Article

OBJECTIVE: To compare changes regarding perceived participation, independence in
activities of daily living (ADL)
and life satisfaction between 3, 6
and 12 months
after inclusion in a study of a client-centred ADL intervention and usual ADL
intervention after stroke. DESIGN: A multicentre randomized controlled trial.
METHODS: Sixteen rehabilitation units were randomly assigned to provide
client-centred ADL intervention or usual ADL intervention. Eligible participants
were persons </= 3 months after stroke who had been treated in a stroke unit,
were dependent in two ADL domains, had not been diagnosed with dementia, and were
able to understand instructions. Data collection was performed by blinded
assessors. The primary outcome, perceived participation, was assessed with the
Stroke Impact Scale 3.0, domain 8. The secondary outcomes, participation,
independence in ADL, and life satisfaction, were assessed with validated
instruments. For statistical power, 280 participants were required. Statistical
analyses were performed on an intention-to-treat basis. RESULTS: There were no
differences between the groups regarding changes in perceived participation,
independence in ADL, or life satisfaction during the first 12 months. There was a
trend towards a clinically meaningful positive change in perceived participation
that favoured client-centred ADL intervention. CONCLUSION: Further research is
required to understand the benefits of client-centred interventions.

Langue : ANGLAIS