Stroke Structured Abstract - S #2
Intervention to promote leisure activities may need to be fairly intensive and address inhibiting environmental factors
CITATION: Jongbloed, L., & Morgan, D. (1991). An investigation of involvement in leisure activities after a stroke. American Journal of Occupational Therapy, 45, 420-427.
LEVEL OF EVIDENCE: IB1a
What is the efficiency of OT intervention related to the leisure activities of stroke survivors?
Randomized controlled trial (RCT)
Subjects were randomly assigned to an experimental group or to a control group.
SAMPLING PROCEDURE/INCLUSION CRITERIA
The subjects were stroke patients who had been discharged from one of three rehabilitation hospitals in the lower mainland of British Columbia, Canada, between October 1986 and February 1988.
All subjects had a stroke within the past 15 months, had completed a rehabilitation program, were not on antidepressant medication, did not have severe aphasia, and had a close relative or friend who was willing to participate in the study.
N = 40
Male = 27
Female = 13
Mean age = 69
LCVA = 23
RCVA = 17
Attrition = NR
NR = Not Reported
(R = Reliability established; V = Validity established)
Katz Adjustment Index Subscales: R, V
Level of Free-Time Activities
Level of Satisfaction with Free-Time Activities
Experimental Group: Leisure intervention having the goal of assisting the patients in resuming former leisure activities, engaging in new activities, or both.
Control Group: Subjects were visited by an OT and asked questions about leisure activity involvement throughout their whole life span. The therapist also asked each subject about the effects of stroke on his or her life.
WHO DELIVERED INTERVENTION
FREQUENCY & DURATION
Once per week; five 1-hour visits over 5 consecutive weeks.
No significant differences between the two groups in activity involvement or satisfaction with that involvement.
Effect sizes could not be calculated because of insufficient information provided.
Within Groups/Conditions/Times: Not tested
THREATS TO VALIDITY
Contamination: Not enough difference between the two treatments.
Weak intensity of the independent variable (Five visits).
The results showed no statistically significant difference between experimental and control groups in activity involvement or satisfaction with that involvement.
This study did not demonstrate the effectiveness of OT intervention related to leisure activities. Future research needs to involve a more intensive treatment and more distinctively different treatment for the control group.
Terminology used in this document is based on two systems of classification current at the time the evidence-based literature reviews were completed: Uniform Terminology for Occupational Therapy Practice-Third Edition (AOTA, 1994) and International Classification of Functioning, Disability and Health (ICIDH-2) (World Health Organization [WHO], 1999). More recently, the Uniform Terminology document was replaced by Occupational Therapy Practice Framework: Domain and Process (AOTA, 2002), and modifications to ICIDH-2 were finalized in the International Classification of Functioning, Disability and Health (WHO, 2001).
This work is based on the evidence-based literature review completed by Hui-ing Ma, ScD, OTR, and Catherine A. Trombly, ScD, OTR/L, FAOTA.
For more information about the Evidence-Based Literature Review Project, contact the Practice Department at the American Occupational Therapy Association, 301-652-6611, x 2040.
Copyright 2003 American Occupational Therapy Association, Inc. All rights reserved. This material may be reproduced and distributed without prior written consent.