Evidence map›Paper›PMID 40491161›Full record

Trial reportAustralian occupational therapy journal2025

Sustainability of a rehabilitation self-management program ('My Therapy') 6 months post implementation.

Sara L Whittaker, Keith D Hill, Nicholas F Taylor, Christina L Ekegren, Natasha K Brusco

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Australian occupational therapy journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Trial
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

5 authors.

Sara L WhittakerRehabilitation, Ageing and Independent Living (RAIL) Research Centre, School of Primary and Allied Health Care, Monash University, Melbourne, Victoria, Australia.ORCID 0000-0001-7002-185X
Keith D HillRehabilitation, Ageing and Independent Living (RAIL) Research Centre, School of Primary and Allied Health Care, Monash University, Melbourne, Victoria, Australia.ORCID 0000-0002-2191-0308
Nicholas F TaylorSchool of Allied Health, Human Services and Sport, La Trobe University, Melbourne, Victoria, Australia.ORCID 0000-0001-9474-2504
Christina L EkegrenRehabilitation, Ageing and Independent Living (RAIL) Research Centre, School of Primary and Allied Health Care, Monash University, Melbourne, Victoria, Australia.ORCID 0000-0002-7656-6209
Natasha K BruscoRehabilitation, Ageing and Independent Living (RAIL) Research Centre, School of Primary and Allied Health Care, Monash University, Melbourne, Victoria, Australia.ORCID 0000-0002-8825-5109

Funding

National Health and Medical Research Council (NHMRC) APP1191881
6 · The paper itself

Abstract

introductionThe aim of this study was to explore sustainability of a self-management program in inpatient rehabilitation ('My Therapy') 6 months following a randomised controlled trial.

methodsA patient audit of rehabilitation hospital medical records was completed to determine program reach and an electronic survey of occupational therapists/physiotherapists to understand perceptions of program sustainability. CONSUMER AND COMMUNITY INVOLVEMENT: This study included a lived experience consumer as part of the trial steering committee.

resultsOf 185 patients audited, the program reach was 41%. Of 13 therapists surveyed, most reported they knew how to deliver self-management programs (93%), that they provided My Therapy as part of usual care 'some of the time' (77%), and that appointing a My Therapy clinical champion on the ward supported sustained implementation (77%). They also reported reduced confidence delivering 'My Therapy' with patients who were not motivated or when time was limited.

conclusionSix months post-trial, a self-management program was still being delivered by therapists in rehabilitation. Ongoing support strategies are required to sustain self-management programs. PLAIN LANGUAGE SUMMARY: Doing exercises and practising tasks is an important part of rehabilitation. A self-management program called 'My Therapy' enables patients to do exercises or tasks on their own. Patients doing My Therapy completed an extra 26 minutes of exercises or tasks each day. This study in Melbourne, Australia, found out if the program was still being used 6 months later. We also found out what therapists thought about the program. Less than half of patients were doing My Therapy at 6 months. Therapists reported they liked their patients doing the program. However, they found it harder to deliver to patients who lacked motivation. It was also hard to deliver when the therapist felt they had little time.

Indexed as

Occupational TherapySelf-ManagementHumansProgram Evaluationoccupational therapyphysiotherapyrehabilitationself‐management

Identifiers

PMID40491161
PMCPMC12149698

What OpenQuestion holds

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Registered trials

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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.