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Occupational Therapy in Complex Patients: A Pilot Randomized Controlled Trial.
Martina Pellegrini1, Debora Formisano2, Veronica Bucciarelli1
1Department of Physical and Rehabilitation Medicine, Arcispedale Santa Maria Nuova-IRCCS, Azienda Unità Sanitaria Locale, 42100 Reggio Emilia, Italy.
Occupational Therapy International
|September 26, 2018
Summary
Experimental occupational therapy (OT) is feasible for complex rehabilitation patients. This intervention improved patient performance, satisfaction, and independence in daily activities, enhancing social participation.
Area of Science:
- Rehabilitation Medicine
- Occupational Therapy
- Clinical Trials
Background:
- Complex patients require tailored rehabilitation strategies.
- Hospital-home-based settings present unique challenges for therapy delivery.
- Standard care may not fully address all occupational needs.
Purpose of the Study:
- To assess the effect size of an experimental occupational therapy (OT) intervention.
- To determine the feasibility of this OT intervention in a hospital-home-based setting.
- To evaluate OT's impact on complex patients undergoing rehabilitation.
Main Methods:
- A parallel-group, open-label controlled trial involving 40 complex patients.
- Randomization to either experimental OT or standard care.
- Experimental OT focused on self-care, productivity, and leisure needs.
Main Results:
- The experimental OT intervention was completed by 75% of participants.
- Significant improvements were observed in Canadian Occupational Performance Measure (COPM) performance and satisfaction scores.
- Enhanced independence in instrumental activities of daily living (ADL) and higher social participation were noted post-intervention.
Conclusions:
- Experimental OT is a feasible and effective addition to standard care for complex patients.
- The intervention positively impacted patient-reported outcomes, including performance and satisfaction.
- Occupational therapy demonstrated benefits in functional independence and social engagement.
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