Effectiveness of Occupational Therapy Intervention in Complex Patients

Study Overview
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Brief Summary
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To date, there are no studies that demonstrate that the intervention of Occupational Therapy (OT) in patients considered to be complex, regardless of diagnosis, could improve clinical and functional outcome for the patient. For this reason, we intend to undertake a study that will allow us to deepen the knowledge about the impact of the OT on in-hospital patients considered complex according to the assessment by the Rehabilitation Complexity Scale (RCS ). Our hypothesis is that the intervention of OT can improve their care by qualified and focused on the needs of the person interventions.

Detailed Description
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We will therefore first af all to implement an observational pilot study, aimed at defining the characteristics and needs of the population in question, and the OT intervention protocol. This information will then be used to implement a subsequent randomized controlled trial designed to demonstrate the effectiveness of the OT intervention on the basis of clinically relevant outcome measures.

Official Title
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Study on the Effectiveness of Occupational Therapy Intervention in Complex Patients.

Conditions
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Complex Patients: Patients With High Level of Complexity Regardless of the Pathology of Origin

Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: 18 years old in charge of the rehabilitation ward of the hospital defined complexes as assessed by RCS consent to the processing of sensitive data for research purposes. Exclusion Criteria: primary psychiatric conditions language barrier; cognitive impairment communicative disability

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| OT arm<br>Through the initial evaluation of the complex patients' needs, the OT will propose a targeted intervention to the needs emerged and decide which approach will use to achieve the goal (i.e. compensatory or restorative). We will describe the characteristics of the population included and identify common needs and problems of the complex patients through the COPM. The needs and problems identified will be grouped into macro-areas, and the OT will propose the appropriate treatment on the basis of the area identified, the patient's needs and the available resources regardless of the origin of the disease. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Canadian Occupational Performance Measure (COPM) | Canadian occupational performance measure | enrollment | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Occupational Therapy, Complex patients, Occupational performance problem, Rehabilitation Complexity Scale