Effect of Intensified Occupational Therapy on Basic Activities of Daily Living

University of Aarhus20 enrolled

Overview

The objective is to investigate the effect of an intensified occupational therapy intervention on independence in basic activities of daily living (ADL) in subjects with stroke

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Enrollment

Conditions

ADL

Interventions

Intensified occupational therapyBEHAVIORAL

The intervention is an intensified occupational therapy effort, which does not take time away from other occupational therapy efforts.

Eligibility

Sex: ALLMin age: 18 YearsMax age: 75 Years

Medical Language ↔ Plain English

Inclusion Criteria: * First-time stroke * \<=4 on four of six Functional Independence Measure (FIM) basic ADL items Exclusion Criteria: * Not able to understand danish

Locations (1)

Hammel Neurorehabilitation Centre and University Research Clinic

Hammel, Central Jutland, Denmark

Outcomes

Primary Outcomes

Assessment of motor and process skills (AMPS)

Observed limitations in activities of daily living, with scores for the motor- and proces- domains of activitites of daily living abilities. Each item in the domains is scored on a 4-point Likert scale, with higher scores representing a better outcome.

Time frame: Change in scores from baseline to scores following three weeks intervention

Secondary Outcomes

Activities of Daily Living - Interview

Patient reported outcome measure

Time frame: Change in scores from baseline to scores following three weeks intervention

Functional Independence Measure (FIM)

FIM measures activities of daily living observed by the interdisciplinary team in routinely daily practice. The scale has 18 items which are scored on a 7 point Likert Scale. The total score thus range from 18 to 126, with higher scores represent a better outcome.

Time frame: Change in scores from baseline to scores following three weeks intervention

Goal Attainment Scaling

Scoring system based on rehabilitation goal setting. Each rehabilitation goal is rated on a 5-point Likert scale from -2 to +2 with higher score representing a better outcome. Examples are: -2 denoting "much less than expected" and +2 denoting "much more than expected".

Time frame: Following three weeks intervention

Length of stay

Length of stay starts the day the patient is admitted for subacute rehabilitation and ends the day the patient is discharged. The mean length of stay at the hospital is arround 6 weeks.

Time frame: Follow-up up to one year of admission for inpatient rehabilitation.

Data from ClinicalTrials.gov

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