Is There a Role for Meaningful Activity in Stroke Rehabilitation?
Topics in Stroke Rehabilitation
Purpose: Stroke survivors report multiple psychosocial issues after discharge and diffi culties returning to meaningful roles and activities. This study explored the impact of an occupation-based group program on activity levels, well-being, and self-effi cacy after discharge from inpatient rehabilitation. Methods: This pilot study recruited participants from two hospital rehabilitation units. Both units provided individual therapy programs. Unit A provided an additional occupation-based group
... pation-based group program. Behavioural mapping recorded participants' activity levels in hospital for one weekday and one weekend day. Outcome measures collected at recruitment, discharge, and/or 1 month after discharge included Modifi ed Barthel Index, use of community supports, length of stay, Stroke Impact Scale, and Self-Effi cacy Gauge. Results: Participants from Unit A (n = 8) had a signifi cantly longer length of stay than Unit B (n = 11) and spent signifi cantly more time in occupational therapy (P = .01). Both participant groups were more inactive on the weekday compared to the weekend (P = .03). Participants in Unit A were more likely to report low levels of social participation and stroke recovery (P < .05) on the Stroke Impact Scale. Conclusion: There was no indication from the results of this study that an occupation-based group program had a positive effect on the measured outcomes.