Trial reportBMC health services research2007
Feasibility and results of a randomised pilot-study of pre-discharge occupational therapy home visits.
Trial report in BMC health services research, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 4 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
18 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Effects, barriers and facilitators in predischarge home assessments to improve the transition of care from the inpatient care to home in adult patients: an integrative review.BMC health services research · 2021Pooled it
- Pooled it
- Interventions for preventing falls in older people living in the community.The Cochrane database of systematic reviews · 2012Pooled it
- Modification of the home environment for the reduction of injuries.The Cochrane database of systematic reviews · 2011Pooled it
- Occupational therapy discharge planning for older adults: a protocol for a randomised trial and economic evaluation.BMC geriatrics · 2012Trial
- Functional performance of patients with stroke during inpatient rehabilitation: a cross-sectional study of home and access visits.BMC health services research · 2025Article
- Supporting Occupational Therapists in Predischarge Home Visit Decision-Making: Development and Evaluation of a Decision-Making Support Tool.Occupational therapy international · 2025Article
- Environmental interventions for preventing falls in older people living in the community.The Cochrane database of systematic reviews · 2023Review
- Optimizing Post-Acute Care Patient Safety: A Scoping Review of Multifactorial Fall Prevention Interventions for Older Adults.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2022Article
- Can EMS providers and emergency department nurses work together to identify home risk factors for falls in older people?Medicine · 2022Article
- Use of Virtual Reality Technology to Support the Home Modification Process: A Scoping Review.International journal of environmental research and public health · 2021Article
- Effect of occupational therapy home visit discharge planning on participation after stroke: protocol for the HOME Rehab trial.BMJ open · 2021Article
- Adapting a Person's Home in 3D Using a Mobile App (MapIt): Participatory Design Framework Investigating the App's Acceptability.JMIR rehabilitation and assistive technologies · 2021Article
- A Scoping Review of Nonpharmacological Interventions to Reduce Disability in Older Adults.The Gerontologist · 2020Article
- Using an Electronic Tablet to Assess Patients' Home Environment by Videoconferencing Prior to Hospital Discharge: Protocol for a Mixed-Methods Feasibility and Comparative Study.JMIR research protocols · 2019Article
- Occupational therapy for elderly. Evidence mapping of randomised controlled trials from 2004-2012.Zeitschrift fur Gerontologie und Geriatrie · 2015Article
- Questions asked and answered in pilot and feasibility randomized controlled trials.BMC medical research methodology · 2011Review
- Increasing delivery of an outdoor journey intervention to people with stroke: A feasibility study involving five community rehabilitation teams.Implementation science : IS · 2010Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPre-discharge home visits aim to maximise independence in the community. These visits involve assessment of a person in their own home prior to discharge from hospital, typically by an occupational therapist. The therapist may provide equipment, adapt the home environment and/or provide education. The aims of this study were to investigate the feasibility of a randomised controlled trial in a clinical setting and the effect of pre-discharge home visits on functional performance in older people undergoing rehabilitation.
methodsTen patients participating in an inpatient rehabilitation program were randomly assigned to receive either a pre-discharge home visit (intervention), or standard practice in-hospital assessment and education (control), both conducted by an occupational therapist. The pre-discharge home visit involved assessment of the older person's function and environment, and education, and took an average of 1.5 hours. The hospital-based interview took an average of 40 minutes. Outcome data were collected by a blinded assessor at 0, 2, 4, 8 and 12 weeks. Outcomes included performance of activities of daily living, reintegration to community living, quality of life, readmission and fall rates.
resultsRecruitment of 10 participants was slow and took three months. Observed performance of functional abilities did not differ between groups due to the small sample size. Difference in activities of daily living participation, as recorded by the Nottingham Extended Activities of Daily Living scale, was statistically significant but wide confidence intervals and low statistical power limit interpretation of results.
conclusionEvaluation of pre-discharge home visits by occupational therapists in a rehabilitation setting is feasible, but a more effective recruitment strategy for a main study is favored by application of a multi-centre setting.
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