Intensive client-centred occupational therapy in the home improves older adults' occupational performance, and is still effective at follow-up 6 months after baseline.: Results from a Danish randomised controlled trial
Bibliographic record
Abstract
Abstract Introduction /Rationale In Denmark, older adults are offered home-rehabilitation, including occupational therapy, to improve and maintain their occupational performance. A small amount of evidence shows that client-centred in-home occupational therapy for older adults may effectively improve occupational performance, yet achieved effects may quickly be lost again. Objectives We tested whether intensive, client-centred occupational therapy (ICC-OT) could improve older adults’ occupational performance compared to the usual practice of a Danish municipality and whether achieved effects were still present at follow-up. Method A single-blind randomised controlled trial among 119 home-dwelling adults aged 60+. Occupational performance was measured on the Canadian Occupational Performance Measure (COPM) at baseline, post intervention and at follow-up 6 months after baseline. Change from baseline to post-test was the primary outcome; change from baseline to follow-up was a secondary outcome. All older adults were offered usual-practice: standard home-care services, physiotherapy, and assistive devices when meeting certain criteria. In addition, the intervention group received 11 weeks of ICC-OT addressing client-chosen occupational goals. Results Post-intervention, the older adults in the ICC-OT group had improved their occupational performance statistically significantly more than those who only received usual practice: The between-group difference in change concerning COPM-performance was 1.26 points (95%CI:0.50;2.02). At follow-up, not all improvement was maintained, yet a statistically significant between-group difference in change in favour of ICC-OT was still present: 0.98 points (95%CI:0.27;1.70). Conclusion In a Scandinavian home-care context, client-centred occupational therapy can be a powerful tool in meeting pressing societal challenges by improving and preserving older adults’ occupational performance.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.004 | 0.005 |
| Meta-epidemiology (narrow) | 0.001 | 0.001 |
| Meta-epidemiology (broad) | 0.004 | 0.004 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.001 | 0.001 |
| Scholarly communication | 0.001 | 0.001 |
| Open science | 0.001 | 0.001 |
| Research integrity | 0.002 | 0.001 |
| Insufficient payload (model declined to judge) | 0.003 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".