Individual Patient Data Meta-Analysis of Randomized Controlled Trials of Community Occupational Therapy for Stroke Patients

Walker, M.F.; Leonardi-Bee, J.; Bath, P.; Langhorne, P.; Dewey, M.; Corr, S.; Drummond, A.; Gilbertson, L.; Gladman, J.R.F.; Jongbloed, L.; Logan, P.; Parker, C.

doi:10.1161/01.str.0000137766.17092.fb

Systematic review of the epidemiology of non-collision injuries occurring to older people during use of public buses in high income countries (2015)
Journal Article

Each year more than 6,000 people are injured on public buses in the UK, approximately half of whom are aged 65 or over. This review synthesises the published literature on the epidemiology of non-collision injuries occurring in older people using pub... Read More about Systematic review of the epidemiology of non-collision injuries occurring to older people during use of public buses in high income countries.

Falls prevention interventions in older adults with cognitive impairment: A systematic review of reviews (2015)
Journal Article

Aim: This critical review explores the review material on falls prevention interventions in older adults with a cognitive impairment such as dementia. Method: A critical, systematic, review of review method was used. Five large electronic databas... Read More about Falls prevention interventions in older adults with cognitive impairment: A systematic review of reviews.

Medical Crises in Older People: cohort study of older people attending acute medical units, developmental work and randomised controlled trial of a specialist geriatric medical intervention for high-risk older people; cohort study of older people with mental health problems admitted to hospital, developmental work and randomised controlled trial of a specialist medical and mental health unit for general hospital patients with delirium and dementia; and cohort study of residents of care homes and interview study of health-care provision to residents of care homes (2015)
Journal Article

Background This programme of research addressed shortcomings in the care of three groups of older patients: patients discharged from acute medical units (AMUs), patients with dementia and delirium admitted to general hospitals, and care home residen... Read More about Medical Crises in Older People: cohort study of older people attending acute medical units, developmental work and randomised controlled trial of a specialist geriatric medical intervention for high-risk older people; cohort study of older people with mental health problems admitted to hospital, developmental work and randomised controlled trial of a specialist medical and mental health unit for general hospital patients with delirium and dementia; and cohort study of residents of care homes and interview study of health-care provision to residents of care homes.

Are accelerometers a useful way to measure activity in care home residents? (2015)
Journal Article

Introduction: Accurate measurement of activity in care home residents is important for monitoring and evaluating interventions for activity promotion. Accelerometers provide a potential method. However, their usefulness in this population has not bee... Read More about Are accelerometers a useful way to measure activity in care home residents?.

The Community In-Reach and Care Transition (CIRACT) clinical and cost-effectiveness study: study protocol for a randomised controlled trial (2015)
Journal Article

Background Older people represent a significant proportion of patients admitted to hospital. Their care compared to younger patients is more challenging, length of stay is longer, risk of hospital-acquired problems higher and the risk of being re-... Read More about The Community In-Reach and Care Transition (CIRACT) clinical and cost-effectiveness study: study protocol for a randomised controlled trial.

First for stroke: using the Microsoft ‘Kinect’ as a facial paralysis stroke rehabilitation tool (2014)
Journal Article

There are around 152,000 incidents of stroke each year in the UK, with 16% of cases having long lasting facial weakness. Most strokes occur after 65 years of age and with people living longer the number of sufferers will continue to increase, making... Read More about First for stroke: using the Microsoft ‘Kinect’ as a facial paralysis stroke rehabilitation tool.

Systematic review into motivational strategies that support adherence to exercise for people with mild cognitive impairment (MCI) or dementia (2014)
Journal Article

Introduction: Physical exercise has a positive effect on cognitive functioning, mobility and activities of daily living in people with dementia (Forbes & al., 2013; Pitkälä & al., 2013). Most exercise studies employ motivational strategies to support... Read More about Systematic review into motivational strategies that support adherence to exercise for people with mild cognitive impairment (MCI) or dementia.

Support and assessment for Fall Emergency Referrals (SAFER 1): cluster randomised trial of computerised clinical decision support for paramedics (2014)
Journal Article

Objective: To evaluate effectiveness, safety and cost-effectiveness of Computerised Clinical Decision Support (CCDS) for paramedics attending older people who fall. Design: Cluster trial randomised by paramedic; modelling. Setting: 13 ambulance... Read More about Support and assessment for Fall Emergency Referrals (SAFER 1): cluster randomised trial of computerised clinical decision support for paramedics.

Antihypertensive treatment in people with dementia (2014)
Journal Article

Introduction The range and magnitude of potential benefits and harms of antihypertensive treatment in people with dementia has not been previously established. Method A scoping review to identify potential domains of benefits and harms of antihyp... Read More about Antihypertensive treatment in people with dementia.

Developing the principles of chair based exercise for older people: a modified Delphi study (2014)
Journal Article

Rehabilitation aimed at improving outdoor mobility for people after stroke: a multi-centre randomised controlled study (the Getting out of the House Study) (2014)
Journal Article

Background: One-third of stroke patients are dependent on others to get outside their homes. This can cause people to become housebound, leading to increased immobility, poor health, isolation and misery. There is some evidence that outdoor mobility... Read More about Rehabilitation aimed at improving outdoor mobility for people after stroke: a multi-centre randomised controlled study (the Getting out of the House Study).

Health status of UK care home residents: a cohort study (2014)
Journal Article

Background: UK care home residents are often poorly served by existing healthcare arrangements. Published descriptions of residents’ health status have been limited by lack of detail and use of data derived from surveys drawn from social, rather than... Read More about Health status of UK care home residents: a cohort study.

Chair-Based Exercises for Frail Older People: A Systematic Review (2013)
Journal Article

Explaining the barriers to and tensions in delivering effective healthcare in UK care homes: a qualitative study (2013)
Journal Article

Objective: To explain the current delivery of healthcare to residents living in UK care homes. Design: Qualitative interview study using a grounded theory approach. Setting: 6 UK care homes and primary care professionals serving the homes. P... Read More about Explaining the barriers to and tensions in delivering effective healthcare in UK care homes: a qualitative study.

The DRESS trial: a feasibility randomized controlled trial of a neuropsychological approach to dressing therapy for stroke inpatients (2012)
Journal Article

Objective: To investigate two approaches to treating patients with persistent dressing problems and cognitive difficulties following stroke. Design: Pilot randomized controlled trial. Setting: Inpatient stroke rehabilitation service. Subj... Read More about The DRESS trial: a feasibility randomized controlled trial of a neuropsychological approach to dressing therapy for stroke inpatients.

Acute medical unit comprehensive geriatric assessment intervention study (AMIGOS): Study protocol for a randomised controlled trial (2011)
Journal Article

Background Many older people presenting to Acute Medical Units (AMU) are discharged after only a short stay (< 72 hours), yet many re-present to hospital or die within 1 year. Comprehensive Geriatric Assessment may improve patient outcomes for this... Read More about Acute medical unit comprehensive geriatric assessment intervention study (AMIGOS): Study protocol for a randomised controlled trial.

Thinking falls - taking action: development of a guide to action for falls prevention tool (GtA) (2010)
Journal Article

Clinical guidelines and research papers help clinicians measure and understand the risk of falling in their older clients but very few provide the assessor with recommendations as to which interventions they can use to reduce the risk of a fall. T... Read More about Thinking falls - taking action: development of a guide to action for falls prevention tool (GtA).

Individual Patient Data Meta-Analysis of Randomized Controlled Trials of Community Occupational Therapy for Stroke Patients (2004)
Journal Article

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