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
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
