Whitehead Drummond Walker Parry McGeorge Latif 2014 Trials OTHERS protocol.pdf (262.64 kB)
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Occupational Therapy in HomEcare Re-ablement Services (OTHERS): study protocol for a randomized controlled trial

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posted on 23.04.2018 by Phillip J. Whitehead, Avril Drummond, Marion F. Walker, Ruth Parry, Ian D. McGeorge, Zaid Latif
Background Homecare re-ablement services have been developed by local authorities in England in response to the government agenda for health and social care. These services aim to optimize users’ independence and ability to cope at home, and reduce the need for ongoing health and social care services. However, there is currently limited evidence and guidance regarding the optimum configuration and delivery of re-ablement services. In particular, the impact of occupational therapy input on service user outcomes has been highlighted as a specific research priority. Methods/Design This feasibility randomized controlled trial (RCT) will recruit 50 people from one local authority led homecare re-ablement service in England. Those who provide informed consent will be randomized to receive either usual homecare re-ablement (without routine occupational therapy input) or usual homecare re-ablement plus an enhanced program targeted at activities of daily living (ADL), delivered by an occupational therapist. The primary aim of this study is to assess the feasibility of conducting a further, powered study. The participant outcomes assessed will be independence in personal and extended ADL, health and social care-related quality of life, number of care support hours, falls, acute and residential admissions and use of health and social care services. These will be assessed at two weeks, three months and six months post-discharge from the re-ablement service. Discussion To our knowledge, this is the first RCT of occupational therapy in homecare re-ablement services. The results of this study will lay the foundations for a further powered study. The findings will be relevant to researchers, clinicians, commissioners and users of adult social care services.

Funding

The sponsor for this study is the University of Nottingham, Research and Graduate Services, King’s Meadow Campus, Lenton Lane, Nottingham, NG7 2NR, United Kingdom. This protocol is independent research supported by the National Institute for Health Research Doctoral Research Fellowship (DRF-2012-05-131). This fellowship was awarded to PW.

History

School

  • Social Sciences

Department

  • Communication, Media, Social and Policy Studies

Published in

Trials

Volume

15

Issue

1

Citation

WHITEHEAD, P.J. ... et al, 2014. Occupational Therapy in HomEcare Re-ablement Services (OTHERS): study protocol for a randomized controlled trial. Trials, 15 (1), 447.

Publisher

BioMed Central © The Authors

Version

VoR (Version of Record)

Publisher statement

This work is made available according to the conditions of the Creative Commons Attribution 4.0 International (CC BY 4.0) licence. Full details of this licence are available at: http://creativecommons.org/licenses/ by/4.0/

Publication date

2014

Notes

This is an Open Access Article. It is published by BioMed Central under the Creative Commons Attribution 4.0 International Licence (CC BY). Full details of this licence are available at: http://creativecommons.org/licenses/by/4.0/

ISSN

1745-6215

Language

en

Licence

Exports