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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)
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)
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 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)
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)
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)
OBJECTIVE To evaluate effectiveness, safety and cost-effectiveness of Computerised Clinical Decision Support (CCDS) for paramedics attending older people who fall. DESIGN Cluster trial randomised by paramedic; modelling. SETTING 13 ambulance stations in two UK emergency ambulance services. PARTICIPANTS 42 of 409 eligible paramedics, who attended 779(More)
OBJECTIVE To investigate two approaches to treating patients with persistent dressing problems and cognitive difficulties following stroke. DESIGN Pilot randomized controlled trial. SETTING Inpatient stroke rehabilitation service. SUBJECTS Seventy consecutive stroke patients with persistent dressing problems and accompanying cognitive difficulties at(More)
INTRODUCTION Frail older people are often unable to undertake high-intensity exercise programmes. Chair-based exercises (CBEs) are used as an alternative, for which health benefits are uncertain. OBJECTIVE To examine the effects of CBE programmes for frail older people through a systematic review of existing literature. METHOD A systematic search was(More)
OBJECTIVE we estimated the cost-effectiveness of a community falls prevention service compared with usual care from a National Health Service and personal social services perspective over the 12 month trial period. DESIGN a cost-effectiveness and cost utility analysis alongside a randomised controlled trial SETTING community. PARTICIPANTS people over(More)