Effectiveness of Occupational Therapy Intervention in Complex Patients

NCT02173197 | Completed

• 1 other identifier: TO_Pilota
• Study Type: observational
• Target: 20
• Locations: 0 countries
• Sites: N/A

Brief Summary

To date, there are no studies that demonstrate that the intervention of Occupational Therapy (OT) in patients considered to be complex, regardless of diagnosis, could improve clinical and functional outcome for the patient. For this reason, we intend to undertake a study that will allow us to deepen the knowledge about the impact of the OT on in-hospital patients considered "complex" according to the assessment by the Rehabilitation Complexity Scale (RCS ). Our hypothesis is that the intervention of OT can improve their care by qualified and focused on the needs of the person interventions.

Conditions

Complex Patients: Patients With High Level of Complexity Regardless of the Pathology of Origin

Keywords

Occupational Therapy; Complex patients; Occupational performance problem; Rehabilitation Complexity Scale

Outcome Measures

Primary Outcomes (1)

• Canadian Occupational Performance Measure (COPM)

  Canadian occupational performance measure

  enrollment

Study Arms (1)

OT arm

Through the initial evaluation of the complex patients' needs, the OT will propose a targeted intervention to the needs emerged and decide which approach will use to achieve the goal (i.e. compensatory or restorative). We will describe the characteristics of the population included and identify common needs and problems of the complex patients through the COPM. The needs and problems identified will be grouped into macro-areas, and the OT will propose the appropriate treatment on the basis of the area identified, the patient's needs and the available resources regardless of the origin of the disease.

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

In-hospital complexes patients as defined by way of the Rehabilitation Complexity Scale, regardless of the diagnosis and in charge of the rehabilitation ward

You may qualify if:

• years old
• in charge of the rehabilitation ward of the hospital
• defined complexes as assessed by RCS
• consent to the processing of sensitive data for research purposes.

You may not qualify if:

• primary psychiatric conditions
• language barrier;
• cognitive impairment
• communicative disability

Sponsors & Collaborators

• Stefania Costi: lead
• Azienda USL Reggio Emilia - IRCCS: collaborator

Related Publications (1)

• Schiavi M, Costi S, Pellegrini M, Formisano D, Borghi S, Fugazzaro S. Occupational therapy for complex inpatients with stroke: identification of occupational needs in post-acute rehabilitation setting. Disabil Rehabil. 2018 May;40(9):1026-1032. doi: 10.1080/09638288.2017.1283449. Epub 2017 Feb 7.

  PMID: 28264614 RESULT

Study Officials

• Stefania Fugazzaro, MD

  Azienda USL Reggio Emilia - IRCCS

  PRINCIPAL INVESTIGATOR

• Claudio Tedeschi, MD

  Arcospedale Santa Maria Nuova - IRCCS

  STUDY CHAIR

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: Physical Therapist

Study Record Dates

• First Submitted: June 23, 2014
• First Posted: June 24, 2014
• Study Start: July 1, 2014
• Primary Completion: January 1, 2015
• Study Completion: March 1, 2015
• Last Updated: January 2, 2018

Record last verified: 2017-12