Effectiveness Study of Occupational Therapy in Parkinson's Disease

Radboud University Medical Center191 enrolled

Overview

The purpose of this study is to determine the effectiveness of occupational therapy in Parkinson's disease.

Parkinson's disease is a complex disabling condition progressively affecting activities and participation of patients. Occupational Therapy aims to optimise functional performance and engagement in meaningful roles and activities. The lack of scientific evidence for the effectiveness of Occupational Therapy (OT) in Parkinson's Disease (PD) highlights the urgent need for high quality intervention studies. The Dutch clinical practice guideline for OT in PD (2008)offers a good basis for conducting an intervention study. The completed OTiP pilot underscored the feasibility and the need for a large scale trial. The OTiP study evaluates the effectiveness of OT in improving daily functioning of patients with PD.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Enrollment

191

Conditions

Parkinson's Disease

Interventions

Occupational TherapyBEHAVIORAL

Patients in the experimental group will receive 10 weeks (maximum 16 hours) occupational therapy according to a treatment protocol, which is based on the Dutch evidence based guideline for occupational therapy in Parkinson's Disease and refined for this study.

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion criteria patients: * Idiopathic Parkinson's Disease * Indication for referral to occupational therapy * Home dwelling Inclusion criteria caregivers * Available for informal support minimal two times a week to a patient who participates in the study * Available to take part in the intervention Exclusion Criteria: * Not capable of completing the self assessment forms (i.e. due to language problems or severe cognitive problems\_MMSE score \< 24). * Co morbidity with symptoms that interfere with actively taking part in the intervention (e.g psychosis, severe heart condition). Or limitations in activities are dominated by the co morbid condition rather than by Parkinson's Disease. * Current participation in other allied health research (i.e. PARKFIT) * Having received occupational therapy intervention in the last 3 months

Locations (10)

Meander Medisch Centrum

Amersfoort, Netherlands

Gelre Ziekenhuizen

Apeldoorn, Netherlands

Tergooiziekenhuizen

Blaricum, Netherlands

Deventer Ziekenhuis

Deventer, Netherlands

Outcomes

Primary Outcomes

Canadian Occupational Performance Measure (COPM)

Perceived activity performance. Three months will be the primary analysis. Effects at follow up will be measured at 6 months (see secondary outcome measures)

Time frame: 3 months

Secondary Outcomes

Perceive Recall Plan Perform Measure (PRPP)

Observational measure. Activity performance patient

Time frame: 3 months

Zarit Burden Inventory (ZBI)

Perceived caregiver burden.(caregiver)

Time frame: 3 months

Parkinson's Disease Questionnaire 39 (PDQ-39)

Health related Quality of life (Parkinson specific; patient)

Time frame: 3 months

Resource utilization questionnaire

For evaluating costs. (patient and caregiver)

Time frame: 3 months

Objective Caregiving Burden

Evaluating hours of care (costs). (caregiver)

Time frame: 3 months

Activity Card Sort (ACS)

Participation measure:% retained activities.(patient)

Time frame: 3 months

The Utrecht Scale for evaluation of Rehabilitation Participation (USER-P)(section III)

Satisfaction with participation (patient)

Time frame: 3 months

Data from ClinicalTrials.gov

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