Table 3.
Comparison between ‘NPTDA-estimated’ and ‘actual’ hours of therapy intervention using the revised algorithm
| Therapy dependency item | Estimated hours/week From NPTDA |
Actual hours/week From activity analysis |
Comparative analysis |
|||||
|---|---|---|---|---|---|---|---|---|
| Median (IQR) | Range | Median (IQR) | Range | Wilcoxon Z-value | P-value | Spearman rho | P-value | |
| 1) Medical management | 0.3 (0–2) | 0–6 | – | – | – | – | – | – |
| 2a) Splinting/orthotics upper limb | 0.3 (0–1) | 0–5 | 0.0 (0–1.5) | 0–3 | −0.8 | 0.41 | 0.77 | <0.0001 |
| 2b) Splinting/orthotics lower limb | 0.0 (0–0.5) | 0–3 | 0.0 (0–0.5) | 0–2.5 | −0.4 | 0.71 | 0.64 | <0.0001 |
| 3) Seating/wheelchair | 1.0 (0–3) | 0–5 | 0.8 (0–2) | 0–2.5 | −2.2 | 0.03 | 0.74 | <0.0001 |
| 4) Physical therapy | 4.0 (3–6.5) | 0–11.5 | 4.5 (3.1–5.5) | 0–8 | −1.1 | 0.27 | 0.58 | <0.001 |
| 5) Trachestomy management | 0.0 (0–0) | 0–10 | 0.0 (0–0) | 0–2 | 0.0 | 1.00 | 0.58 | <0.001 |
| 6) Swallowing | 0.0 (0–0.3) | 0–3 | 0.0 (0–0.3) | 0–2.5 | −0.6 | 0.56 | 0.80 | <0.0001 |
| 7) Nutrition | 0.3 (0.1–0.3) | 0–7 | 0.3 (0–0.8) | 0–4.5 | −0.9 | 0.35 | 0.60 | <0.0001 |
| 8) Supported communication | 0.0 (0–1) | 0–5 | 0.0 (0–0.4) | 0–3.5 | −1.7 | 0.09 | 0.60 | <0.0001 |
| 9) Speech and language interventions | 1.1 (0–1) | 0–5 | 0.8 (0–1.5) | 0–4 | −0.2 | 0.88 | 0.73 | <0.0001 |
| 10) Personal/self-care | 2.0 (0.3–4) | 0–6 | 0.8 (0.3–2.0) | 0–4.5 | −2.4 | 0.02 | 0.69 | <0.0001 |
| 11) Domestic/community- based activities | 0.0 (0–0.3) | 0–4 | 0.0 (0–2.5) | 0–3 | −1.1 | 0.27 | 0.70 | <0.0001 |
| 12) Vocational/leisure/ computers/driving | 1.0 (0–1) | 0–3 | 1.0 (0.3–1.8) | 0–2.5 | −1.9 | 0.05 | 0.55 | <0.001 |
| 13) Cognitive interventions | 0.0 (0–0.3) | 0–4.5 | 0.0 (0–0.1) | 0–1.5 | −1.3 | 0.20 | 0.57 | <0.001 |
| 14) Behavioural management | 0.0 (0–0) | 0–5 | 0.0 (0–0) | 0–5 | −0.1 | 0.89 | 0.89 | <0.0001 |
| 15) Emotional/mood | 0.0 (0–1) | 0–14 | 0.3 (0–0.8) | 0–1.5 | −1.3 | 0.18 | 0.65 | <0.0001 |
| 16) Formal family support | 0.0 (0–0.6) | 0–6 | 0.0 (0–0.3) | 0–1.5 | −2.4 | 0.02 | 0.49 | 0.008 |
| 17) Emotional load on staff | ||||||||
| 18) Planning discharge/ housing/care package | 0.3 (0–1) | 0–5 | 0.0 (0–1.5) | 0–4.5 | −0.5 | 0.64 | 0.69 | <0.0001 |
| 19) Benefits and finances | 0.3 (0–0.3) | 0–1 | 0.0 (0–0.5) | 0–1.5 | −0.5 | 0.60 | 0.42 | 0.023 |
| 20) Equipment/adaptation for home | 0.0 (0–0.3) | 0–3 | 0.0 (0–0) | 0–1 | −1.9 | 0.05 | 0.55 | <0.001 |
| 21) Community/home visits | 0.0 (0–0) | 0–8 | 0.0 (0–0) | 0–7.5 | −0.9 | 0.34 | 0.84 | <0.0001 |
| 22) Key-working | 1.0 (0.5–2) | 0–5 | 0.5 (0.3–1.1) | 0–3.5 | −2.5 | 0.012 | 0.45 | 0.015 |
NPTDA, Northwick Park Therapy Dependency Assessment.