OTCohortHong Kong journal of occupational therapy : HKJOT2018

Prediction of changes in functional ability of inpatients with schizophrenia using logarithmic and linear regression modelling.

Takayuki Kawaguchi, Atsuhiko Matsunaga, Aki Watanabe and 7 others

PMID 30643495

WHAT IT FOUND

For inpatients with schizophrenia, functional ability ratings by occupational therapists at therapy start and one month predicted discharge scores better with a curved recovery model than with a straight line.

Key findings

01APS scores increased significantly over time compared with the initial score during hospital occupational therapy.

02For group data, the logarithmic model using initial, one-month, and discharge APS scores showed a moderate R2 (.506, p < .001), while the linear model showed a low R2 (.155, p = .012).

03For individual patients, the logarithmic model predicted discharge APS scores with moderate agreement (R2 = .574, p < .001) and high ICC (.747, p < .001), while the linear model was not significant.

STILL TO COME

How it was doneWhat they foundWhat it means for OTs

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What it does not show

The study enrolled 57 inpatients from a participating hospital, and the authors say a larger number of participants is necessary to investigate reproducibility and responsiveness. The authors say the number of hospitalisation days varied widely in the data used for Analyses 1 and 2. All patients received standard psychotherapy and psychopharmacologic treatment plus occupational therapy, and the paper reports no comparison of these components separately, so the contribution of any component cannot be separated. The authors say further investigation is required to determine whether the predictive model can be applied to inpatients receiving therapies other than occupational therapy. The authors say minimal clinically important difference estimation is required to determine the practicability of the predictive model. The authors say precision must be improved by adding variables such as disease severity. Inter-rater reliability was assessed using data from 13 participants.

The easy way to misread this

Do not conclude that occupational therapy caused the APS score increases. All patients also received standard psychotherapy and psychopharmacologic treatment, and the paper reports no comparison of these components separately, so the contribution of any component cannot be separated.

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