Extrait

Background and study aims This 4 year-long study is being carried out to assess the value of providing a targeted course of occupational therapy to people living in a residential or nursing home after stroke. This service has been found to be of value to people living in their own homes, and to people after a stroke. It has been found to be helpful in terms of improving their independence, their ability to take part in everyday activities, and their mobility. However, occupational therapy is less readily available to people living in residential or nursing homes. Who can participate? Residents of care/residential homes of any age, with a history of stroke or transient ischaemic attack (TIA). What does the study involve? All the homes that participate in the study will either receive the service of an occupational therapist or not for a three month period (on top of any services the home currently receives). If the participant decides to take part, he/she will be assessed four times-at 0 months, 3 months, 6 months and finally at 12 months. The participant may be seen by an occupational therapist, who will deliver therapy according to his/her needs. The assessments will ask the participant various questions about his/her day to day activities. The initial assessments will also look at his/her communication and clarity of thought. The therapists providing the service will ask the participant their ability to take part in day to day activities and, if the therapist feels that he/she can help the participant to keep their mobility and or prevent them from losing their independence, they will suggest one of a number of things to help. This may include: 1. Providing a piece of equipment or adapting something (such as raising the height of their chair) Providing advice 2. Providing activities, which he/she will practice with the participant and ask him/her to continue to practice between visits 3. Providing exercises for him/her to practice. The therapists will arrange a time that is convenient for the participant and this will not restrict their lifestyle in any way. The therapists providing the therapy would be visiting the care/nursing home for about 3 months, but as an individual the participant may only be seen a few times (depending on his/her needs). What are the possible benefits and risks of participating? It is hoped that we can show that the services of an occupational therapist would be helpful to people living in either residential or nursing homes after a stroke. However, this cannot be guaranteed. The information collected from this study may help us to assist people participate in day to day activities more easily and maintain this ability for a longer period of time. The services of an occupational therapist are not thought to put individuals at risk. The therapists would not ask the participant to do things that they don't want to and they are free to stop at any time. At worst, the services the therapist offers may not have any measurable benefits. Where is the study run from? University of Birmingham at the Primary Care Clinical Research & Trials Unit (UK) When is the study starting and how long is it expected to run for? January 2010 to February 2013 Who is funding the study? NIHR - Health Technology Assessment (HTA) (UK) Who is the main contact? Prof. Catherine Sackley [email protected]

Critère d'inclusion

• Stroke rehabilitation

Liens

• ictrp
• isrctn