{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T23:42:05Z","timestamp":1784590925669,"version":"3.55.0"},"reference-count":70,"publisher":"BMJ","issue":"8","license":[{"start":{"date-parts":[[2020,8,20]],"date-time":"2020-08-20T00:00:00Z","timestamp":1597881600000},"content-version":"unspecified","delay-in-days":19,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100004875","name":"Norrbacka-Eugeniastiftelsen","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100004875","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100004047","name":"Karolinska Institutet","doi-asserted-by":"publisher","award":["2-1955\/2013"],"award-info":[{"award-number":["2-1955\/2013"]}],"id":[{"id":"10.13039\/501100004047","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2020,7,1]]},"published-print":{"date-parts":[[2020,8]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To evaluate the feasibility of: (1) ReWork-SCI with regard to adherence and acceptability and (2) a study design for evaluating ReWork-SCI with regard to recruitment, retention and outcome measures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Pre-test and post-test, single group, feasibility study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Spinal cord injury (SCI) unit at a regional rehabilitation centre in Sweden.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>Two women and five men (n=7). Eligible criteria: (1) sustained traumatic or non-traumatic SCI; (2) completed the first acute care episode in a hospital; (3) between 18 to 65 years of age; (4) assessed by a physician as approachable for participation in the intervention; (5) history of permanent or temporary employment; (6) self-reported desire to return to work; and (7) ability to communicate in English or Swedish.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Intervention<\/jats:title>\n                    <jats:p>ReWork-SCI is a person-centred intervention for return-to-work (RTW), developed and evaluated using the Medical Research Council\u2019s guidelines. ReWork-SCI follows a person-centred, structured and coordinated intervention process led by a coordinator within a SCI rehabilitation team.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Outcome measures<\/jats:title>\n                    <jats:p>The feasibility of ReWork-SCI and a study design was evaluated using a set of outcome measurement tools, vocational data, logbooks and semi-structured interviews.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>All eligible participants accepted enrolment and follow-up. All participants had a plan for RTW after 3 months and four participants had initiated part-time work or work trial 6 months after commencement of intervention. Adherence and acceptability were overall good. Challenges of the intervention related to the person-centred follow-up, staff shortage and rootedness in the SCI team.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>ReWork-SCI was feasible and can contribute to a systematic design of an individualised plan, facilitate decision-making and build trust in the RTW process after SCI. Core features of the intervention was the systematic structure, use of a person-centred approach and dialogue with the employer. For the effectiveness of ReWork-SCI, modifications and considerations of study design are needed.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2019-036000","type":"journal-article","created":{"date-parts":[[2020,8,21]],"date-time":"2020-08-21T06:58:34Z","timestamp":1597993114000},"page":"e036000","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":8,"title":["Evaluating the feasibility of ReWork-SCI: a person-centred intervention for return-to-work after spinal cord injury"],"prefix":"10.1136","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8321-0174","authenticated-orcid":false,"given":"Lisa","family":"Holmlund","sequence":"first","affiliation":[{"name":"Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Huddinge, Sweden"},{"name":"Rehab Station Stockholm\/Spinalis, R&D Unit, Rehab Station Stockholm, Stockholm, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6878-6394","authenticated-orcid":false,"given":"Susanne","family":"Guidetti","sequence":"additional","affiliation":[{"name":"Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Huddinge, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claes","family":"Hultling","sequence":"additional","affiliation":[{"name":"Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Huddinge, Sweden"},{"name":"Department of Neurology, Karolinska Universitetssjukhuset, Solna, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"\u00c5ke","family":"Seiger","sequence":"additional","affiliation":[{"name":"Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Huddinge, Sweden"},{"name":"Rehab Station Stockholm\/Spinalis, R&D Unit, Rehab Station Stockholm, Stockholm, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gunilla","family":"Eriksson","sequence":"additional","affiliation":[{"name":"Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Huddinge, Sweden"},{"name":"Department of Neuroscience, Rehabilitation Medicine, Uppsala University, Uppsala, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eric","family":"Asaba","sequence":"additional","affiliation":[{"name":"Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Huddinge, Sweden"},{"name":"Research, Education, and Development Unit, Stockholms Sjukhem Foundation, Stockholm, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2020,8,20]]},"reference":[{"key":"2025121513214182000_10.8.e036000.1","doi-asserted-by":"publisher","DOI":"10.1007\/s10926-009-9204-1"},{"key":"2025121513214182000_10.8.e036000.2","doi-asserted-by":"publisher","DOI":"10.3109\/09638288.2012.737079"},{"key":"2025121513214182000_10.8.e036000.3","doi-asserted-by":"crossref","first-page":"2875","DOI":"10.1080\/09638288.2017.1362597","article-title":"Return to work in the context of everyday life 7-11 years after spinal cord injury - a follow-up study","volume":"40","author":"Holmlund","year":"2018","journal-title":"Disabil Rehabil"},{"key":"2025121513214182000_10.8.e036000.4","doi-asserted-by":"crossref","first-page":"2020","DOI":"10.1177\/1049732318782706","article-title":"Mapping out one's own paths toward work: focus on experiences of return to work after spinal cord injury","volume":"28","author":"Holmlund","year":"2018","journal-title":"Qual Health Res"},{"key":"2025121513214182000_10.8.e036000.5","doi-asserted-by":"crossref","first-page":"2553","DOI":"10.3109\/09638288.2011.579224","article-title":"Returning to work after spinal cord injury: exploring young adults' early expectations and experience","volume":"33","author":"Bergmark","year":"2011","journal-title":"Disabil Rehabil"},{"key":"2025121513214182000_10.8.e036000.6","doi-asserted-by":"crossref","first-page":"503","DOI":"10.1080\/10790268.2009.11754553","article-title":"Review of critical factors related to employment after spinal cord injury: implications for research and vocational services","volume":"32","author":"Ottomanelli","year":"2009","journal-title":"J Spinal Cord Med"},{"key":"2025121513214182000_10.8.e036000.7","doi-asserted-by":"publisher","DOI":"10.1038\/sc.1996.27"},{"key":"2025121513214182000_10.8.e036000.8","doi-asserted-by":"crossref","first-page":"192","DOI":"10.1080\/16501970500522739","article-title":"Work participation among persons with traumatic spinal cord injury and meningomyelocele1","volume":"38","author":"Valtonen","year":"2006","journal-title":"J Rehabil Med"},{"key":"2025121513214182000_10.8.e036000.9","unstructured":"United Nations . Convention on the rights of persons with disabilities-optional protocol [online], 2006. Available: https:\/\/www.un.org\/development\/desa\/disabilities\/convention-on-the-rights-of-persons-with-disabilities.html [Accessed 01 Dec 2018]."},{"key":"2025121513214182000_10.8.e036000.10","first-page":"1","article-title":"Return-To-Work: exploring professionals' experiences of support for persons with spinal cord injury","author":"Holmlund","year":"2020","journal-title":"Scand J Occup Ther"},{"key":"2025121513214182000_10.8.e036000.11","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.a1655"},{"key":"2025121513214182000_10.8.e036000.12","article-title":"Return-to-work coordination programmes for improving return to work in workers on sick leave","volume":"3","author":"Vogel","year":"2017","journal-title":"Cochrane Database Syst Rev"},{"key":"2025121513214182000_10.8.e036000.13","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1007\/s10926-016-9690-x","article-title":"Effectiveness of workplace interventions in return-to-work for musculoskeletal, pain-related and mental health conditions: an update of the evidence and messages for practitioners","volume":"28","author":"Cullen","year":"2018","journal-title":"J Occup Rehabil"},{"key":"2025121513214182000_10.8.e036000.14","doi-asserted-by":"publisher","DOI":"10.1007\/s10926-012-9359-z"},{"key":"2025121513214182000_10.8.e036000.15","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0049760"},{"key":"2025121513214182000_10.8.e036000.16","doi-asserted-by":"crossref","first-page":"2","DOI":"10.1038\/sc.2015.133","article-title":"Hospital- and community-based interventions enhancing (re)employment for people with spinal cord injury: a systematic review","volume":"54","author":"Roels","year":"2016","journal-title":"Spinal Cord"},{"key":"2025121513214182000_10.8.e036000.17","doi-asserted-by":"crossref","first-page":"788","DOI":"10.1038\/sc.2014.149","article-title":"Interventions for improving employment outcomes among individuals with spinal cord injury: a systematic review","volume":"52","author":"Trenaman","year":"2014","journal-title":"Spinal Cord"},{"key":"2025121513214182000_10.8.e036000.18","doi-asserted-by":"crossref","first-page":"740","DOI":"10.1016\/j.apmr.2012.01.002","article-title":"Effectiveness of supported employment for veterans with spinal cord injuries: results from a randomized multisite study","volume":"93","author":"Ottomanelli","year":"2012","journal-title":"Arch Phys Med Rehabil"},{"key":"2025121513214182000_10.8.e036000.19","doi-asserted-by":"crossref","first-page":"784","DOI":"10.1016\/j.apmr.2013.11.012","article-title":"Effectiveness of supported employment for veterans with spinal cord injury: 2-year results","volume":"95","author":"Ottomanelli","year":"2014","journal-title":"Arch Phys Med Rehabil"},{"key":"2025121513214182000_10.8.e036000.20","doi-asserted-by":"crossref","first-page":"626","DOI":"10.2340\/16501977-1980","article-title":"Early access to vocational rehabilitation for spinal cord injury inpatients","volume":"47","author":"Middleton","year":"2015","journal-title":"J Rehabil Med"},{"key":"2025121513214182000_10.8.e036000.21","doi-asserted-by":"crossref","first-page":"743","DOI":"10.1038\/sc.2017.24","article-title":"Longitudinal employment outcomes of an early intervention vocational rehabilitation service for people admitted to rehabilitation with a traumatic spinal cord injury","volume":"55","author":"Hilton","year":"2017","journal-title":"Spinal Cord"},{"key":"2025121513214182000_10.8.e036000.22","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.h1258"},{"key":"2025121513214182000_10.8.e036000.23","doi-asserted-by":"crossref","first-page":"31","DOI":"10.1310\/sci2101-31","article-title":"Vocational rehabilitation in spinal cord injury: what vocational service activities are associated with employment program outcome?","volume":"21","author":"Ottomanelli","year":"2015","journal-title":"Top Spinal Cord Inj Rehabil"},{"key":"2025121513214182000_10.8.e036000.24","doi-asserted-by":"crossref","first-page":"183","DOI":"10.1310\/sci2203-183","article-title":"Early access to vocational rehabilitation for inpatients with spinal cord injury: a qualitative study of patients' perceptions","volume":"22","author":"Ramakrishnan","year":"2016","journal-title":"Top Spinal Cord Inj Rehabil"},{"key":"2025121513214182000_10.8.e036000.25","doi-asserted-by":"crossref","first-page":"776","DOI":"10.2340\/16501977-2131","article-title":"Early access to vocational rehabilitation for inpatients with spinal cord injury: a qualitative study of staff perceptions","volume":"48","author":"Johnston","year":"2016","journal-title":"J Rehabil Med"},{"key":"2025121513214182000_10.8.e036000.26","doi-asserted-by":"crossref","first-page":"952","DOI":"10.1080\/09638288.2016.1277399","article-title":"Applying theories to better understand socio-political challenges in implementing evidence-based work disability prevention strategies","volume":"40","author":"St\u00e5hl","year":"2018","journal-title":"Disabil Rehabil"},{"key":"2025121513214182000_10.8.e036000.27","doi-asserted-by":"publisher","DOI":"10.1007\/s10926-005-8031-2"},{"key":"2025121513214182000_10.8.e036000.28","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2288-10-67"},{"key":"2025121513214182000_10.8.e036000.29","doi-asserted-by":"publisher","DOI":"10.5014\/ajot.2013.006270"},{"key":"2025121513214182000_10.8.e036000.30","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2009.02.002"},{"key":"2025121513214182000_10.8.e036000.31","doi-asserted-by":"publisher","DOI":"10.1186\/s40814-015-0026-y"},{"key":"2025121513214182000_10.8.e036000.32","unstructured":"Wilcock AA , Hocking C . An occupational perspective of health. Thorofare: Slack, 2015."},{"key":"2025121513214182000_10.8.e036000.33","doi-asserted-by":"publisher","DOI":"10.1080\/09638280701618661"},{"key":"2025121513214182000_10.8.e036000.34","doi-asserted-by":"publisher","DOI":"10.1177\/1049732315618386"},{"key":"2025121513214182000_10.8.e036000.35","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejcnurse.2011.06.008"},{"key":"2025121513214182000_10.8.e036000.36","doi-asserted-by":"publisher","DOI":"10.1002\/nur.20247"},{"key":"2025121513214182000_10.8.e036000.37","doi-asserted-by":"publisher","DOI":"10.1179\/204577211X13207446293695"},{"key":"2025121513214182000_10.8.e036000.38","doi-asserted-by":"publisher","DOI":"10.1177\/000841749005700207"},{"key":"2025121513214182000_10.8.e036000.39","doi-asserted-by":"crossref","unstructured":"Law M , Carswell A , McColl MA , et al . Canadian occupational performance measure. 4th ed. Toronto: Canada: Canadian Association of Occupational Therapists, 2005.","DOI":"10.1037\/t71986-000"},{"key":"2025121513214182000_10.8.e036000.40","unstructured":"Braveman BR , Velozo M , Kielhofner, G C , et al . Worker role interview (WRI). version 10.0. Chicago: University of Illinois, 2005."},{"key":"2025121513214182000_10.8.e036000.41","first-page":"313","article-title":"Psychometric properties of the worker role interview","volume":"27","author":"Forsyth","year":"2006","journal-title":"Work"},{"key":"2025121513214182000_10.8.e036000.42","first-page":"163","article-title":"Return to work: the predictive value of the worker role interview (WRI) over two years","volume":"35","author":"Ekbladh","year":"2010","journal-title":"Work"},{"key":"2025121513214182000_10.8.e036000.43","unstructured":"Moore-Corner RAK , Olsson, L G . Work environment impact scale (WEIS) version 2.0. Chicago: Model of Human Occupation Clearinghouse, University of Illinois, 1998."},{"key":"2025121513214182000_10.8.e036000.44","first-page":"213","article-title":"Work environment impact scale: testing the psychometric properties of the Swedish version","volume":"47","author":"Ekbladh","year":"2014","journal-title":"Work"},{"key":"2025121513214182000_10.8.e036000.45","doi-asserted-by":"publisher","DOI":"10.1080\/165019702760279242"},{"key":"2025121513214182000_10.8.e036000.46","doi-asserted-by":"crossref","first-page":"713","DOI":"10.2340\/16501977-2362","article-title":"Test-Retest reliability of the life satisfaction questionnaire (LiSat-11) and association between items in individuals with chronic stroke","volume":"50","author":"Ekstrand","year":"2018","journal-title":"J Rehabil Med"},{"key":"2025121513214182000_10.8.e036000.47","unstructured":"Bandura A . Social foundations of thought and action: a social cognitive theory. Englewood Cliffs: Prentice-Hall, Inc, 1986."},{"key":"2025121513214182000_10.8.e036000.48","doi-asserted-by":"publisher","DOI":"10.1037\/0022-0167.40.3.335"},{"key":"2025121513214182000_10.8.e036000.49","doi-asserted-by":"publisher","DOI":"10.3109\/07853890109002087"},{"key":"2025121513214182000_10.8.e036000.50","doi-asserted-by":"publisher","DOI":"10.1007\/s11136-013-0496-4"},{"key":"2025121513214182000_10.8.e036000.51","unstructured":"Antonovsky A . Unraveling the mystery of health: how people manage stress and stay well. San Francisco: Jossey-Bass, 1987."},{"key":"2025121513214182000_10.8.e036000.52","doi-asserted-by":"crossref","unstructured":"Mittelmark MB , Sagy S , Eriksson M , et al . The handbook of salutogenesis. Cham: Springer International Publishing, 2017.","DOI":"10.1007\/978-3-319-04600-6"},{"key":"2025121513214182000_10.8.e036000.53","doi-asserted-by":"publisher","DOI":"10.1136\/jech.2003.018085"},{"key":"2025121513214182000_10.8.e036000.54","unstructured":"Guide for the uniform data set for medical rehabilitation (Adult FIMTM) . Version 5.0. Buffalo: State University of New York, 1996."},{"key":"2025121513214182000_10.8.e036000.55","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-9993(99)90260-5"},{"key":"2025121513214182000_10.8.e036000.56","unstructured":"Boyatzis RE . Transforming qualitative information : thematic analysis and code development. London: Sage, 1998."},{"key":"2025121513214182000_10.8.e036000.57","unstructured":"Ayres L . Thematic coding and analysis. In: Given L , ed. The SAGE encyclopedia of qualitative research methods. Thousand Oaks: Sage Online, 2008. http:\/\/sk.sagepub.com\/reference\/research"},{"key":"2025121513214182000_10.8.e036000.58","unstructured":"Friese S . Qualitative data analysis with ATLAS.ti. London: Sage, 2014."},{"key":"2025121513214182000_10.8.e036000.59","doi-asserted-by":"crossref","first-page":"81","DOI":"10.3109\/11038128.2015.1115549","article-title":"Client-centred ADL intervention after stroke: occupational therapists' experiences","volume":"23","author":"Ranner","year":"2016","journal-title":"Scand J Occup Ther"},{"key":"2025121513214182000_10.8.e036000.60","doi-asserted-by":"crossref","unstructured":"Ranner M , Guidetti S , von Koch L , et al . Experiences of participating in a client-centred ADL intervention after stroke. Disabil Rehabil 2018:1\u20139.","DOI":"10.1080\/09638288.2018.1483434"},{"key":"2025121513214182000_10.8.e036000.61","doi-asserted-by":"publisher","DOI":"10.1007\/s10926-005-8038-8"},{"key":"2025121513214182000_10.8.e036000.62","article-title":"Workplace interventions to prevent work disability in workers on sick leave","volume":"10","author":"van Vilsteren","year":"2015","journal-title":"Cochrane Database Syst Rev"},{"key":"2025121513214182000_10.8.e036000.63","doi-asserted-by":"publisher","DOI":"10.1136\/oemed-2013-101412"},{"key":"2025121513214182000_10.8.e036000.64","doi-asserted-by":"publisher","DOI":"10.1080\/165019702317242640"},{"key":"2025121513214182000_10.8.e036000.65","doi-asserted-by":"publisher","DOI":"10.1186\/s13012-017-0552-5"},{"key":"2025121513214182000_10.8.e036000.66","doi-asserted-by":"publisher","DOI":"10.3109\/09638288.2012.723789"},{"key":"2025121513214182000_10.8.e036000.67","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-9993(03)00265-X"},{"key":"2025121513214182000_10.8.e036000.68","doi-asserted-by":"crossref","first-page":"416","DOI":"10.3109\/11038128.2015.1007161","article-title":"Clinical utility of the worker role interview: a survey study among Swedish users","volume":"22","author":"Yngve","year":"2015","journal-title":"Scand J Occup Ther"},{"key":"2025121513214182000_10.8.e036000.69","doi-asserted-by":"publisher","DOI":"10.1177\/000841740206900104"},{"key":"2025121513214182000_10.8.e036000.70","doi-asserted-by":"crossref","first-page":"431","DOI":"10.2340\/16501977-2224","article-title":"Incidence, aetiology and injury characteristics of traumatic spinal cord injury in Stockholm, Sweden: a prospective, population-based update","volume":"49","author":"Joseph","year":"2017","journal-title":"J Rehabil Med"}],"container-title":["BMJ Open"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bmjopen-2019-036000","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,15]],"date-time":"2025-12-15T21:21:50Z","timestamp":1765833710000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmjopen.bmj.com\/lookup\/doi\/10.1136\/bmjopen-2019-036000"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,8]]},"references-count":70,"journal-issue":{"issue":"8","published-online":{"date-parts":[[2020,8,20]]},"published-print":{"date-parts":[[2020,8]]}},"alternative-id":["10.1136\/bmjopen-2019-036000"],"URL":"https:\/\/doi.org\/10.1136\/bmjopen-2019-036000","relation":{},"ISSN":["2044-6055","2044-6055"],"issn-type":[{"value":"2044-6055","type":"print"},{"value":"2044-6055","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,8]]}}}