Conclusion ] This review indicates that the Canadian Occupational Performance Measure is appropriate for clinicians , including physiotherapists , in assessing outcome for patients with stroke .
Evaluation of a pilot service designed to provide support following stroke: a randomized cross-over design study
Objective : To evaluate a day service for people aged 18–55 years who had a stroke . Design : A r and omized cross-over study design was used , r and omly allocating individuals to attend the service for six months followed by a period of no attendance for six months . Setting : A day service pilot project was launched in Cardiff in July 1995 for people who were aged between 18 and 55 years and had a stroke . It met one day a week . Subjects : Twenty-six participants were recruited to the study between June 1998 and February 2000 . Their mean age was 48 years ( SD = 7 ) . Interventions : The service aim ed to offer participants the opportunity to identify and pursue meaningful and realistic opportunities within the community . A range of activities occurred at the service including creative activities and social outings . Main outcome measures : The Barthel ADL Index , Extended ADL Scale , Nottingham Leisure Question naire , Short Form 36 , the Hospital Anxiety and Depression Scale , the Canadian Occupational Performance Measure , the Role Checklist and the Semantic Differential Self Concept Scale were used to assess the outcomes from the service . Results : Attending the service  increased occupational performance and satisfaction with performance but there was no evidence that depression and anxiety were reduced or that quality of life and self-concept were improved . Conclusion : Although there were some gains from attending the service there were also many unmet needs . Further research is required to continue to identify how best to meet the needs of individuals post stroke under retirement age
Conclusion ] This review indicates that the Canadian Occupational Performance Measure is appropriate for clinicians , including physiotherapists , in assessing outcome for patients with stroke .