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A randomised trial of an occupational therapy and physiotherapy intervention to enhance mobility and activity in a nursing or residential home setting after stroke
ISRCTN ISRCTN79859980
ClinicalTrials.gov identifier
Public title A randomised trial of an occupational therapy and physiotherapy intervention to enhance mobility and activity in a nursing or residential home setting after stroke
Scientific title
Acronym RICH-T
Serial number at source 554/1474
Study hypothesis Does a rehabilitation intervention targeting mobility and self-care independence reduce deterioration in independence and immobility-related complications?
Lay summary
Ethics approval The Applied and Qualitative Research Ethics Committee, Oxfordshire National Health Service (NHS) gave ethical approval for the study on 04/02/2003. Site-specific assessment approval was also granted in both the South and East Birmingham Local Research Ethics Committees, reference number: A02.072 REC 2003/247L
Study design Cluster, randomised controlled trial
Countries of recruitment United Kingdom
Disease/condition/study domain Stroke and other vascular diseases
Participants - inclusion criteria Reduced self-care independence, as indicated by a Barthel activities of daily living (ADL) index score between 5 and 15 inclusively
Participants - exclusion criteria End of life stage of illness (e.g. life expectancy <1 year)
Anticipated start date 01/05/2004
Anticipated end date 31/05/2006
Status of trial Completed
Patient information material
Target number of participants 250
Interventions An evidence-based occupational therapy and physiotherapy intervention, including individual treatments, group treatments and staff education versus usual care
Primary outcome measure(s) Independence and mobility measured by the Barthel ADL Index and the Rivermead mobility index
Secondary outcome measure(s) 1. Emotional distress - hospital anxiety and depression scale or the stroke aphasia depression scale (if unable to communicate verbally or in writing)
2. Mobility - timed up and go
3. Bone density - lunar achilles express ultrasonometer
4. Strength - hand grip dynamometer
5. Health economics - EuroQol
6. Complication events such as pressure sores, falls and fear of falling were also recorded
Sources of funding The Health Foundation (UK) - reference number 554/1474
Trial website http://www.healthsci.bham.ac.uk/physioOccupationalTherapyResearch/index.htm
Publications 2009 results in http://www.ncbi.nlm.nih.gov/pubmed/19723707
Contact name Prof  Catherine  Sackley
  Address School of Health Sciences
52 Pritchatt's Road
University of Birmingham
Edgbaston
  City/town Birmingham
  Zip/Postcode B15 2TT
  Country United Kingdom
  Tel +44 (0)121 414 4198
  Email c.m.sackley@bham.ac.uk
Sponsor University of Birmingham (UK)
  Address c/o Brian Berry
Research Enterprise Services
University of Birmingham
Edgbaston
  City/town Birmingham
  Zip/Postcode B15 2TT
  Country United Kingdom
Date applied 13/02/2006
Last edited 03/09/2009
Date ISRCTN assigned 18/04/2006
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