The ReWork-Stroke rehabilitation programme described by use of the TIDieR checklist

You wouldn't need to work on this secondary issue if you would solve the primary problem of having protocols for 100% recovery. Does no one in stroke understand one damn thing about what needs to be done for stroke recovery? The only goal in stroke is 100% recovery, everything depends on that. Return to work IS NOT A GOAL IN STROKE. And until we drill that into the heads of the stroke medical world stroke will never be solved. 

I'll simplify it for you in 5 steps:

Damn it all: stroke is easy; 5 steps.
1.  Describe the problems exactly. There are tens of thousands of pieces of research already hinting at solutions, just need followup.
2.  Write thousands of RFPs to researchers/MIT grads to solve those problems.
3.  Fund them with foundation grants.
4.  Write stroke rehab protocols based on the research.
5.  Get the Nobel prize in medicine.  

The latest misstep here:

The ReWork-Stroke rehabilitation programme described by use of the TIDieR checklist

Ulla Johansson a,b ,
Therese Hellman c ,
Annika Ost Nilsson  b
and Gunilla Eriksson a,d

a Department of Neurobiology, Care Sciences and Society, Division of Occupational Therapy, Karolinska Institutet, Huddinge, Sweden;
b Centre for Research & Development, Uppsala University/Region of G€avleborg, G€avle, Sweden; c Department of Medical Sciences,
Occupational and Environmental Medicine, Uppsala University, Uppsala, Sweden;
d Department of Neuroscience, Rehabilitation
Medicine, Uppsala University, Uppsala, Sweden

ABSTRACT

Background: 
About half of those that have had stroke in working age return to work (RTW).
Few rehabilitation programmes exist focussing RTW after stroke.
Aim:
To produce a clear replicable description of the ReWork-Stroke rehabilitation programme
targeting RTW for people of working age who have had stroke.
Materials and methods: 
The Template for Intervention Description and Replication 12 item
checklist was used to describe the ReWork-Stroke programme developed 2013–2014. This paper
presents the development, rationale and processes in the programme to enable replication and
provide evidence for implementation.
Results: 
Occupational therapists (OTs) skilled in stroke rehabilitation contribute knowledge
about consequences of stroke and coordinate stakeholders involved. The ReWork-Stroke is person-centred, includes individual plans and generic components, consists of a preparation and a
work trial phase. During the preparation phase, resources and hindrances for RTW are mapped
and a plan for work trial is elaborated. During the work trial phase, the intervention is located
at the workplace. The OT conducts recurrent follow-ups and collaborates with employers/coworkers.
Conclusions:
A person-centred programme has advantages in its flexibility to meet different
needs between people and by this thorough description of ReWork-Stroke, others can replicate
the programme and its fidelity and evidence can be strengthened.