A "client-centred activities of daily living" intervention for persons with stroke: One-year follow-up of a randomized controlled trial

• Objective: To compare changes regarding perceived participation,independence in activities of daily living (ADL) andlife satisfaction between 3, 6 and 12 months after inclusion ina study of a client-centred ADL intervention and usual ADLintervention after stroke.Design: A multicentre randomized controlled trial.Methods: Sixteen rehabilitation units were randomly assignedto provide client-centred ADL intervention or usualADL intervention. Eligible participants were persons ≤ 3months after stroke who had been treated in a stroke unit,were dependent in two ADL domains, had not been diagnosedwith dementia, and were able to understand instructions.Data collection was performed by blinded assessors.The primary outcome, perceived participation, was assessedwith the Stroke Impact Scale 3.0, domain 8. The secondaryoutcomes, participation, independence in ADL, and lifesatisfaction, were assessed with validated instruments. Forstatistical power, 280 participants were required. Statisticalanalyses were performed on an intention-to-treat basis.Results: There were no differences between the groups regardingchanges in perceived participation, independence inADL, or life satisfaction during the first 12 months. Therewas a trend towards a clinically meaningful positive changein perceived participation that favoured client-centred ADLintervention.Conclusion: Further research is required to understand thebenefits of client-centred interventions.

Ämnesord

MEDICIN OCH HÄLSOVETENSKAP  -- Hälsovetenskap -- Arbetsterapi (hsv//swe)

MEDICAL AND HEALTH SCIENCES  -- Health Sciences -- Occupational Therapy (hsv//eng)

Nyckelord

stroke rehabilitation

participation

occupational therapy

multicentre study

lived experience

everyday occupation

activity

longitudinal

Publikations- och innehållstyp

ref (ämneskategori)

art (ämneskategori)