Evidence map›Paper›PMID 34226214›Full record

ArticleBMJ open2021

Effect of occupational therapy home visit discharge planning on participation after stroke: protocol for the HOME Rehab trial.

Natasha A Lannin, Lindy Clemson, Avril Drummond, Mandy Stanley, Leonid Churilov, Kate Laver, Sophie O'Keefe, Ian Cameron, Maria Crotty, Tim Usherwood and 3 more

Open access · goldAbstract readClinical Trial Protocol
In one paragraph

Article in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
0.6field-weighted citation impact, top 31% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 9 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 8 institutions in 4 countries.

Natasha A LanninDepartment of Neuroscience, Monash University, Melbourne, Victoria, Australia Natasha.Lannin@monash.edu.ORCID 0000-0002-2066-8345
Lindy ClemsonSydney School of Health Sciences, The University of Sydney, Sydney, New South Wales, Australia.
Avril DrummondSchool of Health Sciences, University of Nottingham, Nottingham, Nottinghamshire, UK.
Mandy StanleySchool of Medical and Health Sciences, Edith Cowan University, Joondalup, Western Australia, Australia.ORCID 0000-0002-7958-5181
Leonid ChurilovMelbourne Medical School, Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Melbourne, Victoria, Australia.
Kate LaverDepartment of Rehabilitation, Aged and Extended Aged Care, College of Medicine and Public Heath, Flinders University, Adelaide, South Australia, Australia.
Sophie O'KeefeOccupational Therapy, School of Allied Heath, College of Science Health and Engineering, La Trobe University, Melbourne, Victoria, Australia.
Ian CameronJohn Walsh Centre for Rehabilitation Research, The University of Sydney, Sydney, New South Wales, Australia.
Maria CrottyDepartment of Rehabilitation, Aged and Extended Aged Care, College of Medicine and Public Heath, Flinders University, Adelaide, South Australia, Australia.
Tim UsherwoodThe George Institute for Global Health, University of New South Wales, Sydney, New South Wales, Australia.
Nadine E AndrewDepartment of Medicine, Peninsula Clinical School, Central Clinical School, Monash University, Frankston, Victoria, Australia.ORCID 0000-0002-4846-2840
Laura JolliffeAlfred Health, Melbourne, Victoria, Australia.
Dominique A CadilhacStroke and Ageing Research, School of Clinical Sciences at Monash Health, Monash University, Clayton, Victoria, Australia.ORCID 0000-0001-8162-682X
Australian Regenerative Medicine Institute · AUThe University of Sydney · AUFlinders University · AUEdith Cowan University · AUFlorey Institute of Neuroscience and Mental Health · AULa Trobe University · AUThe Royal Melbourne Hospital · AUUniversity of Nottingham · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAfter 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. METHODS AND ANALYSIS: 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. ETHICS AND DISSEMINATION: 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 journals

Indexed as

Occupational TherapyStrokeStroke RehabilitationActivities of Daily LivingAftercareAustraliaHouse CallsHumansMiddle AgedMulticenter Studies as TopicPatient DischargeQuality of LifeRandomized Controlled Trials as Topicrehabilitation medicinestrokestroke medicine

Identifiers

PMID34226214
PMCPMC8258558
OpenAlexW3182112793

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.