An occupation-based intervention in patients with hand-related disorders grouped using the sense of coherence scale—A randomized controlled trial
(2020) In Journal of Hand Therapy 33(4). p.455-469- Abstract
Study Design: A nonblinded randomized controlled trial. Introduction: Occupation-based interventions are superior to physical exercise–based interventions in patients with activity limitations. However, only a few studies have examined the effect in patients with hand-related disorders. Patients recover heterogeneously, which could be due to personal factors, such as sense of coherence (SOC). Purpose of the study: To investigate the effectiveness of an occupation-based intervention for patients with hand-related disorders and whether SOC can give an indication of the expected effects. Methods: A total of 504 patients were stratified into three SOC groups and then randomized to either an occupation-based intervention, including physical... (More)
Study Design: A nonblinded randomized controlled trial. Introduction: Occupation-based interventions are superior to physical exercise–based interventions in patients with activity limitations. However, only a few studies have examined the effect in patients with hand-related disorders. Patients recover heterogeneously, which could be due to personal factors, such as sense of coherence (SOC). Purpose of the study: To investigate the effectiveness of an occupation-based intervention for patients with hand-related disorders and whether SOC can give an indication of the expected effects. Methods: A total of 504 patients were stratified into three SOC groups and then randomized to either an occupation-based intervention, including physical exercises (OBI) or a physical exercise–based occupation-focused intervention. The primary outcome, functioning, was measured using the Disability of the Arm, Shoulder and Hand questionnaire. Primary endpoint was at three months. Patients were followed up for a year. Results: No significant difference was found in primary outcome analysis. Nevertheless, patients receiving OBI had a statistically significant and greater change in satisfaction with their occupational performance at one, two, and three months follow-up. Patients with a weak SOC had worse functioning and lower health-related quality of life than those in the other groups, at all times. Conclusions: OBI as delivered in this study was not superior to physical exercise–based occupation-focused intervention in this patient group. However, in taking a client-centered approach, we recommend that OBI be based on individual needs, given that patients had a statistically greater change in score regarding satisfaction with their occupational performance. It is evident that patients with a weaker SOC have a lower level of functioning. This knowledge should inform clinical practice.
(Less)
- author
- Hansen, Alice Ørts ; Kristensen, Hanne Kaae ; Cederlund, Ragnhild LU ; Möller, Sören and Tromborg, Hans
- organization
- publishing date
- 2020-10-01
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- DASH, Hand therapy, Occupation, Occupation-based, Occupation-focused, Psychological factor, Sense of coherence
- in
- Journal of Hand Therapy
- volume
- 33
- issue
- 4
- pages
- 15 pages
- publisher
- Elsevier
- external identifiers
-
- pmid:32156580
- scopus:85081219283
- ISSN
- 0894-1130
- DOI
- 10.1016/j.jht.2019.12.009
- language
- English
- LU publication?
- yes
- id
- eae26a53-f521-4975-a9b7-4c19fdd7e484
- date added to LUP
- 2020-04-14 16:27:29
- date last changed
- 2024-06-13 14:36:57
@article{eae26a53-f521-4975-a9b7-4c19fdd7e484,
abstract = {{<p>Study Design: A nonblinded randomized controlled trial. Introduction: Occupation-based interventions are superior to physical exercise–based interventions in patients with activity limitations. However, only a few studies have examined the effect in patients with hand-related disorders. Patients recover heterogeneously, which could be due to personal factors, such as sense of coherence (SOC). Purpose of the study: To investigate the effectiveness of an occupation-based intervention for patients with hand-related disorders and whether SOC can give an indication of the expected effects. Methods: A total of 504 patients were stratified into three SOC groups and then randomized to either an occupation-based intervention, including physical exercises (OBI) or a physical exercise–based occupation-focused intervention. The primary outcome, functioning, was measured using the Disability of the Arm, Shoulder and Hand questionnaire. Primary endpoint was at three months. Patients were followed up for a year. Results: No significant difference was found in primary outcome analysis. Nevertheless, patients receiving OBI had a statistically significant and greater change in satisfaction with their occupational performance at one, two, and three months follow-up. Patients with a weak SOC had worse functioning and lower health-related quality of life than those in the other groups, at all times. Conclusions: OBI as delivered in this study was not superior to physical exercise–based occupation-focused intervention in this patient group. However, in taking a client-centered approach, we recommend that OBI be based on individual needs, given that patients had a statistically greater change in score regarding satisfaction with their occupational performance. It is evident that patients with a weaker SOC have a lower level of functioning. This knowledge should inform clinical practice.</p>}},
author = {{Hansen, Alice Ørts and Kristensen, Hanne Kaae and Cederlund, Ragnhild and Möller, Sören and Tromborg, Hans}},
issn = {{0894-1130}},
keywords = {{DASH; Hand therapy; Occupation; Occupation-based; Occupation-focused; Psychological factor; Sense of coherence}},
language = {{eng}},
month = {{10}},
number = {{4}},
pages = {{455--469}},
publisher = {{Elsevier}},
series = {{Journal of Hand Therapy}},
title = {{An occupation-based intervention in patients with hand-related disorders grouped using the sense of coherence scale—A randomized controlled trial}},
url = {{http://dx.doi.org/10.1016/j.jht.2019.12.009}},
doi = {{10.1016/j.jht.2019.12.009}},
volume = {{33}},
year = {{2020}},
}