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.
|Data di pubblicazione:||2018|
|Titolo:||Occupational Therapy in Complex Patients: A Pilot Randomized Controlled Trial|
|Autore/i:||Pellegrini, Martina; Formisano, Debora; Bucciarelli, Veronica; Schiavi, Margherita; Fugazzaro, Stefania; Costi, Stefania|
|Digital Object Identifier (DOI):||10.1155/2018/3081094|
|Codice identificativo ISI:||WOS:000444943400001|
|Codice identificativo Scopus:||2-s2.0-85059173727|
|Codice identificativo Pubmed:||30250407|
|Citazione:||Occupational Therapy in Complex Patients: A Pilot Randomized Controlled Trial / Pellegrini, Martina; Formisano, Debora; Bucciarelli, Veronica; Schiavi, Margherita; Fugazzaro, Stefania; Costi, Stefania. - In: OCCUPATIONAL THERAPY INTERNATIONAL. - ISSN 0966-7903. - (2018), pp. 1-11.|
|Tipologia||Articolo su rivista|
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