{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,25]],"date-time":"2026-07-25T07:01:57Z","timestamp":1784962917856,"version":"3.55.0"},"reference-count":29,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,7,24]],"date-time":"2026-07-24T00:00:00Z","timestamp":1784851200000},"content-version":"vor","delay-in-days":204,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100010236","name":"Tokyo Metropolitan University","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100010236","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Occupational Therapy International"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Return to work (RTW) after stroke is a complex process influenced by residual impairments, workplace demands, and rehabilitation support. However, how therapeutic support is structurally incorporated into RTW processes and the specific contributions of occupational therapy (OT) remain unclear.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This scoping review is aimed at examining how therapeutic support is incorporated into RTW processes following stroke and at clarifying the roles of OT within these support structures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Comprehensive literature searches were conducted in Ichushi\u2010Web, PubMed, and Web of Science, complemented by manual searches. Studies published in Japanese or English up to February 2026 were included if they addressed stroke survivors and work participation\u2013related support. Data were extracted using a structured framework to map therapeutic integration during RTW and OT roles. Facilitators, barriers, and assessment approaches were also summarized.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Fifty\u2010eight studies met the inclusion criteria. Therapeutic support was described at different stages of the RTW process, ranging from interventions completed before work resumption to support provided alongside RTW and support integrated with workplace demands. OT roles were identified across 10 categories, most commonly involving work participation\u2013oriented assessment and job analysis, employer liaison and stakeholder meetings and mediation, and workplace evaluation and accommodations. Functional impairments and fatigue were frequently reported as barriers to sustained work participation; however, fatigue\u2010specific assessments were reported less frequently.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Therapeutic integration within ongoing work participation is a key structural feature of RTW support for stroke survivors and may also be relevant to how work\u2013treatment balance (WTB) is addressed in practice. The findings highlight the diverse roles of OT in linking worker capacity, workplace demands, and service coordination. They also suggest a discrepancy between commonly reported barriers, particularly fatigue, and the assessment approaches used in RTW\u2010focused studies.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1155\/oti\/4254501","type":"journal-article","created":{"date-parts":[[2026,7,25]],"date-time":"2026-07-25T06:45:51Z","timestamp":1784961951000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Occupational Therapy in Return\u2010to\u2010Work Processes After Stroke: A Scoping Review of Ongoing Therapeutic Support and Implications for Work\u2013Treatment Balance"],"prefix":"10.1155","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6058-7435","authenticated-orcid":false,"given":"Reiko","family":"Miyamoto","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8188-0411","authenticated-orcid":false,"given":"Peter","family":"Bontje","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,24]]},"reference":[{"key":"e_1_2_12_1_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10926-005-8033-0"},{"key":"e_1_2_12_2_2","volume-title":"Is Work Good for Your Health and Well-Being?","author":"Waddell G.","year":"2006"},{"key":"e_1_2_12_3_2","doi-asserted-by":"publisher","DOI":"10.1080\/02699050902838165"},{"key":"e_1_2_12_4_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10926-005-8038-8"},{"key":"e_1_2_12_5_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12998-016-0113-z"},{"key":"e_1_2_12_6_2","doi-asserted-by":"publisher","DOI":"10.1177\/0308022615624710"},{"key":"e_1_2_12_7_2","doi-asserted-by":"publisher","DOI":"10.1177\/1747493017743059"},{"key":"e_1_2_12_8_2","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph20156469"},{"key":"e_1_2_12_9_2","doi-asserted-by":"publisher","DOI":"10.1177\/000841749606300103"},{"key":"e_1_2_12_10_2","volume-title":"Enabling Occupation II: Advancing an Occupational Therapy Vision for Health, Well-Being, & Justice Through Occupation","author":"Townsend E.","year":"2007"},{"key":"e_1_2_12_11_2","volume-title":"Support Guide for Balancing Work and Medical Treatment","author":"Ministry of Health, Labour and Welfare","year":"2006"},{"key":"e_1_2_12_12_2","doi-asserted-by":"publisher","DOI":"10.1080\/1364557032000119616"},{"key":"e_1_2_12_13_2","doi-asserted-by":"publisher","DOI":"10.1186\/1748-5908-5-69"},{"key":"e_1_2_12_14_2","doi-asserted-by":"publisher","DOI":"10.7326\/M18-0850"},{"key":"e_1_2_12_15_2","volume-title":"JBI Manual for Evidence Synthesis","author":"Peters M. D. J.","year":"2020"},{"key":"e_1_2_12_16_2","volume-title":"Heisei 22 Nen Kokumin Seikatsu Kiso Chosa no Gaiyo (\u5e73\u621022\u5e74\u56fd\u6c11\u751f\u6d3b\u57fa\u790e\u8abf\u67fb\u306e\u6982\u6cc1)","author":"Ministry of Health, Labour and Welfare","year":"2011"},{"key":"e_1_2_12_17_2","doi-asserted-by":"publisher","DOI":"10.1177\/000841749906600304"},{"key":"e_1_2_12_18_2","volume-title":"International Classification of Functioning, Disability, and Health","author":"World Health Organization","year":"2001"},{"key":"e_1_2_12_19_2","doi-asserted-by":"publisher","DOI":"10.5271\/sjweh.1009"},{"key":"e_1_2_12_20_2","first-page":"44","article-title":"Red Flags for Back Pain: Do They Influence Clinical Decision-Making for Return to Work?","volume":"18","author":"Shaw W. S.","year":"2008","journal-title":"Journal of Occupational Rehabilitation"},{"key":"e_1_2_12_21_2","doi-asserted-by":"publisher","DOI":"10.1080\/09638288.2023.2287016"},{"key":"e_1_2_12_22_2","doi-asserted-by":"publisher","DOI":"10.1177\/17474930251362583"},{"key":"e_1_2_12_23_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10926-012-9401-1"},{"key":"e_1_2_12_24_2","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD006237.pub4"},{"key":"e_1_2_12_25_2","doi-asserted-by":"publisher","DOI":"10.1159\/000047685"},{"key":"e_1_2_12_26_2","doi-asserted-by":"publisher","DOI":"10.2340\/16501977-2863"},{"key":"e_1_2_12_27_2","article-title":"Cognitive Deficits After Mild Stroke: A Systematic Review","volume":"428","author":"Vlachos K.","year":"2021","journal-title":"Journal of the Neurological Sciences"},{"key":"e_1_2_12_28_2","first-page":"715","article-title":"Work-Related Experiences After Stroke: A Qualitative Study","volume":"50","author":"Palstam A.","year":"2018","journal-title":"Journal of Rehabilitation Medicine"},{"key":"e_1_2_12_29_2","first-page":"545","article-title":"Awareness of Deficit After Brain Injury: Implications for Rehabilitation","volume":"35","author":"Prigatano K. H.","year":"2014","journal-title":"NeuroRehabilitation"}],"container-title":["Occupational Therapy International"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/oti\/4254501","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1155\/oti\/4254501","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/oti\/4254501","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,25]],"date-time":"2026-07-25T06:45:54Z","timestamp":1784961954000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1155\/oti\/4254501"}},"subtitle":[],"editor":[{"given":"Claudia","family":"Hilton","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":29,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,1]]}},"alternative-id":["10.1155\/oti\/4254501"],"URL":"https:\/\/doi.org\/10.1155\/oti\/4254501","archive":["Portico"],"relation":{},"ISSN":["0966-7903","1557-0703"],"issn-type":[{"value":"0966-7903","type":"print"},{"value":"1557-0703","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1]]},"assertion":[{"value":"2026-04-12","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-07-11","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-07-24","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"4254501"}}