Please use this identifier to cite or link to this item: https://ahro.austin.org.au/austinjspui/handle/1/26996
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dc.contributor.authorLannin, Natasha A-
dc.contributor.authorClemson, Lindy-
dc.contributor.authorDrummond, Avril-
dc.contributor.authorStanley, Mandy-
dc.contributor.authorChurilov, Leonid-
dc.contributor.authorLaver, Kate-
dc.contributor.authorO'Keefe, Sophie-
dc.contributor.authorCameron, Ian-
dc.contributor.authorCrotty, Maria-
dc.contributor.authorUsherwood, Tim-
dc.contributor.authorAndrew, Nadine E-
dc.contributor.authorJolliffe, Laura-
dc.contributor.authorCadilhac, Dominique A-
dc.date2021-07-05-
dc.date.accessioned2021-07-12T06:10:16Z-
dc.date.available2021-07-12T06:10:16Z-
dc.date.issued2021-07-05-
dc.identifier.citationBMJ Open 2021; 11(7): e044573en
dc.identifier.urihttps://ahro.austin.org.au/austinjspui/handle/1/26996-
dc.description.abstractAfter first stroke, the transition from rehabilitation to home can be confronting and fraught with challenges. Although stroke clinical practice guidelines recommend predischarge occupational therapy home visits to ensure safe discharge and provision of appropriate equipment, there is currently limited evidence to support this recommendation. The HOME Rehab trial is a national, multicentre, phase III randomised controlled trial with concealed allocation, blinded assessment and intention-to-treat analysis being conducted in Australia. The trial aim is to determine the effect and potential cost-effectiveness of an enhanced occupational therapy discharge planning intervention that involves pre and postdischarge home visits, goal setting and occupational therapy in the home (the HOME programme) in comparison to an in-hospital predischarge planning intervention. Stroke survivors aged ≥45 years, admitted to a rehabilitation ward, expected to return to a community (private) dwelling after discharge, with no significant prestroke disability will be randomly allocated 1:1 to receive a standardised discharge planning intervention and the HOME programme or the standardised discharge planning intervention alone. The primary outcome is participation measured using the Nottingham Extended Activities of Daily Living. Secondary outcome areas include hospital readmission, disability, performance of instrumental activities of daily living, health-related quality of life, quality of care transition and carer burden. Resources used/costs will be collected for the cost-effectiveness analysis and hospital readmission. Recruitment commenced in 2019. Allowing for potential attrition, 360 participants will be recruited to detect a clinically important treatment difference with 80% power at a two-tailed significance level of 0.05. This study is approved by the Alfred Health Human Research Ethics Committee and site-specific ethics approval has been obtained at all participating sites. Results of the main trial and the secondary endpoint of cost-effectiveness will be submitted for publication in peer-reviewed journalsTrial registration numberACTRN12618001360202.en
dc.language.isoeng
dc.subjectrehabilitation medicineen
dc.subjectStrokeen
dc.subjectStroke medicineen
dc.titleEffect of occupational therapy home visit discharge planning on participation after stroke: protocol for the HOME Rehab trial.en
dc.typeJournal Articleen
dc.identifier.journaltitleBMJ Openen
dc.identifier.affiliationDepartment of Neuroscience, Monash University, Melbourne, Victoria, Australiaen
dc.identifier.affiliationDepartment of General Practice, Sydney Medical School, The University of Sydney, Sydney, New South Wales, Australiaen
dc.identifier.affiliationDepartment of Medicine, Peninsula Clinical School, Central Clinical School, Monash University, Frankston, Victoria, Australiaen
dc.identifier.affiliationStroke and Ageing Research, School of Clinical Sciences at Monash Health, Monash University, Clayton, Victoria, Australiaen
dc.identifier.affiliationAlfred Health, Melbourne, Victoria, Australiaen
dc.identifier.affiliationDepartment of Occupational Therapy, Monash University, Melbourne, Victoria, Australiaen
dc.identifier.affiliationThe Florey Institute of Neuroscience and Mental Healthen
dc.identifier.affiliationSchool of Health Sciences, University of Nottingham, Nottingham, Nottinghamshire, UKen
dc.identifier.affiliationSydney School of Health Sciences, The University of Sydney, Sydney, New South Wales, Australiaen
dc.identifier.affiliationSchool of Medical and Health Sciences, Edith Cowan University, Joondalup, Western Australia, Australiaen
dc.identifier.affiliationMelbourne Medical School, Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Melbourne, Victoria, Australiaen
dc.identifier.affiliationMelbourne Brain Centre at Royal Melbourne Hospital, Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Parkville, Victoria, Australiaen
dc.identifier.affiliationDepartment of Rehabilitation, Aged and Extended Aged Care, College of Medicine and Public Heath, Flinders University, Adelaide, South Australia, Australiaen
dc.identifier.affiliationOccupational Therapy, School of Allied Heath, College of Science Health and Engineering, La Trobe University, Melbourne, Victoria, Australiaen
dc.identifier.affiliationJohn Walsh Centre for Rehabilitation Research, The University of Sydney, Sydney, New South Wales, Australiaen
dc.identifier.affiliationFlinders Clinical Effectiveness, School of Medicine, Flinders University, Adelaide, South Australia, Australiaen
dc.identifier.affiliationThe George Institute for Global Health, University of New South Wales, Sydney, New South Wales, Australiaen
dc.identifier.doi10.1136/bmjopen-2020-044573en
dc.type.contentTexten
dc.identifier.orcid0000-0002-2066-8345en
dc.identifier.orcid0000-0002-7958-5181en
dc.identifier.orcid0000-0002-4846-2840en
dc.identifier.orcid0000-0001-8162-682Xen
dc.identifier.pubmedid34226214
local.name.researcherChurilov, Leonid
item.grantfulltextnone-
item.openairetypeJournal Article-
item.languageiso639-1en-
item.fulltextNo Fulltext-
item.openairecristypehttp://purl.org/coar/resource_type/c_18cf-
item.cerifentitytypePublications-
crisitem.author.deptMedicine (University of Melbourne)-
crisitem.author.deptThe Florey Institute of Neuroscience and Mental Health-
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