Return to Work With Post Stroke Communication Disorders (ConQueSt)

The Return to Work Experiences of People With Communication Disorders Post-stroke: a Qualitative Study

Approximately a quarter of stroke survivors are of working age, and it is well-known that disabilities caused by stroke can lead to difficulties returning to work. In addition to the economic cost, being out of the workplace due to disability has major psychosocial costs for the individual, causing reduced sense of purpose, quality of life, and standard of living. Communication problems (which can affect reading and writing, as well as producing and understanding speech) are not as visible as other stroke-related problems such as a weak arm or difficulties walking. However, they can cause major problems for returning to work because of the importance of communication across a vast range of work activities, for example as a means to engage with colleagues, to share information in order to solve problems and resolve conflicts, and as a means to ensure health and safety. There has been little research into the effects of communication problems on returning to work after a stroke, so the investigators want to explore this issue. Specifically, the investigators want to find out what helps and what hinders people with communication disorders following a stroke when they attempt to return to work; what information and support is most helpful to them; how this information and support should be given and by whom. The investigators aim to do this by interviewing people across NHS Grampian who have the experience of attempting to return to work with post-stroke communication problems. The investigators will then look at all the interviews together and find the common feelings or experiences that the participants mentioned. The findings will be written up and shared widely with professionals and with stroke survivors. The knowledge gained will help the investigators to plan a programme to help people with these problems to return to work.

Study Overview

• Status: Completed
• Conditions: Stroke
• Intervention / Treatment: Other: Not applicable- no intervention administered

• Study Type: Observational
• Enrollment (Actual): 11

Contacts and Locations

• Study Contact: Name: Emma Coutts, PhD; Phone Number: 85107 01346 585107; Email: emma.coutts@nhs.scot

Study Locations

• United Kingdom
  • Aberdeenshire
    • Aberdeen, Aberdeenshire, United Kingdom, AB25 2ZN
      • NHS Grampian

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years to 100 years (Adult, Older Adult)
• Accepts Healthy Volunteers: No

• Sampling Method: Non-Probability Sample

Study Population

Adults (aged 18 years of age and over) who have post-stroke communication disorders, and who have attempted or are attempting to return to paid employment.

Description

Inclusion Criteria:

Adults (aged 18 years of age and over) will be eligible if:

• they have had a stroke (excluding Transient Ischemic Attacks, or mini strokes) within the last 2 years
• they were in paid employment or actively seeking work at the time of their stroke
• they are attempting or have attempted (whether or not successfully) to return to paid employment since their stroke.

Exclusion Criteria:

Individuals will be excluded if:

• they lack the capacity to consent
• they are considered to have insufficient English language skills to be able to engage effectively in an interview, given that this is a small-scale study which will not have the resources to fund interpreter services
• they have a diagnosis of a learning disability, dementia or another comorbidity deemed to be as or more significant than the stroke in their experience of return to work.

Study Plan

How is the study designed?

Design Details

• Observational Models: Other
• Time Perspectives: Other

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Experiences of returning or attempting to return to the workplace with post-stroke communication disorders	Exploration of the experiences of people with post-stroke communication disorders returning or attempting to return to the workplace using semi-structured interviews.	Through study completion, an average of 1 year

Collaborators and Investigators

• Sponsor: NHS Grampian
• Investigators: Principal Investigator: Emma Coutts, PhD, NHS Grampian

Study record dates

Study Major Dates

• Study Start (Actual): July 1, 2022
• Primary Completion (Actual): September 28, 2023
• Study Completion (Actual): September 28, 2023

Study Registration Dates

• First Submitted: June 16, 2022
• First Submitted That Met QC Criteria: August 11, 2022
• First Posted (Actual): August 12, 2022

Study Record Updates

• Last Update Posted (Actual): December 15, 2023
• Last Update Submitted That Met QC Criteria: December 14, 2023
• Last Verified: December 1, 2023

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Mental Disorders; Cardiovascular Diseases; Vascular Diseases; Cerebrovascular Disorders; Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Neurologic Manifestations; Neurobehavioral Manifestations; Neurodevelopmental Disorders; Stroke; Communication Disorders
• Other Study ID Numbers: 1-017-22

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No