Effectiveness of community occupational therapy (COT) program in improving activities of daily living, community integration and quality of life of discharged patients following stroke rehabilitation

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Effectiveness of community occupational therapy (COT) program in improving activities of daily living, community integration and quality of life of discharged patients following stroke rehabilitation

 

Author: Fung, Yan-shing Eric
Title: Effectiveness of community occupational therapy (COT) program in improving activities of daily living, community integration and quality of life of discharged patients following stroke rehabilitation
Degree: M.Sc.
Year: 2001
Subject: Cerebrovascular disease -- Patients -- Rehabilitation
Hong Kong Polytechnic University -- Dissertations
Department: Multi-disciplinary Studies
Dept. of Rehabilitation Sciences
Pages: ix, 95 leaves : ill. ; 30 cm
Language: English
InnoPac Record: http://library.polyu.edu.hk/record=b1599546
URI: http://theses.lib.polyu.edu.hk/handle/200/2799
Abstract: Stoke is one of the most common causes of disability and handicap in the community. Provision of community-based rehabilitation services is the coming trend internationally. The goals of community occupational therapy (COT) are to restore or achieve physical and cognitive functions or occupational performance of persons with disabilities, and their care-givers in their own environment. The COT program consisted of a pre-discharge interview and 3 COT visits arranged at post-discharged week 2, 8 and 16. The main aim of this randomized controlled trial with observer blinded is to investigate the effectiveness of the newly designed COT program in improving activities of daily living (ADL), instrumental ADL (IADL), community integration and quality of life (QOL) of discharged patients following stroke rehabilitation. Evaluation of the outcomes was done in the format of telephone interview. Basic ADL was measured by physical dimension of Functional Independence Measure (FIM), IADL was measured by Lawton IADL scale, community integration was measured by social integration sub-score of Community Integration Questionnaire (CIQ) and QOL was measured by Comprehensive Quality of Life Scale (ComQol A-5). A total of 18 subjects were selected and randomly allocated into the study group and the control group. All participants received telephone interviews at post-discharge week I and at post-discharge week 20. Results of multivariate repeated measure analysis of variance showed that this COT program can improve participants' ADL performance (basic ADL and IADL) and community integration after four months of intervention. In the comparison analysis between the COT group and the control group, the participants in the COT group showed higher basic ADL level than the control group at post-discharge 5 months. Moreover, less frequent hospital re-admission seemed to be another benefit generated by the COT services. However, the effect of the post-discharge services from both groups on QOL was not obvious.

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