| Methods |
Cluster RCT with 12 care homes were group into 4 strata and within each stratum, pair of homes were allocated randomly into interventional or control group
Randomisation used computer‐generated random numbers
Allocation concealment: adequate
Blinding: blinded outcome assessor |
| Participants |
UK (Oxfordshire)
118 participants (63 residents from 6 homes in intervention group and 55 residents from 6 homes in control group)
Mean age 88.6 years
Participants recruited from 12 nursing and residential homes
Barthel Score at baseline: intervention mean 10.1 (SD 5.7); control mean 9.5 (SD 5.2)
Inclusion criteria: resident in nursing and residential homes, had moderate to severe stroke‐related disability (Barthel Index score 4 to 15 inclusive) |
| Interventions |
Occupational therapy intervention versus usual care (control)
Assessments at baseline, 3 and 6 months
Intervention delivered at level of the individual, targeted towards improving independence in personal ADL
Intervention provided by experienced, qualified occupational therapist attached to the home. Intervention followed a routine process using a client‐centred approach and included a continuous process of assessment, treatment and reassessment
Intervention period was 3 months |
| Outcomes |
Primary outcome: Barthel Index
Secondary outcome: poor global outcome, Rivermead Mobility Index |
| Notes |
|
| Risk of bias |
| Bias |
Authors' judgement |
Support for judgement |
| Allocation concealment? |
Low risk |
A ‐ Adequate |
