What are the correlates of cognition and participation to return to work after first ever mild stroke

Y. Fride, T. Adamit, A. Maeir, E. Ben Assayag, N. M. Bornstein, A. D. Korczyn, N. Katz*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

80 Scopus citations

Abstract

Background: The percentage of working age people with mild stroke has risen. Evidence indicates that even mild stroke impact cognition, executive functioning, and daily functioning, consequently affecting participation, quality of life (QoL) and return to work (RTW). Objectives: (1) Compare cognition, participation and QoL between people 3 months post-mild stroke who RTW and those who did not; and (2) To determine the correlates of these variables to RTW of participants 3 months post-stroke. Methods: We visited at home 163 stroke survivors (117 men, 46 women) 3 months post-mild stroke ranging from 50 to 89 years. Participants who returned to work (n=114) and those who did not (n=49). Data collection at home included measures for cognitive status (MoCA), executive functions (EFPT, DEX), depression (GDS), participation (RNL), and QoL (SIS recovery). Results: Significant differences were found between RTW participants and those who did not RTW in measures of cognition, depression, participation and QoL (t=2.36 to-5.62, P<0.022-0.001). No difference was found on age or gender. Stepwise regression showed that significant correlates of RTW were participation (RNL), executive functions (EFPT), and QoL (SIS recovery). Conclusions: To enable RTW after mild stroke, participation, executive functions and QoL must be considered in planning interventions.

Original languageAmerican English
Pages (from-to)317-325
Number of pages9
JournalTopics in Stroke Rehabilitation
Volume22
Issue number5
DOIs
StatePublished - 2015

Bibliographical note

Publisher Copyright:
© W. S. Maney & Son Ltd 2015.

Keywords

  • Cognition
  • Executive function
  • Mild stroke
  • Participation
  • Quality of life
  • RTW
  • Work

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