From: Developing an implementation fidelity checklist for a vocational rehabilitation intervention
Stage | Item | Component description | Core or desirable | Cohen’s Kappa | 95% CIs |
---|---|---|---|---|---|
1. Early recovery | 1.1 | OT intervenes within 12 weeks of stroke. | Core | 1 | 1 |
1.2 | OT assesses the impact of the stroke on the participant. | Core | a | ||
1.3 | OT assesses the impact of the stroke on the participant’s job. | Core | a | ||
1.4 | OT assesses the impact of the stroke on the participant’s family. | Desirable | 0.79 | 0.56–0.89 | |
1.5 | OT helps participant plan a return to work and prepares them to return to work. | Core | 1 | 1 | |
1.6 | OT communicates in writing with relevant stakeholders regarding work status. | Core | a | ||
1.7 | OT coordinates VR across relevant sectors. | Core | 0.74 | 0.44–0.87 | |
2. Graded return to work | 2.1 | OT provides education and advice to the participant. | Core | 1 | 1 |
2.2 | OT provides emotional support to the participant. | Desirable | 0.83 | 0.73–1.0 | |
2.3 | OT provides education and advice to the employer. | Core | 0.82 | 0.61–1.0 | |
2.4 | OT provides emotional support to the employer. | Desirable | 0.76 | 0.73–1.0 | |
2.5 | OT provides education and advice to the participant’s family. | Desirable | 0.79 | 0.69–1.0 | |
2.6 | OT provides emotional support to the participant’s family. | Desirable | 0.79 | 0.69–0.88 | |
2.7 | OT negotiates a phased return to work. | Core | 1 | 1 | |
2.8 | OT mediates workplace adjustments. | Core | 1 | 1 | |
2.9 | OT provides a mechanism for feedback based on work performance. | Core | 0.79 | 0.66–0.89 | |
2.10 | OT continuously monitors the participant’s return to work to ensure sustainability and job retention. | Core | 1 | 1 | |
3. Job retention | 3.1 | OT identifies issues that arise within the return-to-work process with relevant stakeholders. | Core | 0.75 | 0.58–0.89 |
3.2 | OT addresses issues that arise within the return-to-work process with all stakeholders. | Core | 0.69 | 0.61–0.78 | |
3.3 | OT explores alternative duties and/or job roles with the participant where current work could not be sustained/ was not feasible. | Core | 0.76 | 0.63–1.0 | |
3.4 | OT practices gradual, appropriate disengagement from intervention with the participant. | Core | 1 | 1 | |
3.5 | OT discusses gradual, appropriate disengagement from intervention with the participant’s employer. | Core | 0.79 | 0.48–0.89 | |
4. Discharge | 4.1 | OT and participant agree on an appropriate timepoint for withdrawing from intervention. | Core | 0.81 | 0.69–1.0 |
4.2 | OT discusses and communicates mechanisms for re-accessing vocational services or provides information about access to further avenues of support to the participant. | Core | 0.87 | 0.62–1.0 | |
4.3 | OT discusses and communicates mechanisms for re-accessing vocational services or provides information about access to further avenues of support to the participant’s employer. | Core | 0.9 | 0.79–1.0 | |
4.4 | OT discusses and communicates mechanisms for re-accessing vocational services or provides information about access to further avenues of support to the participant’s family. | Desirable | 0.77 | 0.55–0.89 | |
4.5 | OT provides the participant’s GP and other relevant health care professionals with a copy of the discharge letter. | Core | 1 | 1 |