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

Not Applicable

Recruiting

• Conditions: stroke; Physical Medicine / Rehabilitation - Occupational therapy; Stroke - Haemorrhagic; Stroke - Ischaemic

• Registration Number: ACTRN12618001360202
• Lead Sponsor: Monash University

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Start: 2018-08-13
• Last Update Posted: 5 June 2023

Recruitment & Eligibility

• Status: Recruiting
• Sex: All
• Target Recruitment: 360

Inclusion Criteria

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)

Exclusion Criteria

- 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.

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Activity participation, as measured by the Nottingham Extended Activities of Daily Living (NEADL)[Baseline (within 3 days of recruitment), 4 weeks post discharge (primary), and 6 months post discharge]