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Table 4 Response of panel of experts to second round of Delphi survey

From: The development of a return to work intervention programme for stroke survivor (SReTWIP): a Delphi survey

PhaseAgree n (%)Disagree n (%)Indifferent n (%)
Phase 1 components: Assessment
 • Functional capacity evaluation1300
 • Job analysis1300
 • Workplace ergonomic assessment1300
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 survivor11 (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 planning8 (61.5)1 (7.7)4 (30.8)
  • Formal education and training to improve job competitiveness6 (46.1)3 (23.1)4 (30.8)
  • Work hardening that is inclusive of simulated task training9 (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 abilities9 (69.2)0 (0.00)4 (30.8)
 • Identification of suitable work opportunities/jobs9 (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 workplace10 (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 weaknesses12 (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 weaknesses12 (92.3)1 (7.7)0 (0.0)
Implementation Strategies of RTW intervention
 • Use of Multidisciplinary team-based approach4 (30.8)8 (61.5)1 (7.7)
 • Use of interdisciplinary team-based approach11 (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 need11 (84.6)2 (15.4)0 (0.0)
 • Use of case manager to coordinate return to work process9 (69.2)3 (23.1)1 (7.7)
When to commence the programme during stroke rehabilitation
 • During out-patient rehabilitation7 (53.8)4 (30.8)2 (15.4)
 • During in-patient rehabilitation7 (53.8)5 (38.5)1 (7.7)
 • After out-patient rehabilitation8 (61.5)3 (23.1)2 (15.4)
 • After the completion of medical intervention by physician8 (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 activities3 (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)