Occupational Therapy Intervention in Patients With Complex Needs to Improve Social Reintegration

NCT ID: NCT03668938

Last Updated: 2025-06-24

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

92 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-10-08

Study Completion Date

2020-09-23

Brief Summary

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A previous study that involved the intervention of the occupational therapist (OT) on complex patients both in hospital and at home showed the effectiveness of OT during hospitalization. The effectiveness was not demonstrated in the post-discharge phase. Now, the investigators presented a RCT to compare the levels of social reintegration between the intervention group and control group. The hypothesis is that the intervention group obtains a higher and clinically relevant level of social reintegration compared to the group treated with the usual care.

Detailed Description

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In the previous study, the intervention group achieved higher gains in the return to normal life than in the control group, but this difference did not reach statistical significance. Because of this, a new study was implemented with the correct sample size, defined through the previous study. In addition, the post-discharge phase the COPM was administered to define new objectives relating mainly to productivity and leisure time areas. Finally, the investigators have indentified some territorial services with the aim to create tailored paths/interventions for patients to promote social reintegration.

Conditions

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Rehabilitation Occupational Therapy

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors
masking of outcome assessor to T0

Study Groups

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intervention

The occupational therapy intervention provides a treatment aimed at improving autonomy in the activities chosen by the patient

Group Type EXPERIMENTAL

Occupational Therapy

Intervention Type OTHER

The intervention in the hospitalization phase is mainly aimed at achieving the objectives related to the self-care area and, secondly, to the objectives in the areas of productivity and leisure time, identified in T0 and to the environmental assessment of the places of life of the patient; more an intervention in the patient's post-discharge home, mainly aimed at achieving the objectives related to social reintegration, the area of productivity and leisure time and, secondly, to possible objectives in the areas of self-care identified in T1.

usual care

Intervention Type OTHER

Usual care consists in rehabilitation treatment delivered by a multidisciplinary team

usual care

Usual care consists in rehabilitation treatment delivered by a multidisciplinary team

Group Type ACTIVE_COMPARATOR

usual care

Intervention Type OTHER

Usual care consists in rehabilitation treatment delivered by a multidisciplinary team

Interventions

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Occupational Therapy

The intervention in the hospitalization phase is mainly aimed at achieving the objectives related to the self-care area and, secondly, to the objectives in the areas of productivity and leisure time, identified in T0 and to the environmental assessment of the places of life of the patient; more an intervention in the patient's post-discharge home, mainly aimed at achieving the objectives related to social reintegration, the area of productivity and leisure time and, secondly, to possible objectives in the areas of self-care identified in T1.

Intervention Type OTHER

usual care

Usual care consists in rehabilitation treatment delivered by a multidisciplinary team

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Complex impatient
* Admitted to AUSL-IRCCS/UO MFR

Exclusion Criteria

* Language barriers
* Severe cognitive impairment
* Psychiatric disorders
* Domiciled in a protected facility at the time of admission
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Azienda USL Reggio Emilia - IRCCS

OTHER_GOV

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Stefania Fugazzaro

Role: PRINCIPAL_INVESTIGATOR

Local Health Autority of Reggio Emilia

Locations

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Ospedale Santa Maria Nuova

Reggio Emilia, , Italy

Site Status

Countries

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Italy

References

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Costi S, Pellegrini M, Braglia L, Cavuto S, Fugazzaro S. Occupational therapy improves social participation of complex patients discharged from hospital: results of a powered randomized controlled trial. Disabil Rehabil. 2024 Jun;46(11):2223-2233. doi: 10.1080/09638288.2023.2218653. Epub 2023 Jun 1.

Reference Type DERIVED
PMID: 37259592 (View on PubMed)

Other Identifiers

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COMPLE-TO_2018

Identifier Type: -

Identifier Source: org_study_id

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