Methods |
Randomised controlled trial. Centralised randomisation by telephone. Computer generated randomisation schedule stratified by sex and attendance at day hospital. Allocation method concealed (sequentially numbered, opaque, sealed envelopes). Blinded outcome assessor. |
Participants |
UK 138 patients: 67 intervention, 71 control. Median age: 69 yrs. 45% male. Median Barthel Index score at baseline: intervention group 17 (IQR 15 to 18): control group 18 (IQR 16 to 19). Clinical definition of stroke. Patients recruited when discharged from hospital/date set. Inclusion criteria: discharged to a private address; willing to cooperate; consent. Exclusion: made a full recovery; discharged to institutional care; terminally ill; lived outside catchment area; severe cognitive or communication difficulties preventing consent, goal setting or completing outcome measures. |
Interventions |
Domiciliary occupational therapy versus routine service. Domiciliary occupational therapy for a period of six weeks. Frequency approximately 1.7 visits per week lasting between 30 to 45 minutes. Client‐centred occupational therapy programme. Liaison with other agencies. Occupational therapy provided by a qualified occupational therapist. |
Outcomes |
Outcomes were recorded at 7 weeks and 6 months. Primary outcomes: Nottingham Extended ADL Index; Barthel Index; 'Global' i.e. death or deterioration in Barthel Index score. Secondary outcomes: Barthel Index; Canadian Occupational Performance Measure; EuroQol; Satisfaction with outpatient services; Resource use (staff time, hospital readmission, provision of equipment and services). Carer: General Health; Questionnaire at 6 weeks. |
Notes |
Follow‐up period used in analysis: 6 months |
Risk of bias |
Item |
Authors' judgement |
Description |
Allocation concealment? |
Yes |
A ‐ Adequate |