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Table 1 Different components of the ADL assessment and intervention tested in the RCT study: activity, content and examples

From: Evaluation of a complex intervention to improve activities of daily living of disabled cancer patients: protocol for a randomised controlled study and feasibility of recruitment and intervention

Activity

Content

Examples

Maintaining roles

• Patient informs about family pattern

• Roles in the patient’s family

 

• Occupational therapist advises patient in maintaining roles despite illness

• Using assistive devices

Compensatory strategies

• Ergonomics

• Advice on work techniques

 

• Information about energy-saving methods

 
 

• Assistive devices

• Delivery

 

• Instruction

 
 

• Supervision on use

 

Cooperation between occupational therapist and other health professionals (without patient being present)

• Practical matters in the departments

• Conferences

 

• Arranging help in patient’s home after discharge

• Telephone calls

 

• Referral to local specialists for support and treatment, i.e. GP, physiotherapist, occupational therapist

• Planning the intervention

Training daily activities

• Personal activities

• Dressing

 

(occupational therapist observes and guides the patient)

• Bathing

 

• Occupational and household activities

• Work

 

(occupational therapist observes and guides the patient)

• Housework

 

• Leisure activities

• Swimming

 

(occupational therapist observes and guides the patient)

• Watching TV

Home modifications

• Adapting the environment to meet the patient’s needs.

• Refurnishing

  

• Installation of ramps

  

• Installation of raised toilet seat

  

• Rearranging the room functionality

Prioritising daily activities

• Occupational therapist assists the patient in prioritising daily activities

• Receiving assistance with some activities

  

• Sustaining self-reliance in the most important activities

Upper-limb orthoses

• Adjustment

• Hand orthoses

 

• Supply

• Lymphedema gloves

Facial Oral Tract Therapy (FOTT)

• Specific analysis of difficulties handling eating procedures

• Cleaning teeth

 

• Posture, movement, sensation

• Eating

 

• Exercises

• Drinking

Instruction and self-training

• Instruction in transfer

• Accessibility

  

• Mobility

 

• Self-training programmes

• ADL training

  

• Physical training

  

• FOTT exercises

Rehabilitation plan for intervention in primary health care

• Rehabilitation plan is made in cooperation between patient and occupational therapist and sent to therapists in primary health care

• Functional level at time of discharge

  

• Rehabilitation goals