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OBJECTIVE To evaluate an occupational therapy intervention to improve outdoor mobility after stroke. DESIGN Randomised controlled trial. SETTING General practice registers, social services departments, a primary care rehabilitation service, and a geriatric day hospital. PARTICIPANTS 168 community dwelling people with a clinical diagnosis of stroke in(More)
OBJECTIVE To evaluate whether a service to prevent falls in the community would help reduce the rate of falls in older people who call an emergency ambulance when they fall but are not taken to hospital. DESIGN Randomised controlled trial. SETTING Community covered by four primary care trusts, England. PARTICIPANTS 204 adults aged more than 60 living(More)
OBJECTIVE To evaluate the effects of leisure therapy and conventional occupational therapy (OT) on the mood, leisure participation and independence in activities of daily living (ADL) of stroke patients 6 and 12 months after hospital discharge. DESIGN Multicentre randomized controlled trial. SETTING AND PARTICIPANTS Four hundred and sixty-six stroke(More)
BACKGROUND UK care home residents are often poorly served by existing healthcare arrangements. Published descriptions of residents' health status have been limited by lack of detail and use of data derived from surveys drawn from social, rather than health, care records. AIM to describe in detail the health status and healthcare resource use of UK care(More)
OBJECTIVE To determine whether occupational therapy focused specifically on personal activities of daily living improves recovery for patients after stroke. DESIGN Systematic review and meta-analysis. DATA SOURCES The Cochrane stroke group trials register, the Cochrane central register of controlled trials, Medline, Embase, CINAHL, PsycLIT, AMED, Wilson(More)
BACKGROUND A thorough understanding of the literature generated from research in care homes is required to support evidence-based commissioning and delivery of healthcare. So far this research has not been compiled or described. We set out to describe the extent of the evidence base derived from randomized controlled trials conducted in care homes. (More)
BACKGROUND AND PURPOSE Trials of occupational therapy for stroke patients living in the community have varied in their findings. It is unclear why these discrepancies have occurred. METHODS Trials were identified from searches of the Cochrane Library and other sources. The primary outcome measure was the Nottingham Extended Activities of Daily Living(More)
BACKGROUND The range and magnitude of potential benefits and harms of antihypertensive treatment in people with dementia has not been previously established. METHODS A scoping review to identify potential domains of benefits and harms of antihypertensive therapy in people with dementia was undertaken. Systematic reviews of these domains were undertaken to(More)
OBJECTIVE To explain the current delivery of healthcare to residents living in UK care homes. DESIGN Qualitative interview study using a grounded theory approach. SETTING 6 UK care homes and primary care professionals serving the homes. PARTICIPANTS Of the 32 participants, there were 7 care home managers, 2 care home nurses, 9 care home assistants, 6(More)
RATIONALE Almost one-third of Australians need help to travel outdoors after a stroke. Ambulation training and escorted outings are recommended as best practice in Australian clinical guidelines for stroke. Yet fewer than 20% of people with stroke receive enough of these sessions in their local community to change outcomes. AIMS The Out-and-About trial(More)