Supporting Daily Functioning of Persons With a Neurological Disorder: (Cost)Effectiveness of Occupational Therapy at Home E-Rehabilitation (OTHER) for Persons Post-stroke

Status: Recruiting
Location: See all (9) locations...
Intervention Type: Other
Study Type: Interventional
Study Phase: Not Applicable
SUMMARY

The goal of this (cost)effectiveness study is to compare care as usual with OTHER-intervention in Cerebro Vascular Accident (CVA) older adults in Geriatric Rehabilitation (GR). The main question\[s\] it aims to answer are: 1. What is the effectiveness of OTHER, as compared to occupational therapy as usual (CAU), on improving the self-perceived performance in daily activities of community-dwelling older persons post-stroke over a 24-week period after initiation of OTHER or CAU, as measured longitudinally (at week 4, 13 and 26)? Secondary: 2. What is the effectiveness of OTHER on improving satisfaction with the perceived daily performance of community-dwelling persons post-stroke, 26 weeks after start compared to usual OT? (quantitative approach) 3. What is the effectiveness of OTHER on improving physical activity of community-dwelling persons post-stroke, 26 weeks after start compared to usual OT? (quantitative approach) 4. What is the effectiveness of OTHER on improving self-management of community-dwelling persons post-stroke, 26 weeks after start compared to usual OT? (quantitative approach) 5. How do persons post-stroke and OT's experience and how do they reflect on OTHER in supporting a sense of self-management, safety and improving daily functioning? (qualitative approach). 6. What factors influenced the intervention delivery and the perceived benefits in the OTHER study (process evaluation)? 1) monitoring treatment fidelity, barriers and facilitators for implementation; 2) gain insight into the impact of OTHER on the GR transition to home; 3) to gain insight into what stroke survivors and OT's think of OTHER. 4) how participants, and professionals experience and thoughts they have on the OTHER-intervention in supporting daily functioning and self-management Cost-effectiveness 7. What is the cost-effectiveness of OTHER on improving self-perceived performance in daily activities and Quality Adjusted Life Years (QALYs) of community-dwelling persons post-stroke, 26 weeks after start compared to usual OT? (quantitative approach) Participants will get the OTHER-intervention treatment given by de occupational therapist which consists of activity monitoring, coaching and videoconferencing to optimalise the transition from clinical care to home. Researchers will compare care as usual to see if there is a effect on improving the self-perceived performance in daily activities, self-management and improving physical activity .

Eligibility
Participation Requirements
Sex: All
Minimum Age: 60
Healthy Volunteers: f
View:

• be able to walk a few steps with or without a walking device.

• 60 years or older

• an assessment score of at least 16 on the Montreal Cognitive Assessment (MoCA)

• an indication for follow up GR at home

Locations
Other Locations
Netherlands
Hogeschool van Amsterdam
RECRUITING
Amsterdam-zuidoost
TanteLouise
RECRUITING
Bergen Op Zoom
Cicero Zorggroep
RECRUITING
Brunssum
ZZG Herstelcentrum
RECRUITING
Groesbeek
Sevagram
RECRUITING
Heerlen
GRZ Plus (2 locations, Omring and Zorgcirkel)
RECRUITING
Hoorn
Vivium Naardenheem
RECRUITING
Naarden
Behandelcentrum SZR
RECRUITING
Tiel
AxionContinu
RECRUITING
Utrecht
Contact Information
Primary
Sanne Pellegrom, MSc.
s.pellegrom@hva.nl
0031621157667
Backup
Margriet Pol, Dr
m.c.pol@hva.nl
+31621156542
Time Frame
Start Date: 2023-03-13
Estimated Completion Date: 2026-01
Participants
Target number of participants: 171
Treatments
No_intervention: Care as usual
Care as usual, consist of GR rehabilitation when a patient is back at home.
Experimental: OTHER-intervention
The OTHER-intervention is part of the OT care. Start during inpatient GR rehabilitation and goes on 12 weeks after discharge when a patient is home or starts after discharge from hospital going home. The OT will coach a patient and use a activity monitoring system. Also videoconferencing will be used.
Related Therapeutic Areas
Sponsors
Leads: Amsterdam University of Applied Sciences
Collaborators: Amsterdam UMC, ZonMw: The Netherlands Organisation for Health Research and Development

This content was sourced from clinicaltrials.gov