Cluster randomized pilot controlled trial of an occupational therapy intervention for residents with stroke in UK care homes

Stroke

Volumn 37, Issue 9, 2006, Pages 2336-2341

  Sackley, Catherine ^a,e   Wade, Derick T ^b   Mant, David ^c   Atkinson, Jo Copley ^c   Yudkin, Patricia ^c   Cardoso, Karina ^c   Levin, Sonya ^c   Lee, Vanessa Blanchard ^d   Reel, Kevin ^d  

^a UNIVERSITY OF BIRMINGHAM   (United Kingdom)

^b OXFORD CENTRE FOR ENABLEMENT   (United Kingdom)

^c UNIVERSITY OF OXFORD   (United Kingdom)

^d OXFORD BROOKES UNIVERSITY   (United Kingdom)

^e Biolng u'Est Building   (United Kingdom)

Author keywords

Nursing homes; Occupational therapy; Stroke

Indexed keywords

ADULT; AGED; ARTICLE; CAREGIVER; CLINICAL TRIAL; CONFIDENCE INTERVAL; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; DAILY LIFE ACTIVITY; EVALUATION; FEMALE; HUMAN; MAJOR CLINICAL STUDY; MALE; NURSING HOME; OCCUPATIONAL THERAPY; PATIENT; PATIENT EDUCATION; PRIORITY JOURNAL; RANDOMIZED CONTROLLED TRIAL; STROKE; TREATMENT OUTCOME; UNITED KINGDOM;

ACTIVITIES OF DAILY LIVING; AGED; AGED, 80 AND OVER; CEREBROVASCULAR ACCIDENT; DISEASE PROGRESSION; FEMALE; GREAT BRITAIN; HUMANS; MALE; MIDDLE AGED; NURSING HOMES; OCCUPATIONAL THERAPY; PILOT PROJECTS; TIME FACTORS;

EID: 33748368902     PISSN: 00392499     EISSN: None     Source Type: Journal    
DOI: 10.1161/01.STR.0000237124.20596.92     Document Type: Article

References (25)

1. Rudd AG, Irwin P, Rutledge Z, Lowe D, Wade DT, Pearson M. Regional variations in stroke care in England, Wales and Northern Ireland: results from the National Sentinel Audit of Stroke. Royal College of Physicians Intercollegiate Stroke Working Party. Clinical Rehabilitation. 2001;15:562-572.
2. Brown RD Jr, Ransom J, Hass S, Petty GW, O'Fallon WM, Whisnant JP, Leibson CL. Use of nursing home after stroke and dependence on stroke severity: a population-based analysis. Stroke. 1999;30:924-929.
3. Bowman C, Whistler J, Ellerby M. A national census of care home residents. Age & Ageing. 2004;33:561-566.
4. Yap LKP, Au SYL, Ang YH, Kwan KY, Ng SC, He CH. Who are the residents of a nursing home in Singapore? Singapore Med J. 2003;44:65-73.
5. Fahey T, Montgomery AA, Barnes J, Protheroe J. Quality of care for elderly residents in nursing homes and elderly people living at home: Controlled observational study. BMJ. 2003;326:580-583.
6. Lee Y, Choi K. Functional disability of older persons in long-term care facilities in Korea. Archives of Gerontology & Geriatrics. 2002;34:93-106.
7. Sackley CM, Dewey ME. The frequency of joint contractures, pressure sores, painful shoulder, other pain and falls after severely disabling stroke. Clinical Rehabilitation. 2002;16:114-115.
8. Langhorne P, Stott DJ, Robertson L, MacDonald J, Jones L, McAlpine C, Dick F, Taylor GS, Murray G. Medical complications after stroke: a multicenter study. Stroke. 2000;31:1223-1229.
9. Kavanagh S, Knapp M. The impact on general practitioners of the changing balance of care for elderly people living in institutions. BMJ. 1998;317:322-327.
10. Sackley CM, Dewey ME. Recovery from severely disabling stroke. Clinical Rehabilitation. 2001;15:455.
11. Duthie J, Chesson R. Physiotherapy in private nursing homes. Physiotherapy. 1996;82:566-572.
12. O'Dea G, Kerrison S, Pollock A. Access to healthcare in nursing homes:a survey in one English Health Authority. Health and Social Care in the Community. 2000;8:180-185.
13. Sackley CM, Gatt J, Walker MF. The use of rehabilitation services by private nursing homes in Nottingham. Age & Ageing. 2001;30:532-533.
14. Walker MF, Leonardi-Bee J, Bath P, Langhorne P, Dewey M, Corr S, Drummond A, Gilbertson L, Gladman JRF, Jongbloed L, Logan P, Parker C. Individual patient data meta-analysis of randomized controlled trials of community occupational therapy for stroke patients. Stroke. 2004;35:2226-2232.
15. MRC. A framework for development and evaluation of RCTs for complex interventions to improve health. Medical Research Council. 2000;1-18.
16. Sackley CM, Atkinson JC, Walker MF. Occupational therapy in nursing and residential care settings: a description of a randomised controlled trial intervention. British Journal of Occupational Therapy 2004;67:104-110.
17. Medical Research Council. Cluster randomised trials: Methodological and ethical considerations. MRC clinical trials series. Medical Research Council November 2002. Available at: http://www.mrc.ac.uk/index/publications/pdf- cluster_randomised_trials-link. Accessed July 27, 2006.
18. Oxfordshire Care Association. Guide to Residential Homes, Nursing homes and Domiciliary Care. 2000.
19. Collin C, Wade DT, Davies S, Horne V. The Barthel ADL Index: a reliability study. International Disability Studies. 1988;10:61-63.
20. Paterson M, Higgs J, Wilcox S. The artistry of judgement: a model for occupational therapy practice. British Journal of Occupational Therapy. 2005;68:409-417.
21. MRC. The ethical conduct of research on the mentally incapacitated. 1991, London: MRC.
22. Gilbertson L, Langhorne P, Walker A, Allen A, Murray GD. Domiciliary occupational therapy for patients with stroke discharged from hospital: randomised controlled trial. BMJ. 2000;320:603-606.
23. Collen F, Wade D, Robb G, Bradshaw C. The Rivermead Mobility Index: a further development of the Rivermead Motor Assessment. International Disability Studies. 1991;13:50-54.
24. Katzman R, Brown T, Fuld P, Peck A, Schechter R, Schimmel H. Validation of a short Orientation-Memory-Concentration Test of cognitive impairment. Am Journal of Psychiatry. 1983;140:734-739.
25. Donner A, Klar N. In: Design and Analysis of Cluster Randomization Trials in Health Research. 2000, London: Arnold. pp. 96:114 ff.