The effect on subjective quality of life of occupational therapy based on adjusting the challenge-skill balance: a randomized controlled trial.
Ippei Yoshida, Kazuki Hirao, Ryuji Kobayashi
PMID 31271045WHAT IT FOUND
Adjusting occupational therapy tasks to match patient skill levels improved subjective quality of life and health-related quality of life during hospitalization.
These gains faded by three months post-discharge, and there was no difference in independence or flow experience compared to standard care.
Key findings
01The experimental group showed a significant improvement in subjective quality of life (Ikigai-9) compared to the control group.
02Health-related quality of life (EQ-5D-5L) also improved significantly more in the experimental group than in the control group.
03There were no significant differences between the groups in flow experience or activities of daily living independence.
STILL TO COME
How it was doneWhat they foundWhat it means for OTs
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What it does not show
The study was conducted at a single facility, which may limit generalizability. Therapists were not blinded to the group allocation, which could introduce bias. Only 73.3% of clients were successfully blinded to their assignment. The improvement in quality of life was not sustained at the three-month follow-up.
Declared interests
The authors declared no conflicts of interest. The study was funded by the Japanese Association of Occupational Therapists.
The easy way to misread this
Do not expect lasting improvements in quality of life after discharge. The study found that gains in subjective and health-related quality of life observed during hospitalization tended to return to pre-assessment levels by the three-month follow-up.