TY - JOUR
T1 - Intensive client-centred occupational therapy in the home improves older adults' occupational performance
T2 - Results from a Danish randomized controlled trial
AU - Nielsen, Tove Lise
AU - Andersen, Niels Trolle
AU - Petersen, Kirsten Schultz
AU - Polatajko, Helene
AU - Nielsen, Claus Vinther
PY - 2019
Y1 - 2019
N2 - BACKGROUND: There is growing interest in enabling older adults' occupational performance. We tested whether 11 weeks of intensive client-centred occupational therapy (ICC-OT) was superior to usual practice in improving the occupational performance of home-dwelling older adults.METHODS: An assessor-masked randomized controlled trial among adults 60 + with chronic health issues, who received or applied for homecare services. Recruitment took place September 2012 to April 2014. All participants received practical and personal assistance and meal delivery as needed. In addition, they were randomized to receive either a maximum 22 sessions of occupation-based ICC-OT (N = 59) or to receive usual practice with a maximum three sessions of occupational therapy (N = 60). The primary outcome was self-rated occupational performance assessed with the Canadian Occupational Performance Measure (COPM).RESULTS: No important adverse events occurred. ICC-OT was accepted by 46 participants (88%), usual practice by 60 (100%). After 3 months, the ICC-OT-group had improved 1.86 points on COPM performance; the Usual-Practice group had improved 0.61 points. The between-group difference was statistically significant (95% confidence interval 0.50 to 2.02), t-test: p = 0.001.CONCLUSIONS: ICC-OT improved older adults' occupational performance more effectively than usual practice. This result may benefit older adults and support programmatic changes.
AB - BACKGROUND: There is growing interest in enabling older adults' occupational performance. We tested whether 11 weeks of intensive client-centred occupational therapy (ICC-OT) was superior to usual practice in improving the occupational performance of home-dwelling older adults.METHODS: An assessor-masked randomized controlled trial among adults 60 + with chronic health issues, who received or applied for homecare services. Recruitment took place September 2012 to April 2014. All participants received practical and personal assistance and meal delivery as needed. In addition, they were randomized to receive either a maximum 22 sessions of occupation-based ICC-OT (N = 59) or to receive usual practice with a maximum three sessions of occupational therapy (N = 60). The primary outcome was self-rated occupational performance assessed with the Canadian Occupational Performance Measure (COPM).RESULTS: No important adverse events occurred. ICC-OT was accepted by 46 participants (88%), usual practice by 60 (100%). After 3 months, the ICC-OT-group had improved 1.86 points on COPM performance; the Usual-Practice group had improved 0.61 points. The between-group difference was statistically significant (95% confidence interval 0.50 to 2.02), t-test: p = 0.001.CONCLUSIONS: ICC-OT improved older adults' occupational performance more effectively than usual practice. This result may benefit older adults and support programmatic changes.
KW - Journal Article
KW - Client-centred
KW - occupation-based
KW - older adults
KW - occupational performance
KW - occupational therapy
KW - home
KW - Humans
KW - Middle Aged
KW - Male
KW - Occupational Therapy/methods
KW - Home Care Services/organization & administration
KW - Chronic Disease/psychology
KW - Aged, 80 and over
KW - Denmark
KW - Female
KW - Aged
KW - Activities of Daily Living/psychology
UR - http://www.scopus.com/inward/record.url?scp=85040977513&partnerID=8YFLogxK
U2 - 10.1080/11038128.2018.1424236
DO - 10.1080/11038128.2018.1424236
M3 - Journal article
C2 - 29325486
SN - 1103-8128
VL - 26
SP - 325
EP - 342
JO - Scandinavian Journal of Occupational Therapy
JF - Scandinavian Journal of Occupational Therapy
IS - 5
ER -