Abstract
BackgroundStudies point to the lack of psychosocial support and rehabilitation services that are adjusted to the work-aged stroke survivors’ specific needs in order to promote psychosocial well-being. The aim of the study was to illuminate the psychosocial challenges work-aged participants (i.e. aged 18–67 years) thematised during and after participating a dialogue-based psychosocial intervention during the first year following a stroke.MethodsThe study was a feasibility study guided by the UK Medical Research Council Framework for developing and evaluating complex interventions. Qualitative data from in-depth interviews with fourteen stroke-survivors aged 33–66 years, researcher field notes and log notes written during the intervention were analysed applying a hermeneutic-phenomenological approach.ResultsThe stroke and its consequences had a substantial impact on family and work life. Their experiences were summarised in the two themes The threat of becoming marginalised in family life and The threat of becoming marginalised in work life.ConclusionLife as a work-aged stroke survivor was experienced as challenging and created a threat of becoming marginalised in family and work life. The study highlights the need to understand the specific psychosocial challenges and needs facing work-aged stroke survivors’ in order to promote their psychosocial well-being. More research is needed concerning specific life-span challenges amongst work-aged stroke survivors in order to further develop appropriate interventions that helps address this issue.
Highlights
Studies point to the lack of psychosocial support and rehabilitation services that are adjusted to the work-aged stroke survivors’ specific needs in order to promote psychosocial well-being
This resulted in a reformulation of the initial impression; we found that being a workaged stroke survivor implies a threat of becoming marginalised in relation to family life and work life
Stroke was experienced as having a substantial impact on family and work life
Summary
Studies point to the lack of psychosocial support and rehabilitation services that are adjusted to the work-aged stroke survivors’ specific needs in order to promote psychosocial well-being. It is estimated that approximately 25 percent of the stroke population is work-aged, i.e. below 65 years [3,4]. The challenges that older and younger stroke survivors experience overlap considerably, some studies suggest specific challenges to the work-aged stroke survivors, with regard to relationships within and external to the family, marriage and parental roles and financial challenges [12,13,14,15]. Amongst work-aged stroke survivors, the psychosocial factors appear to have at least as great an impact on life after stroke as the physical consequences [13,16]
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