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Occupational therapy for persons with chronic conditions: Protocol for an RCT
Vita Hagelskjær, OT, MSc, PhD student1,2,3 Kristina Tomra Nielsen, OT, PhD1, 4 Cecilie von Bülow, OT, PhD1,2 Lisa Gregersen2,5 Østergård Maud Graff, OT, PhD6 Eva Ejlersen Wæhrens, OT, PhD1,2
1. The ADL unit, The Parker Institute, Bispebjerg and Frederiksberg Hospital, University of Copenhagen, Copenhagen, Denmark
2. Occupational Science and Occupational Therapy, User Perspectives and Community-based Interventions, Department of Public Health, University of Southern Denmark, Odense, Denmark
3. Department of Occupational Therapy, VIA University College, Holstebro, Denmark
4. Department of Occupational Therapy, University College of Northern Denmark, Aalborg, Denmark 5. DEFACTUM, Central Denmark Region, Aarhus, Denmark
6. Department of Rehabilitation & Scientific Institute for Quality of Care Research, Radboud University Medical Center Nijmegen, The Netherlands
University of Copenhagen The Parker Institute
Conclusions
The protocol represents the foundation of a transparent evaluation
Background
• We need to develop and evaluate intervention programs
addressing ability to perform Activities of Daily Living (ADL) tasks among persons living with chronic conditions
Purpose
• Report design and methods for evaluation of effectiveness, process and cost-effectiveness of the ABLE program
The ABLE program
• Aims to enhance the ADL ability among persons living with chronic conditions
• Generic, systematic, individualised, client-centred, occupational therapy intervention program
• 5-8 sessions delivered at home
• Nine intervention components with adaptational approach
• Delivered in Danish municipalities, as part of rehabilitation programs
vita.hagelskjaer@regionh.dk
Material and methods
Effectiveness evaluation:
•Compare ABLE/usual occupational therapy
•Co-primary outcomes: Self-reported ADL ability (ADL-I) and observed ADL ability (AMPS)
Process evaluation:
•Test CMO configurations
•Refine program theory Evaluation of economy:
•Compare ABLE/usual occupational therapy
•Outcomes: Quality-adjusted life years (EQ-5D) and changes in ADL ability (ADL-I and AMPS)
Results
A complete protocol for
evaluation of the ABLE program, based on the MRC guidance
