Cost effectiveness of the occupation-based approach for subacute stroke patients: result of a randomized controlled trial.

Background And Purpose: The cost effectiveness of occupational therapy for subacute stroke patients is unclear in the extant literature. Consequently, this study determined the cost effectiveness of the occupation-based approach using Aid for Decision-Making in Occupation Choice (ADOC) for subacute stroke patients compared with an impairment-based approach.

Methods: We conducted an economic evaluation from a societal perspective alongside a pilot randomized controlled trial, with a single blind assessor for participants in 10 subacute rehabilitation units in Japan.

Effectiveness and Cost-Effectiveness of Occupation-Based Occupational Therapy Using the Aid for Decision Making in Occupation Choice (ADOC) for Older Residents: Pilot Cluster Randomized Controlled Trial.

Background: Care-home residents are mostly inactive, have little interaction with staff, and are dependent on staff to engage in daily occupations. We recently developed an iPad application called the Aid for Decision-making in Occupation Choice (ADOC) to promote shared decision-making in activities and occupation-based goal setting by choosing from illustrations describing daily activities. This study aimed to evaluate if interventions based on occupation-based goal setting using the ADOC could focus on meaningful activities to improve quality of life and independent activities of daily living, with greater cost-effectiveness than an impairment-based approach as well as to evaluate the feasibility of conducting a large cluster, randomized controlled trial.

Comparison of occupation-based and impairment-based occupational therapy for subacute stroke: a randomized controlled feasibility study.

Objective: To compare occupation-based and impairment-based approaches in occupational therapy and determine the feasibility of patient recruitment and retention.

Design: A multicenter, randomized, controlled pilot trial with a single blind assessor.

Setting: Ten subacute rehabilitation units in Japan.

Examination of a cut-off score to express the meaningful activity of people with dementia using iPad application (ADOC).

Purpose: To determine a quantifiable measure to identify patients with dementia who can choose an illustration of meaningful activity using an iPad application, Aid for Decision-making in Occupation Choice (ADOC).

Method: We recruited 116 patients from 5 institutions in Japan. Occupational therapists interviewed patients with dementia to determine meaningful activities using ADOC.

Reliability and validity of individualized satisfaction score in aid for decision-making in occupation choice.

Purpose: The iPad application aid for decision-making in occupation choice (ADOC) was developed to measure the client's satisfaction with individualized occupational performance of meaningful and purposeful activities. The present study examined the reliability and validity of individualized satisfaction measurement using the ADOC.

Method: The Japanese version of the ADOC was used by 36 occupational therapists on 92 of their clients (44 males, 48 females, mean age 66.

Utilization of the iPad application: Aid for Decision-making in Occupation Choice.

The purpose of the study was to develop and evaluate an iPad (Apple) application, Aid for Decision-making in Occupation Choice (ADOC), so as to promote shared decision-making in an occupation-based goal setting. This application involves the client choosing from 94 illustrations describing daily activities related to the category of "activities and participation". One hundred occupational therapy clients evaluated the ADOC for goal setting; the clients and 37 occupational therapists underwent a survey to determine their perceptions of decision-making in the goal setting.