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Related Experiment Video

Updated: May 1, 2026

Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit
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Activity-Based Interventions to Increase Independence After Stroke In the Hospital Setting: Protocol for a Systematic

Tayla Grant1,2, Laura Jolliffe1,3,4, Kylie Wales1,5

  • 1Monash University, Melbourne, Australia.

JMIR Research Protocols
|July 8, 2025
PubMed
Summary
This summary is machine-generated.

This systematic review examines early, hospital-based, occupational therapist-led activity interventions for stroke survivors. It aims to identify effective methods for improving basic and simple cognitive daily living activities to maximize independence post-stroke.

Keywords:
activities of daily livinghemiplegiaoccupational therapyrehabilitationstrokestroke rehabilitation

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Area of Science:

  • Rehabilitation Medicine
  • Occupational Therapy
  • Neurology

Background:

  • Stroke is a primary cause of long-term disability, impairing daily activities.
  • Early rehabilitation is crucial for functional recovery, but optimal interventions remain unclear.
  • This review focuses on hospital-based, activity-based interventions led by occupational therapists.

Purpose of the Study:

  • To systematically review evidence on the effectiveness of occupational therapist-led activity-based interventions.
  • To improve performance in basic activities of daily living (b-ADL) and simple cognitive instrumental activities of daily living (C-IADL) in adult stroke survivors.
  • To inform clinical practice and enhance outcomes for stroke survivors during hospitalization.

Main Methods:

  • Comprehensive searches of major databases (MEDLINE, CINAHL, EMBASE, Cochrane).
  • Inclusion of randomized controlled trials (RCTs) and quasi-RCTs involving adult stroke survivors.
  • Data extraction and quality assessment using the PEDro scale; meta-analysis where appropriate.

Main Results:

  • Results will be analyzed based on intervention type, timing post-stroke, and delivery method (group vs. individualized).
  • Outcomes will include global function measures (e.g., FIM) and specific task assessments (e.g., Nottingham Dressing Assessment).

Conclusions:

  • This review will address the evidence gap for early, inpatient activity-based interventions for stroke survivors.
  • Findings will provide clinical guidance on effective strategies to improve early independence after stroke.