• Title of article

    Occupational Therapy in Complex Patients: A Pilot Randomized Controlled Trial

  • Author/Authors

    Pellegrini, Martina DepartmentofPhysicalandRehabilitationMedicine - ArcispedaleSantaMariaNuova-IRCCS - AziendaUnitàSanitariaLocale - ReggioEmilia, Italy , Bucciarelli, Veronica DepartmentofPhysicalandRehabilitationMedicine - ArcispedaleSantaMariaNuova-IRCCS - AziendaUnitàSanitariaLocale - ReggioEmilia, Italy , Fugazzaro , Stefania DepartmentofPhysicalandRehabilitationMedicine - ArcispedaleSantaMariaNuova-IRCCS - AziendaUnitàSanitariaLocale - ReggioEmilia, Italy , Formisano, Debora ScientificDirectorate - ArcispedaleSantaMariaNuova-IRCCS - AziendaUnitàSanitariaLocale - ReggioEmilia, Italy , Schiavi, Margherita BScinOccupationalTherapy - AziendaUnitàSanitariaLocale - ReggioEmilia, Italy , Costi , Stefania ChildrenRehabilitationSpecialUnit - ArcispedaleSantaMariaNuova-IRCCS - AziendaUnitàSanitariaLocale - 42100ReggioEmilia, Italy

  • Pages
    12
  • From page
    1
  • To page
    12
  • Abstract
    Todetermineeffectsizeandfeasibilityofexperimentaloccupationaltherapy(OT)interventioninadditionto standardcareinapopulationofcomplexpatientsundergoingrehabilitationinahospital-home-basedsetting.Method.40 complexpatientsadmittedtotherehabilitationwardoftheLocalHealthAuthority-ResearchInstituteofReggioEmilia (Italy)wererandomizedinaparallel-group,open-labelcontrolledtrial.ExperimentalOTtargetingoccupationalneedsin theareasofself-care,productivity,andleisurewasdeliveredbyoccupationaltherapists.Standardcareconsistedoftask- orientedrehabilitationdeliveredbyamultiprofessionalteam.Results.TheexperimentalOTinterventionwascompletedby 75%ofpatientsassignedtothisgroup.TheaveragechangesintheCanadianOccupationalPerformanceMeasure(COPM) performancescoresignificantlyandclinicallyfavoredexperimentalOT[−3,06(−4.50;−1.61);delta>2points,resp.].Similar trendsweredetectedforCOPMsatisfactionandindependenceininstrumentalactivitiesofdailyliving(ADL).Atfollow-up, levelofsocialparticipationwashigherforpatientstreatedwithexperimentalOT(p=0043)thanforcontrols.Conclusions. ExperimentalOTwasfeasibleincomplexpatientsinahospital-home-basedsetting.Itamelioratedbothpatients’performance andsatisfactionincarryingoutrelevantactivitiesandimprovedindependenceininstrumentalADL.Thetrialisregistered withClinicalTrials.govNCT02677766.
  • Keywords
    Occupational Therapy , Complex Patients , A Pilot Randomized Controlled Trial , OT , COPM
  • Journal title
    Occupational Therapy International
  • Serial Year
    2018
  • Full Text URL
    downloads.hindawi.com/journals/oti/2018/3081094.pdf
  • Record number

    2616261

    • Link To Document
    https://search.isc.ac/dl/search/defaultta.aspx?DTC=10&DC=2616261