Intensive client-centred occupational therapy in the home improves older adults' occupational performance, and is still effective at follow-up 6 months after baseline. Results from a Danish randomised controlled trial

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Abstract

Abstract
Introduction /Rationale
In Denmark, older adults are offered home-rehabilitation, including occupational therapy, to improve and maintain their occupational performance. A small amount of evidence shows that client-centred in-home occupational therapy for older adults may effectively improve occupational performance, yet achieved effects may quickly be lost again.
Objectives
We tested whether intensive, client-centred occupational therapy (ICC-OT) could improve older adults’ occupational performance compared to the usual practice of a Danish municipality and whether achieved effects were still present at follow-up.
Method
A single-blind randomised controlled trial among 119 home-dwelling adults aged 60+. Occupational performance was measured on the Canadian Occupational Performance Measure (COPM) at baseline, post intervention and at follow-up 6 months after baseline. Change from baseline to post-test was the primary outcome; change from baseline to follow-up was a secondary outcome. All older adults were offered usual-practice: standard home-care services, physiotherapy, and assistive devices when meeting certain criteria. In addition, the intervention group received 11 weeks of ICC-OT addressing client-chosen occupational goals.
Results
Post-intervention, the older adults in the ICC-OT group had improved their occupational performance statistically significantly more than those who only received usual practice: The between-group difference in change concerning COPM-performance was 1.26 points (95%CI:0.50;2.02). At follow-up, not all improvement was maintained, yet a statistically significant between-group difference in change in favour of ICC-OT was still present: 0.98 points (95%CI:0.27;1.70).
Conclusion
In a Scandinavian home-care context, client-centred occupational therapy can be a powerful tool in meeting pressing societal challenges by improving and preserving older adults’ occupational performance.
Translated title of the contributionIntensiv klientcentreret ergoterapi i hjemmet forbedre ældre borgeres aktivitetsudførelse og er stadig effektivt ved follow-up 6 måneder efter baseline: Resultater fra et dansk randomiseret studie
Original languageEnglish
Publication date2018
Number of pages1
Publication statusPublished - 2018
EventWorld Federation of Occupational Therapists (WFOT) Congress 2018 - Cape Town, South Africa
Duration: 21 May 201825 May 2018
Conference number: 17
http://www.wfotcongress.org (Konferencens hjemmeside)

Conference

ConferenceWorld Federation of Occupational Therapists (WFOT) Congress 2018
Number17
Country/TerritorySouth Africa
CityCape Town
Period21/05/1825/05/18
Internet address

Keywords

  • occupational therapy

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