Five-year follow-up of a cluster-randomized controlled trial of a client-centred activities of daily living intervention for people with stroke
| Autor: | Gunilla Eriksson, Susanne Guidetti, Lena von Koch, Annicka Hedman |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
Occupational therapy
Stroke rehabilitation Male 030506 rehabilitation medicine.medical_specialty caregivers Activities of daily living Time Factors medicine.medical_treatment Psychological intervention Physical Therapy Sports Therapy and Rehabilitation Disease cluster law.invention rehabilitation 03 medical and health sciences 0302 clinical medicine evaluation studies Randomized controlled trial Occupational Therapy law Intervention (counseling) occupational therapy Activities of Daily Living Adaptation Psychological Medicine longitudinal studies Cluster Analysis Humans Stroke Aged Rehabilitation business.industry Evaluative Studies Middle Aged medicine.disease follow-up studies Affect Physical therapy Arbetsterapi Female 0305 other medical science business 030217 neurology & neurosurgery |
| Zdroj: | Clinical Rehabilitation |
| ISSN: | 1477-0873 0269-2155 |
| Popis: | Objective: To compare five-year outcomes and changes over time of a client-centred activities of daily living (ADL) intervention versus usual ADL interventions for people with stroke and their significant others. Design: Five-year follow-up of a cluster-randomized controlled trial where a client-centred ADL intervention ( n = 129) or usual ADL interventions ( n = 151) were delivered to people with stroke. Setting: Multicentre study including 16 inpatient or home-based rehabilitation units. Participants: People with stroke and significant others. Intervention: The client-centred ADL intervention aimed at enabling agency in daily activities and participation in everyday life and at reducing caregiver burden. Main measures: For people with stroke, perceived participation (Stroke Impact Scale), independence in ADL, life satisfaction, and use of formal/informal care were measured. For significant others, caregiver burden, life satisfaction, and mood (Hospital Anxiety and Depression Scale) were assessed. Results: Five years post-intervention, data were collected from 145 people with stroke (intervention group: n = 71/control group: n = 74) and 75 significant others (intervention group: n = 36/control group: n = 39). For those with stroke, the Participation domain of the Stroke Impact Scale showed no group differences at year five (68.9 vs 75.4, P = 0.062) or in changes over time. At year five, the control group had better outcomes regarding Other help/supervision. Significant others in the control group were more likely to show signs of depression at year five (odds ratio = 22.3; P Conclusion: The client-centred ADL intervention appears to render similar long-term effects as usual ADL interventions for people with stroke, but for significant others signs of depression might be reduced. |
| Databáze: | OpenAIRE |
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