TY - JOUR

T1 - An Occupational Therapy intervention for residents with stroke-related disabilities in UK Care Homes (OTCH)

T2 - cluster randomised controlled trial with economic evaluation

AU - Sackley, Catherine

AU - Walker, Marion

AU - Burton, Christopher

AU - Watkins, Caroline

AU - Mant, Jonathan

AU - Roalfe, Andrea

AU - Wheatley, Keith

AU - Sheehan, Bart

AU - Sharp, Leslie

AU - Stant, Katie E.

AU - Fletcher-Smith, Joanna

AU - Steel, Kerry

AU - Barton, Garry

AU - Irving, Lisa

AU - Peryer, Guy

PY - 2016/2

Y1 - 2016/2

N2 - Care home residents with stroke-related disabilities tend to be more disabled than those living in the community. During the day, care home residents spend most of their time sitting down. This inactivity can cause further health problems. Occupational therapy is a service that has been shown to help a person perform everyday tasks, such as getting dressed. However, occupational therapy is rarely available in UK care homes.This study aimed to find out whether or not care home residents with stroke-related disabilities would benefit from occupational therapy and if it would help them become more involved in everyday tasks.Overall, 1042 stroke survivors from 228 care homes across England and Wales took part. The homes were split randomly into two equal-sized groups. Stroke survivors in half of the care homes received occupational therapy and those in the remaining care homes received their usual care. The two groups were compared after 3, 6 and 12 months using a test that measured how much help they needed in performing everyday tasks, such as washing and getting dressed. The cost of providing occupational therapy in care homes was also measured.The results showed that no extra benefit will be obtained by providing occupational therapy to stroke survivors living in care homes, compared with their usual care. Offering this intervention does not represent good value for money compared with other NHS services.Referring UK care home residents with stroke-related disabilities to occupational therapy may be effective on an individual basis, but this study suggests that making it a part of routine care will be of limited benefit.

AB - Care home residents with stroke-related disabilities tend to be more disabled than those living in the community. During the day, care home residents spend most of their time sitting down. This inactivity can cause further health problems. Occupational therapy is a service that has been shown to help a person perform everyday tasks, such as getting dressed. However, occupational therapy is rarely available in UK care homes.This study aimed to find out whether or not care home residents with stroke-related disabilities would benefit from occupational therapy and if it would help them become more involved in everyday tasks.Overall, 1042 stroke survivors from 228 care homes across England and Wales took part. The homes were split randomly into two equal-sized groups. Stroke survivors in half of the care homes received occupational therapy and those in the remaining care homes received their usual care. The two groups were compared after 3, 6 and 12 months using a test that measured how much help they needed in performing everyday tasks, such as washing and getting dressed. The cost of providing occupational therapy in care homes was also measured.The results showed that no extra benefit will be obtained by providing occupational therapy to stroke survivors living in care homes, compared with their usual care. Offering this intervention does not represent good value for money compared with other NHS services.Referring UK care home residents with stroke-related disabilities to occupational therapy may be effective on an individual basis, but this study suggests that making it a part of routine care will be of limited benefit.

U2 - 10.3310/hta20150

DO - 10.3310/hta20150

M3 - Article

VL - 20

JO - Health Technology Assessment

JF - Health Technology Assessment

SN - 1366-5278

IS - 15

ER -