Supporting Daily Functioning of Persons With a Neurological Disorder: (Cost)Effectiveness of Occupational Therapy at Home E-Rehabilitation (OTHER) for Persons Post-stroke

What this Trial Is About

This research aims to evaluate the effectiveness and cost-effectiveness of an Occupational Therapy at Home E-Rehabilitation (OTHER) program compared to usual occupational therapy care for older adults recovering from stroke. The study focuses on community-dwelling older persons post-stroke who are undergoing geriatric rehabilitation. It seeks to understand how OTHER impacts self-perceived daily activity performance, satisfaction, physical activity, self-management, and quality of life over a 24-week period. The trial also explores participants' and therapists' experiences with the intervention and factors influencing its delivery. Participants are randomly assigned to either usual care, which involves standard geriatric rehabilitation after returning home, or the OTHER intervention. The OTHER program includes activity monitoring, coaching by an occupational therapist, and videoconferencing support, starting during inpatient rehabilitation and continuing for 12 weeks after discharge. This approach aims to optimize the transition from clinical care to home-based rehabilitation. Throughout the study, researchers will assess changes in daily activity performance using the Canadian Occupational Performance Measure at one, three, and six months. Additional evaluations include self-management, physical activity levels, mobility, quality of life, satisfaction with occupational therapy, and societal costs. Data collection includes baseline and follow-up assessments at 4, 12, and 24 weeks after discharge. The total participation duration is about 26 weeks, allowing for comprehensive monitoring and comparison of outcomes between groups.

Effect of Occupational Therapy at Home E-Rehabilitation (OTHER) for Persons Post-stroke