Behaviors and Mental Disorders

All Conditions

Quality of Life

Intervention group: Standard treatment and care added with an ADL intervention program: 1) ADL training, 2) home modifications, 3) delivery and supervision in adaptive equipments, and 4) instruction in self-training programs.

Control group: Standard treatment and care. No occupational therapy intervention.

Control group: Standard treatment and care. No occupational therapy intervention.

1) ADL training, 2) home modifications, 3) delivery and supervision in adaptive equipments, and 4) instruction in self-training programs.

ADL intervention

Dorte Gilsaa Hansen, Ph.D, M.D.

Karen la Cour, Ph.D, OT, MSc

The aim of this study is to investigate the effect of occupational therapy, in shape of activities of daily living, for cancer patients.

Background

Cancer patients often experience serious dysfunctions leading to problems with activities of daily living (ADL) and reduced quality of life. Occupational therapy is believed to be effective in handling many of the problems with ADL experienced by patients with cancer, but the evidence is sparse.

Aim

The purpose of this study is to analyse the effects of an occupational therapy intervention targeting cancer patients.

Outcome measures are the patients self-reported quality of life and the patients ability to perform ADL.

Methods

Randomised controlled trial with 288 patients with cancer treated at Naestved hospital in Denmark. Occupational therapy intervention programme for the intervention group (N=144) and standard treatment and care for the controls (N=144).

A systematic review including studies of ADL intervention for cancer patients will be carried out. Feasibility of the recruitment and the intervention will be analysed and published.

The patients need for occupational therapy will be analysed using baseline information from the randomised controlled trial.

The effects of the intervention will be analysed using patient validated questionnaires including EORTC QLQ-C30 and the ADL taxonomy questionnaire.

Occupational Therapy for Cancer Patients: a Randomised, Controlled Study

Occupational Therapy for Cancer Patients: A Randomised Controlled Study

Naestved Hospital

University of Southern Denmark

Ph.D student, OT, MPH

Intervention group: The intervention consists of an extended information routine from hospital to GP based on individual interviews with the patients in the intervention group about their rehabilitation needs and a specific encouragement of the patients' GP to play a proactive role in the patients' rehabilitation course. The individual needs concerning the different types of consequences of the disease and following rehabilitation needs will be brought into focus.

The intervention consists of an extended information routine from hospital to GP based on individual interviews with the patients in the intervention group and a specific encouragement of the patients' GP to play a proactive role in the patients' rehabilitation course. The individual needs concerning the different types of consequences of the disease and following rehabilitation needs will be brought into focus. The control group is assigned to usual procedures.

Two step intervention including patient interview followed by an extended information routine to the patients' GP about the patients' rehabilitation needs

The aim of this study is to investigate the impact of a joint effort towards intensifying the collaboration and communication between hospital and general practice.

Background

In recent years an increasing focus has been on the unfulfilled needs of cancer patients for an individual rehabilitation taking into consideration the physical, psychological, social, economic, as well as work-related consequences of the cancer disease. Furthermore, there is a great need for ongoing adjustments of the organisation and procurement of rehabilitation offers and for optimizing the continuity of care, especially regarding transfer between sectors.

Research question

The aim of this study is to investigate whether a joint effort towards intensifying the collaboration and communication between hospital and general practice and encouraging the GP to take an active and prominent part in the rehabilitation process on actual patients has any effect on:

1. Health Related Quality of Life
2. The rehabilitation of cancer patients
3. The experience of continuity of care among cancer patients
4. How the GP act with regard to rehabilitation among cancer patients

Material and methods

The study uses a randomised, controlled design and is carried out as a PhD project. At Vejle Hospital approximately 1000 patients (500 in the intervention group and 500 in the control group) was included at the initiation of treatment. The intervention consists of an extended information routine from hospital to GP based on individual interviews with the patients in the intervention group and a specific encouragement of the patients' GP to play a proactive role in the patients' rehabilitation course. The individual needs concerning the different types of consequences of the disease and following rehabilitation needs will be brought into focus. The data will be obtained from public health registers and questionnaires to patients 6 and 14 months after the time of diagnosis (measuring Health Related Quality of Life, satisfaction with and use of rehabilitation activities, perceived continuity of care and satisfaction with their GP) and to GPs after 12 months (measuring satisfaction with the information from the hospital and activities to meet the patients' rehabilitation needs).

Study title	NCT ID	Conditions	Interventions	Eligibility	Organization
Occupational Therapy for Cancer Patients: a Randomised, Controlled Study	NCT01432197	HRQOL (Health R...	ADL interventio...	18 Years -	University of Southern Denmark
Occupational Therapy for Cancer Patients: a Randomised, Controlled Study	NCT01432197	HRQOL (Health R...	ADL interventio...	18 Years -	University of Southern Denmark
The GP's Role in Cancer Rehabilitation: a Randomised, Controlled Study.	NCT01021371	HRQOL (Health R...	Two step interv...	18 Years -	University of Southern Denmark

Spots Global Cancer Trial Database for hrqol (health related quality of life)