A multicentre randomized controlled trial of leisure therapy and conventional occupational therapy after stroke. TOTAL Study Group. Trial of Occupational Therapy and Leisure.

Abstract:

OBJECTIVE:To evaluate the effects of leisure therapy and conventional occupational therapy (OT) on the mood, leisure participation and independence in activities of daily living (ADL) of stroke patients 6 and 12 months after hospital discharge. DESIGN:Multicentre randomized controlled trial. SETTING AND PARTICIPANTS:Four hundred and sixty-six stroke patients from five UK centres. MAIN OUTCOME MEASURES:The General Health Questionnaire (12 item), the Nottingham Extended ADL Scale and the Nottingham Leisure Questionnaire, assessed by post, with telephone clarification. RESULTS:Four hundred and forty (94%) and 426 (91%) subjects were alive at 6 and 12 months, respectively. Three hundred and seventy-four (85% of survivors) and 311 (78% of survivors) responded at 6 and 12 month follow-up respectively. At six months and compared to the control group, those allocated to leisure therapy had nonsignificantly better GHQ scores (-1.2: 95% CI -2.9, +0.5), leisure scores (+0.7, 95% CI -1.1, +2.5) and Extended ADL scores (+0.4: 95% CI -3.8, +4.5): the ADL group had nonsignificantly better GHQ scores (-0.1: 95% CI -1.8, +1.7) and Extended ADL scores (+1.4: 95% CI -2.9, +5.6) and nonsignificantly worse leisure scores (-0.3: 95% CI -2.1, +1.6). The results at 12 months were similar. CONCLUSION:In contrast to the findings of previous smaller trials, neither of the additional OT treatments showed a clear beneficial effect on mood, leisure activity or independence in ADL measured at 6 or 12 months.

journal_name

Clin Rehabil

journal_title

Clinical rehabilitation

authors

Parker CJ,Gladman JR,Drummond AE,Dewey ME,Lincoln NB,Barer D,Logan PA,Radford KA

doi

10.1191/026921501666968247

subject

Has Abstract

pub_date

2001-02-01 00:00:00

pages

42-52

issue

1

eissn

0269-2155

issn

1477-0873

journal_volume

15

pub_type

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