Computer Based Cognitive Rehabilitation (CBCR) Intervention for Young Stroke Survivors' Return to Work

Stroke can damage the brain, which may make it harder for survivors to think clearly, solve problems, and remember things. These changes in thinking can make it difficult for people to return to their jobs after a stroke. More and more, people are using computer-based exercises in rehabilitation and therapy to help with recovery. One such program, called RehaCom Online, is designed to help retrain the brain and improve decision-making and thinking skills. This project is looking at whether stroke survivors (aged 18-65) consider using RehaCom Online acceptable and feasible when used alongside regular occupational therapy care, to help improve their thinking and get back to work more quickly. The project will include people between the ages of 18 and 65 who are already receiving occupational therapy and whose therapy goals focus on return to work. Those who meet the study requirements will take part in a five-week course using the RehaCom Online software, in addition to their usual therapy sessions. They will also take tests to measure their attention, memory, and thinking skills and perceived work readiness. The main goals of the project are: 1. To find out if young stroke survivors use and engage with the computer-based treatment. 2. To learn about stroke survivors' experiences and feelings when using the treatment. 3. To see if this treatment influences stroke survivors' perceived readiness to return to work. If the findings are promising, this project could lead to a larger study to better understand how the programme helps people recover and return to work in the long term.

For stroke participants: Inclusion Criteria: 1. Ages 18-65 (working age) 2. Score of 12 or more on a specific test of thinking called Behavioural Assessment of Dysexecutive Syndrome (BADS) 3. Referred to NHS based services with a goal to return to work 4. Can do assessments in English and use a computer 5. Have a stable internet connection to access training Exclusion Criteria: 1. Have seizures 2. Have vision problems specific to stroke 3. Have trouble understanding English language due to their stroke symptoms 4. Lack capacity to provide consent for participation Inclusion and Exclusion criteria for Occupational Therapy Clinician participants: Working in participating community rehabilitation services for stroke and willing to be involved in this study.