Table 4 Response of panel of experts to second round of Delphi survey
Phase | Agree n (%) | Disagree n (%) | Indifferent n (%) |
|---|---|---|---|
Phase 1 components: Assessment | |||
• Functional capacity evaluation | 13 | 0 | 0 |
• Job analysis | 13 | 0 | 0 |
• Workplace ergonomic assessment | 13 | 0 | 0 |
Phase 2 components: Work Intervention Training | |||
Focus area 1: Non-work specific intervention/ training session | |||
• In this focus area, general functional skills training are provided for the stroke survivor | 11 (84.6) | 2 (15.4) | 0 (0.0) |
Focus area 2: Work specific intervention/ training session | |||
• Prevocational skills training (such as work competence, communication skills, work behavior, interviewing skills, education of legal aspects of work, commuting to and from work) | 9 (69.2) | 2 (15.4) | 2 (15.4) |
• Vocational counselling and career planning | 8 (61.5) | 1 (7.7) | 4 (30.8) |
• Formal education and training to improve job competitiveness | 6 (46.1) | 3 (23.1) | 4 (30.8) |
• Work hardening that is inclusive of simulated task training | 9 (69.2) | 2 (15.4) | 2 (15.4) |
Phase 3 components: Work Test Placement | |||
• Education and preparation of clients, family, employer and co-worker about client’s abilities | 9 (69.2) | 0 (0.00) | 4 (30.8) |
• Identification of suitable work opportunities/jobs | 9 (69.2) | 2 (15.4) | 2 (15.4) |
• Work trials (practice of work skills in real work environment) | 11 (84.6) | 2 (15.4) | 0 (0.0) |
• Job coaching and on-going support at the workplace | 10 (76.9) | 1 (7.7) | 2 (15.4) |
Phase 4 components: Clients Full Participation in the Worker Role | |||
• Clients is able (are trained) to make decisions about strengths and weaknesses | 12 (92.3) | 1 (7.7) | 0 (0.0) |
• Clients can (are trained to) identify whether they require ongoing rehabilitation services for specific skills (if needed) | 12 (92.3) | 1 (7.7) | 0 (0.0) |
• Rehabilitation professional involvement is gradually decreased (tapered) | 12 (92.3) | 1 (7.7) | 0 (0.0) |
• Clients is able (are trained) to make decisions about strengths and weaknesses | 12 (92.3) | 1 (7.7) | 0 (0.0) |
Implementation Strategies of RTW intervention | |||
• Use of Multidisciplinary team-based approach | 4 (30.8) | 8 (61.5) | 1 (7.7) |
• Use of interdisciplinary team-based approach | 11 (84.6) | 1 (7.7) | 1 (7.7) |
• Client-centered (client is involved in decision making process throughout the intervention) | 11 (84.6) | 2 (15.4) | 0 (0.0) |
• Interventions are individually tailored to meet clients need | 11 (84.6) | 2 (15.4) | 0 (0.0) |
• Use of case manager to coordinate return to work process | 9 (69.2) | 3 (23.1) | 1 (7.7) |
When to commence the programme during stroke rehabilitation | |||
• During out-patient rehabilitation | 7 (53.8) | 4 (30.8) | 2 (15.4) |
• During in-patient rehabilitation | 7 (53.8) | 5 (38.5) | 1 (7.7) |
• After out-patient rehabilitation | 8 (61.5) | 3 (23.1) | 2 (15.4) |
• After the completion of medical intervention by physician | 8 (61.5) | 2 (15.4) | 3 (23.1) |
When to commence the programme during recovery continuum | |||
• When client is independent in performing ADL tasks (self-care and mobility) | 12 (92.3) | 1 (7.7) | 0 (0.0) |
• When client is independent in performing leisure activities | 3 (23.1) | 9 (69.2) | 1 (7.7) |
• When client is fully reintegrated in the community (such as participation in social groups) | 2 (15.4) | 8 (61.5) | 3 (23.1) |