The HOME Rehab trial: comparing the effectiveness of occupational therapy homevisit discharge planning to in-hospital consultations to improve participation after stroke

Monash University0 个研究点目标入组 360 人开始时间: 2018年8月13日最近更新: 2023年6月5日

适应症

试验速览

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•diagnosis of stroke (confirmed by brain imaging, or where unavailable or unclear, from a neurologist or stroke-specialist medical professional);
•-independent in activities of daily living prior to stroke (premorbid Rankin score equal or less than 2);
•-admitted for inpatient rehabilitation;
•-expected return to live in a private residence within the community (own home, independent living unit or living with family) after discharge from hospital;
•-absence of severe co-morbid disease (as assessed by a score less than 8 on the Charlson co-morbidity index)

•- need for major home modifications
•- planned discharge to aged care facility, or to a private residence where family will provide full assistance with all self-care
•- planned discharge to an address 2 hours or greater from the recruiting hospital site;
•- significant cognitive impairment (as assessed by a score of more than 5 adjusted errors on the Short Portable Mental Status Questionnaire);
•- bariatric patients (as assessed as a Body Mass Index of 45 or more);
•- illness likely to be associated with a life expectancy of less than 12 months (as estimated by a score of 3 or less on a modified version of the Implicit Illness Severity Scale);
•- moderate to severe aphasia (as assessed by the NIHSS Best Language rating of greater than or equal to 2);
•- unable to participate in recovery / rehabilitation goals for any other clinical reasons.

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