use (e.g. productivity, personal or carer costs): self reported A&E attendances, hospital admission/readmission, number of work accidents, overall health and social care resource use, measured using a bespoke patient completed resource use questionnaire 8. Post-stroke confidence, measured using the Confidence after Stroke Measure (CaSM) summary score Process Evaluation Intervention compliance and how the intervention is experienced and understood by providers and recipients, and the organisational implications of embedding and sustaining the intervention in preparation for wider NHS roll-out. Measured using an embedded mixed-methods process evaluation using a range of methods including observations, qualitative interviews with participants, carers, service providers and employers, non-participant observation in sites, document analysis (case records and intervention proformas) and care mapping in a random sample of cases (up to 5% of participants in both ESSVR and UC) Internal Pilot (8 Sites) Recruitment rates at 4 – 6 months post randomisation and follow-up rates after 12 months post-randomisation, to assess whether they meet the predefined progression criteria thresholds | — |
Countries
England, United Kingdom
Outcome results
None listed