Supporting daily functioning of persons with a neurological disorder: (cost)effectiveness of Occupational Therapy at Home E-Rehabilitation (OTHER) for persons post-stroke
Objective
To study the effectiveness and cost-effectiveness of Occupational Therapy (OT) at Home E-Rehabilitation (OTHER) to improve performance and self-management in daily activities of community-dwelling persons post-stroke, 6 months after start OTHER compared to usual care.
Study design
Mixed methods design based on the Medical Research Council Framework (MRC) for the further development, feasibility, and (cost-) effectiveness of the OTHER. In the Developing phase, OTHER is further developed and an exploratory study will be conducted in which other smart technologies can be used to support daily functioning at home. Accordingly, the feasibility of the intervention, implementation, and research protocol will be evaluated by a mixed-methods feasibility study in one of the five participating centres with 20 participants post-stroke and the involved occupational therapists. The (cost-)effectiveness of OTHER will be evaluated in a 2-armed stepped-wedge randomized controlled trial in 4 centres of geriatric rehabilitation. The participating centres are situated in the west, south, and east of the Netherlands. Alongside the (cost-)effect study, we will conduct a process evaluation using mixed methods, a quantitative approach for investigating treatment fidelity and adherence to the intervention, and a qualitative approach for evaluating experiences and satisfaction with the intervention. During the 4-year project, a Community of Practice (CoP) is active and runs parallel to all the research and implementation activities whereby persons post-stroke representatives, their partners and occupational therapists (OTs) of each geriatric rehabilitation center (GRC) will participate, besides researchers and students.
Relevance
OTHER provides the right care in the right place with the application of technology (activity monitoring, visualizations on a tablet, videoconferencing) and occupational performance coaching, to support persons post-stroke to be more physically active, to increase performance in daily activities, and to support their post-stroke self-management, resulting in decreasing clinical days. This project provides a new intervention and tools for OTs based on scientific research to support persons post-stroke at home. This is of great relevance for the OT-profession because 42% of the Dutch OTs are working in an interprofessional team with persons in geriatric rehabilitation (GR) with persons post-stroke accounting for 14% of the GR population. Moreover, it supports the implementation of e-health and Occupational Performance Coaching in OT in the Netherlands. This project will deliver in total 4 international peer-reviewed publications, 2 professional publications, a postgraduate course to train OTs in the implementation of OTHER, and classes for the initial OT bachelor and OT/interprofessional master programs of the 4 participating universities of applied sciences.
Features
- Project number:
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10270032021101
- Duration: 88% Duration: 88 %
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20212026
- Part of programme:
- Related funding round:
- Project lead and secretary:
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dr. M.C. Pol
- Responsible organisation:
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Hogeschool van Amsterdam
