Domiciliary occupational therapy for patients with stroke discharged from hospital

Completed

Phase N/A Results

Trial Description

To evaluate whether a brief program of domiciliary occupational therapy could improve the recovery of patients with stroke discharged from the hospital.

Interventions

Trial Design

Single-blind, stratified, randomized, controlled trial of 138 patients at 2 centers. Patients were stratified by sex and attendance at a day hospital.

Patient Involvement

Patients were randomized to receive routine services or routine services plus domiciliary occupational therapy. The domiciliary program was a 6-week program consisting of around 10 visits lasting 30-45 minutes which were tailored to recovery goals identified by the patient such as regaining self care or domestic or leisure activities. The therapist worked with the patient to achieve these goals and also worked with other agencies for advice, services, and equipment. Routine services included inpatient multidisciplinary rehabilitation, a pre-discharge home visit for selected patients, the provision of support services and equipment, regular multidisciplinary review at a stroke clinic, and selected patients referred to a medical day hospital. All patients received a follow-up interview at 8 weeks and a questionnaire by mail at 6 months.

Outcomes

Type Measure Time Frame Safety Issue
Primary Nottingham extended activities of daily living scale and the 'global outcome' of deterioration according to the Barthel activities of daily living index, or death at 8 weeks and 6 months.
Secondary Barthel index, satisfaction with outpatient services, resource use (staff time, hospital readmission, provision of equipment and services), and measures of subjective health.

Sponsors

Chest Heart and Stroke Scotland, Glasgow Royal Infirmary NHS Trust, Scottish Office