None listed
Conditions
Brief summary
The National Health and Medical Research Council (NHMRC) funded clinical trial will assess the effect of occupational therapy discharge planning for older adults on functional independence. The intervention will consist of in-hospital rapport building and discharge planning, a pre-discharge home visit, post discharge home visit and two follow up phone calls all completed by the same occupational therapist. 400 participants will be recruited from three hospital sites. Primary outcomes are functional independence and reintegration to normal living. Secondary outcomes include falls, physical acticity, health related quality of life, readmission rates and length of stay and self effciacy in every tasks. Cost effectiveness analysis of the program will also be undertaken.
Interventions
Participants' randomised into the intervention group will meet with an occupational therapist in hospital to begin discharge planning. Session one will be completed in hospital taking approximately 60minutes. The OT will conduct a pre-discharge home visit (approximately five days prior to discharge) and families will be included where possible. The pre-discharge home visit is expected to take between 60-90minutes. At the pre-discharge home visit, the Occupational Therapist will collaboratively r
Participants' randomised into the intervention group will meet with an occupational therapist in hospital to begin discharge planning. Session one will be completed in hospital taking approximately 60minutes. The OT will conduct a pre-discharge home visit (approximately five days prior to discharge) and families will be included where possible. The pre-discharge home visit is expected to take between 60-90minutes. At the pre-discharge home visit, the Occupational Therapist will collaboratively review the needs of the participant to safely return home by reviewing home environment and the participant's ability to carry out day to day activities. During the post discharge (which will occur up to a week post discharge, taking around 60-90minutes) home visit the Occupational Therapist will focus on improving participant's ability to manage at home and increasing independence. Two follow up calls will be conducted (at two weeks and four weeks after the post-discharge home visit) used to reinforce strategies, and identify and resolve challenges (these follow up calls are expected to last around 15 minutes).
Sponsors
Lindy Clemson
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Treatment
Masking
Blinded (masking used) (Outcomes Assessor)
Eligibility
Sex/Gender
All
Age
70 Years to No maximum
Healthy volunteers
No
Inclusion criteria
People admitted to a participating ward who are expected to return to a community dwelling, have conversational English skills, absence of a significant cognitive impairment, and absence of severe co-morbid disease.
Exclusion criteria
Participants will be excluded if their mobility status has changed as a result of the event causing hospitalisation and thus now require supervision, assistance or there is a need for a wheelchair to mobilise. Participants will also be excluded if there was a known comprehensive occupational therapy home assessment in the last 6 months.
Outcome results
None listed