Home visits by occupational therapists improve adherence to recommendations: Process evaluation of a randomised controlled trial.

Australian Occupational Therapy Journal
Kylee J LockwoodNicholas F Taylor

Abstract

As part of hospital discharge planning, occupational therapists often provide recommendations to improve the interaction between a person and their home environment. The aim of this study was to investigate the number and type of recommendations made by occupational therapists during a home assessment visit compared to hospital-based assessment for patients recovering from hip fracture. A secondary aim was to explore adherence rates to the different types of recommendations. Process evaluation of a randomised controlled trial of 65 participants recovering from hip fracture, returning to community living after hospital discharge. All participants received inpatient multidisciplinary rehabilitation and hospital-based assessment by an occupational therapist (usual care). In addition, the intervention group participated in a single home visit with an occupational therapist prior to hospital discharge. Analysis included the number and type of occupational therapy recommendations, adherence to recommendations at 30 days after discharge, and mediation analysis. Participants in the home visit group received more recommendations than the usual care group (mean difference [MD] 2.8, 95% CI 1.6 to 3.9) and adhered to a greater proportion o...Continue Reading

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Citations

Sep 20, 2020·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·Morag E TaylorJacqueline C T Close
Jul 22, 2021·Aging Clinical and Experimental Research·Antonio De VincentisUNKNOWN Istituto Superiore Sanità (ISS)

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