Effectiveness of Home-based Occupational Therapy for Early Discharged Patients with Stroke

Abstract

To verify the effectiveness of home-based occupational therapy for safe discharge of in-patients with recent stroke. A pre/post interventional design was performed to document patients' outcome during 3 months following discharge. Interventions included improving functioning, reducing environmental risks and the risk associated with early discharge of homebound stroke patients, improving caregivers' handling skills through training, and providing on-site skills training for indoor and outdoor environments. Comparing pre- and post-interventional status, a sample of 144 patients showed improvements (p < 0.05) in Modified Barthel Index, risk reduction, Caregiver Strain Index, self-efficacy of patients and caregivers, in comparing pre- and post-intervention. Self-perceived health status, frequency of excursions, and reported happiness at 28-day and 3-month follow-ups improved. Reduction of environmental risks by on-site consultation, aids to support daily activities, and training in community living can improve functional performance of stroke patients. Furthermore, strengthening caregiver efficacy and patient self-efficacy can result in long-lasting benefit for patients' quality of life.