@article { , title = {Who should have a pre–discharge home assessment visit after a stroke? A qualitative study of occupational therapists' views}, abstract = {Introduction: The number of patients who have a pre-discharge home assessment visit following a stroke has been reported to vary nationally. The purpose of this research was to explore the factors influencing occupational therapists' decisions to complete such visits. Method: Semi-structured interviews were completed with 20 senior occupational therapists working with stroke in-patients, from a range of urban and rural locations in the United Kingdom. The interviews explored their views about those patients for whom a pre-discharge home assessment visit would and would not be required. The interviews were analysed using thematic analysis. Findings: Three themes were identified: the patient's level of physical, cognitive, or perceptual impairment and its impact on performance in activities of daily living; factors relating to the patient's home environment, including the availability of support within the home environment; and other influences on occupational therapists. The presence of a cognitive impairment was a particularly important factor. Conclusions: Occupational therapists balanced aspects from each of these themes in order to determine whether a visit was needed or not. Although the level of impairment was important, the most dependent patients were not necessarily those believed to be the most likely to need a visit.}, doi = {10.4276/030802214X14071472109752}, eissn = {1477-6006}, issn = {0308-0226}, issue = {8}, journal = {British Journal of Occupational Therapy}, note = {Accepted date estimated.}, publicationstatus = {Published}, publisher = {SAGE Publications}, url = {https://nottingham-repository.worktribe.com/output/734177}, volume = {77}, keyword = {Pre-discharge home assessment visits, stroke rehabilitation}, year = {2014}, author = {Whitehead, Phillip J. and Fellows, Karen Rachael and Sprigg, Nikola and Walker, Marion F. and Drummond, Avril E.R.} }