Occupational Therapy in Complex Patients: A Pilot Randomized Controlled Trial
| Autor: | Debora Formisano, Stefania Costi, Martina Pellegrini, Stefania Fugazzaro, Margherita Schiavi, Veronica Bucciarelli |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
Adult
Male Occupational therapy Canada 030506 rehabilitation medicine.medical_specialty Activities of daily living Article Subject medicine.medical_treatment Population MEDLINE Pilot Projects Comorbidity law.invention 03 medical and health sciences Leisure Activities 0302 clinical medicine Occupational Therapy Randomized controlled trial law Activities of Daily Living medicine Humans education Aged Aged 80 and over education.field_of_study Rehabilitation business.industry lcsh:RM1-950 General Medicine Middle Aged medicine.disease Treatment Outcome lcsh:Therapeutics. Pharmacology Physical therapy Female Interdisciplinary Communication Canadian occupational performance measure 0305 other medical science business 030217 neurology & neurosurgery |
| Zdroj: | Occupational Therapy International, Vol 2018 (2018) |
| ISSN: | 0966-7903 |
| DOI: | 10.1155/2018/3081094 |
| Popis: | Introduction. To determine effect size and feasibility of experimental occupational therapy (OT) intervention in addition to standard care in a population of complex patients undergoing rehabilitation in a hospital-home-based setting. Method. 40 complex patients admitted to the rehabilitation ward of the Local Health Authority-Research Institute of Reggio Emilia (Italy) were randomized in a parallel-group, open-label controlled trial. Experimental OT targeting occupational needs in the areas of self-care, productivity, and leisure was delivered by occupational therapists. Standard care consisted of task-oriented rehabilitation delivered by a multiprofessional team. Results. The experimental OT intervention was completed by 75% of patients assigned to this group. The average changes in the Canadian Occupational Performance Measure (COPM) performance score significantly and clinically favored experimental OT [−3,06 (−4.50; −1.61); delta>2 points, resp.]. Similar trends were detected for COPM satisfaction and independence in instrumental activities of daily living (ADL). At follow-up, level of social participation was higher for patients treated with experimental OT (p=0.043) than for controls. Conclusions. Experimental OT was feasible in complex patients in a hospital-home-based setting. It ameliorated both patients’ performance and satisfaction in carrying out relevant activities and improved independence in instrumental ADL. The trial is registered with ClinicalTrials.gov NCT02677766. |
| Databáze: | OpenAIRE |
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