None listed
Conditions
Brief summary
Occupational therapists use a range of rehabilitative approaches to work towards their patients’ goals, one of which is implementing occupation-based interventions. Occupation-based interventions, involve the therapeutic use of engagement in occupation (or an intended daily activity) to achieve change. Delivering occupation-based interventions in the inpatient rehabilitation setting is often time and resource intensive, and the demand for increasing intensity of rehabilitation services poses additional challenges to both clinicians and the health system. Occupational therapists commonly use group-based interventions alongside individual therapy. There are several potential benefits identified by both clinicians and patients for group-based interventions including building connections with co-participants through shared experiences, peer-based learning, and improving motivation for therapy; there are also clear economic benefits as groups can improve time and cost-effectiveness through being able to see more patients at once, as well as offering the potential for a higher intensity of task practice. This study aims to compare the effectiveness of occupation-based groups to occupation-based interventions delivered individually. Occupation-based interventions should be client-cenetred, individualised, and flexible in nature, with the content, intensity and duration of therapy tailored to each patient and their specific occupational performance goals. Thus, further research is warranted to determine whether occupation-based interventions delivered in a group setting using semi-supervised practice can uphold the client-centred nature of this intervention effectively, compared with individual-based delivery. This research will aim to determine the effectiveness of occupation-based groups in adult inpatient rehabilitation and explore the factors impacting on implementation and outcomes of such interventions. It is hypothesized that an occupation-based group intervention will be more effective in improving occupational performance outcomes in adult inpatient rehabilitation compared to usual care.
Interventions
Occupation-based interventions delivered in a semi-supervised, group format for domestic-based daily activities (cooking, cleaning, laundry, and other domestic tasks).
Occupation-based interventions involve using engagement in part or whole of an intended occupation (daily activity) as a therapeutic agent of change. In the case of the intervention group, the occupation-based intervention will be delivered in a semi-supervised group format. Specific tasks practiced during groups will vary dependi
Occupation-based interventions delivered in a semi-supervised, group format for domestic-based daily activities (cooking, cleaning, laundry, and other domestic tasks). Occupation-based interventions involve using engagement in part or whole of an intended occupation (daily activity) as a therapeutic agent of change. In the case of the intervention group, the occupation-based intervention will be delivered in a semi-supervised group format. Specific tasks practiced during groups will vary depending on patient goals but may include preparing breakfast, preparing lunch, emptying/stacking dishwasher, wiping bench tops, cleaning bathroom surfaces, vacuuming, sweeping, bed making, loading/unloading washing machines and dryers and hanging washing on indoor airers or outdoor clotheslines. Groups are to be implemented in therapy kitchen, therapy laundry, outdoor clothesline, gym, and bathroom spaces on the relevant inpatient rehabilitation wards. Groups are to be delivered by occupational therapists, allied health assistants and/or occupational therapy students. Group size varied between 2-4 participants. Frequency and duration of the intervention group will vary per patient given the client-centred nature of this intervention. Patients continue to engage in the group treatment until they achieved their goals, reach a new baseline and/or are for discharge.
Sponsors
University of Canberra Hospital
Study design
Allocation
Non-randomised trial
Intervention model
Other
Primary purpose
Treatment
Masking
Open (masking not used)
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
INCLUSION - Aged 18 years or above - Medically stable - Admitted to Stromlo, Namadgi or Majura inpatient rehabilitation wards for rehabilitation at the University of Canberra Hospital - Adequate cognitive and communication abilities to enable full participation in the intervention in a semi-supervised format - Discharge destination of home with domestic-based goals (1-5 goals) - Written, informed consent to participate in the study
Exclusion criteria
EXCLUSION - < 1 domestic based goal identified -Discharge destination to residential care facility - Medically unstable - Severe cognitive and/or communication deficits (<17/30 on the Mini Mental State Examination and <13/20 on the shortened Frenchay Aphasia Screening Test respectively).
Outcome results
None listed