A cluster randomised controlled trial of an occupational therapy intervention for residents with stroke living in UK care-homes

Conditions

Stroke rehabilitation Circulatory System Stroke, not specified as haemorrhage or infarction

Sackley CM, Walker MF, Burton CR, Watkins CL, Mant J, Roalfe AK, Wheatley K, Sheehan B, Sharp L, Stant KE, Fletcher-Smith J, Steel K, Barton GR, Irvine L, Peryer G, OTCH investigators.

2016-02-019 citations

10.3310/hta20150

An occupational therapy intervention for residents with stroke related disabilities in UK care homes (OTCH): cluster randomised controlled trial

Catherine Sackley, Marion Walker, Christopher R Burton, Caroline Watkins, Jonathan Mant et al. (16 authors)

BMJ2015-02-0563 citations

10.1136/bmj.h468

A cluster randomised controlled trial of an occupational therapy intervention for residents with stroke living in UK care homes (OTCH): study protocol.

Sackley CM, Burton CR, Herron-Marx S, Lett K, Mant J, Roalfe AK, Sharp LJ, Sheehan B, Stant KE, Walker MF, Watkins CL, Wheatley K, Williams J, Yao GL, Feltham MG, OTCH study.

2012-07-098 citations

10.1186/1471-2377-12-52

Interventions

This is a pragmatic phase III cluster randomised controlled trial with independent assessment. Randomisation will be conducted by the Clinical Trials Unit (CTU) and only revealed to the treating occup

feeding, dressing, toileting, bathing, transferring and mobilising. The frequency and duration will be dependent on the resident and therapist's agreed goals and will be around 8 hours per resident ov

Eligibility

Sex/Gender

All

Inclusion criteria

Inclusion criteria: Adult men and women living in a care home with a history of stroke or transient ischaemic attack (TIA)

Exclusion criteria

Exclusion criteria: Active end of life care plan

Design outcomes

Primary

Measure	Time frame
Independence in activities of daily living, assessed using the Barthel Activity of Daily Living Index, a commonly used measure (toileting, dressing, feeding, continence, mobility and grooming) containing 10 items and scored from 0-20 (with 20 being more independent) All primary and secondary outcome measures will be assessed at baseline (0 months), after the intervention (3 months) and at follow-up (6 and 12 months).	—

Measure

Time frame

Independence in activities of daily living, assessed using the Barthel Activity of Daily Living Index, a commonly used measure (toileting, dressing, feeding, continence, mobility and grooming) containing 10 items and scored from 0-20 (with 20 being more independent) All primary and secondary outcome measures will be assessed at baseline (0 months), after the intervention (3 months) and at follow-up (6 and 12 months).

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Secondary

Measure	Time frame
1. Rivermead Mobility Index (RMI), a 15 item measure of functional mobility (scored 0-15, 15 being more mobile) 2. Mood, assessed by a 15-item Geriatric Depression Scale (GDS15), and informant version 3. Adverse events 4. Staff attitude 5. Health utility will be estimated using the Euroqol EQ-5D All primary and secondary outcome measures will be assessed at baseline (0 months), after the intervention (3 months) and at follow-up (6 and 12 months). In addition, the Mini-Mental State Examination (MMSE) will be used at baseline to determine the level of a resident's cognitive impairment; not as an exclusion criterion.	—

Measure

Time frame

1. Rivermead Mobility Index (RMI), a 15 item measure of functional mobility (scored 0-15, 15 being more mobile) 2. Mood, assessed by a 15-item Geriatric Depression Scale (GDS15), and informant version 3. Adverse events 4. Staff attitude 5. Health utility will be estimated using the Euroqol EQ-5D All primary and secondary outcome measures will be assessed at baseline (0 months), after the intervention (3 months) and at follow-up (6 and 12 months). In addition, the Mini-Mental State Examination (MMSE) will be used at baseline to determine the level of a resident's cognitive impairment; not as an exclusion criterion.

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Countries

United Kingdom

Outcome results

None listed