Randomised controlled trial of occupational therapy at home: results at 1 year

IntroductionInfection with SARS-CoV-2 may progress to severe pulmonary disease, COVID-19. Currently, patients admitted to hospital because of COVID-19 have better prognosis than during the first period of the pandemic due to improved treatment. However, the overall societal susceptibility of being infected makes it pivotal to prevent severe courses of disease to avoid high mortality rates and collapse of the healthcare systems. Positive expiratory pressure (PEP) self-care is used in chronic pulmonary disease and has been shown to prevent pneumonia in a high-risk cohort of patients with leukaemia. PEP flute self-care to prevent respiratory deterioration and hospitalisation in early COVID-19: a randomised trial (The PEP-CoV trial) examines the effectiveness on respiratory symptoms and need of hospital admission by regular PEP flute use among non-hospitalised individuals with confirmed SARS-CoV-2 infection and COVID-19 symptoms.Methods and analysisIn this randomised controlled trial, we hypothesise that daily PEP flute usage as add-on to usual care is superior to usual care as regards symptom severity measured by the COPD Assessment Test (CAT) at 30-day follow-up (primary outcome) and hospital admission through register data (secondary outcome). We expect to recruit 400 individuals for the trial. Participants in the intervention group receive a kit of 2 PEP flutes and adequate resistances and access to instruction videos. A telephone hotline offers possible contact to a nurse. The eight-item CAT score measures cough, phlegm, chest tightness, dyspnoea, activities of daily living at home, feeling safe at home despite symptoms, sleep quality and vigour. The CAT score is measured daily in both intervention and control arms by surveys prompted through text messages.Ethics and disseminationThe study was registered prospectively at www.clinicaltrials.gov on 27 August 2020 (NCT04530435). Ethical approval was granted by the local health research ethics committee (Journal number: H-20035929) on 23 July 2020. Enrolment of participants began on 6 October 2020. Results will be published in scientific journals.Trial registration numberNCT04530435; Pre-results.

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Effects of occupational therapy on improvements in the handwriting ability of the adult non‐dominant hand: An exploratory randomised controlled trial

Australian Occupational Therapy Journal ◽

10.1111/1440-1630.12764 ◽

2021 ◽

Author(s):

Hitoshi Mutai ◽

Masaaki Sato ◽

Tomoki Kitahara ◽

Aoi Hamada ◽

Kana Ozawa ◽

...

Keyword(s):

Randomised Controlled Trial ◽

Occupational Therapy ◽

Controlled Trial ◽

Dominant Hand ◽

Randomised Controlled

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Fertility control: Oral versus self-administered vaginal misoprostol at home before surgical termination of pregnancy: a randomised controlled trial

BJOG An International Journal of Obstetrics & Gynaecology ◽

10.1111/j.1471-0528.2005.00798.x ◽

2005 ◽

Vol 113 (1) ◽

pp. 58-64 ◽

Cited By ~ 9

Author(s):

Kevin Sunde Oppegaard ◽

Erik Qvigstad ◽

Britt-Ingjerd Nesheim

Keyword(s):

Randomised Controlled Trial ◽

Controlled Trial ◽

Fertility Control ◽

Termination Of Pregnancy ◽

Vaginal Misoprostol ◽

Randomised Controlled ◽

At Home

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Informal caregiver strain, preference and satisfaction in hospital-at-home and usual hospital care for COPD exacerbations: Results of a randomised controlled trial

International Journal of Nursing Studies ◽

10.1016/j.ijnurstu.2014.01.002 ◽

2014 ◽

Vol 51 (8) ◽

pp. 1093-1102 ◽

Cited By ~ 6

Author(s):

Cecile M.A. Utens ◽

Onno C.P. van Schayck ◽

Lucas M.A. Goossens ◽

Maureen P.H.M. Rutten-van Mölken ◽

Dirk R.A.J. DeMunck ◽

...

Keyword(s):

Randomised Controlled Trial ◽

Hospital Care ◽

Informal Caregiver ◽

Controlled Trial ◽

Caregiver Strain ◽

Copd Exacerbations ◽

Hospital At Home ◽

Randomised Controlled ◽

At Home

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Effect of adjusting the challenge–skill balance for occupational therapy: study protocol for a randomised controlled trial

BMJ Open ◽

10.1136/bmjopen-2018-022438 ◽

2018 ◽

Vol 8 (12) ◽

pp. e022438 ◽

Cited By ~ 1

Author(s):

Ippei Yoshida ◽

Kazuki Hirao ◽

Ryuji Kobayashi

Keyword(s):

Randomised Controlled Trial ◽

Occupational Therapy ◽

Mixed Model ◽

Linear Mixed Model ◽

Controlled Trial ◽

Well Being ◽

Subjective Quality Of Life ◽

Rehabilitation Unit ◽

Eligibility Criteria ◽

Randomised Controlled

IntroductionOccupational therapy (OT) is defined as the promotion of client health and well-being through a client-centred practice. However, there is a tendency to rely on the therapist’s experiences and values, and there is a difference between the client’s and therapist’s perceptions regarding the current activity that the client is engaged in. In previous studies that have applied ‘flow’, activities supported by OT in elderly people were analysed, indicating a difference in recognition. Therefore, we thought that more effective OT could be implemented by adjusting the challenge–skill (ACS) balance, and we invented a novel process termed as ACS balance for OT. The purpose of this study is to verify the effect of ACS-OT on clients in the recovery rehabilitation unit and to prepare a protocol for randomised controlled trial (RCT) implementation.Method and analysisThis single-blind RCT will recruit 80 clients aged 50–99 years admitted to the recovery rehabilitation unit who meet eligibility criteria. Clients will be randomly allocated to receive ACS-OT or standard OT. Both interventions will be performed during the clients’ residence at the unit. The primary outcome measure will be subjective quality of life and will be measured at entry into (pre) and at discharge from (post) the unit and at 3 months afterwards (follow-up). Outcomes will be analysed using a linear mixed model fitted with a maximum likelihood estimation.Ethics and disseminationThis protocol has been approved by the ethics review committee of the Tokyo Metropolitan University (No.17020). Results of this trial will be submitted for publication in a peer-reviewed journal.Trial registration numberUMIN-CTR number, UMIN000029505; Pre-results.

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