IDEAS home Printed from https://ideas.repec.org/a/plo/pctr00/0010002.html
   My bibliography  Save this article

Randomised Controlled Trial of Unsolicited Occupational Therapy in Community-Dwelling Elderly People: The LOTIS Trial

Author

Listed:
  • Anton J M de Craen
  • Jacobijn Gussekloo
  • Gerard J Blauw
  • Charles G Willems
  • Rudi G J Westendorp

Abstract

Objective:: The objective of this trial, the Leiden 85-Plus Occupational Therapy Intervention Study (LOTIS), was to assess whether unsolicited occupational therapy, as compared to no therapy, can decelerate the increase in disability in high-risk elderly people. Design:: This was a randomised controlled trial with 2-y follow-up. Setting:: The study took place in the municipality of Leiden in the Netherlands. Participants:: The participants were 402 community-dwelling 85-y-old people, with a Mini-Mental State Examination score of >18 points at baseline. Interventions:: Participants in the intervention group were visited by an occupational therapist who provided training and education about assistive devices that were already present and who gave recommendations and information about procedures, possibilities, and costs of assistive devices and community-based services. Control participants were not visited by an occupational therapist. Outcome Measures:: The primary outcome measure was the score achieved on the Groningen Activity Restriction Scale. Secondary outcome measures included self-evaluations of well-being and feelings of loneliness. Results:: The participants were evenly divided between the two groups: 202 participants were allocated to the intervention group and 200 participants to the control group. Of the 202 participants randomised to occupational therapy, 55 participants declined the proposed intervention. An occupational therapist indicated that of the remaining 147 participants, 66 (45%) needed an occupational therapy intervention. A total of 44 new assistive devices and five community-based services were implemented. During follow-up there was a progressive increase in disability in the intervention group (mean annual increase, 2.0 points; SE 0.2; p

Suggested Citation

  • Anton J M de Craen & Jacobijn Gussekloo & Gerard J Blauw & Charles G Willems & Rudi G J Westendorp, 2006. "Randomised Controlled Trial of Unsolicited Occupational Therapy in Community-Dwelling Elderly People: The LOTIS Trial," PLOS Clinical Trials, Public Library of Science, vol. 1(1), pages 1-6, April.
    • Handle: RePEc:plo:pctr00:0010002
    DOI: 10.1371/journal.pctr.0010002
    as

    Download full text from publisher

    File URL: https://journals.plos.org/plosclinicaltrials/article?id=10.1371/journal.pctr.0010002
    Download Restriction: no
    File URL: https://journals.plos.org/plosclinicaltrials/article/file?id=10.1371/journal.pctr.0010002&type=printable
    Download Restriction: no
    File URL: https://libkey.io/10.1371/journal.pctr.0010002?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Kempen, G. I. J. M. & Miedema, I. & Ormel, J. & Molenaar, W., 1996. "The assessment of disability with the Groningen Activity Restriction Scale. Conceptual framework and psychometric properties," Social Science & Medicine, Elsevier, vol. 43(11), pages 1601-1610, December.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Anne H van Houwelingen & Wendy P J den Elzen & Saskia le Cessie & Jeanet W Blom & Jacobijn Gussekloo, 2015. "Consequences of Interaction of Functional, Somatic, Mental and Social Problems in Community-Dwelling Older People," PLOS ONE, Public Library of Science, vol. 10(4), pages 1-11, April.
    2. Schroevers, Maya & Ranchor, Adelita V. & Sanderman, Robbert, 2006. "Adjustment to cancer in the 8 years following diagnosis: A longitudinal study comparing cancer survivors with healthy individuals," Social Science & Medicine, Elsevier, vol. 63(3), pages 598-610, August.
    3. Yvonne M Drewes & Jeanet W Blom & Willem J J Assendelft & Theo Stijnen & Wendy P J den Elzen & Jacobijn Gussekloo, 2014. "Variability in Vulnerability Assessment of Older People by Individual General Practitioners: A Cross-Sectional Study," PLOS ONE, Public Library of Science, vol. 9(11), pages 1-7, November.
    4. van Bilsen, P.M.A. & Hamers, J.P.H. & Groot, W. & Spreeuwenberg, C., 2008. "The use of community-based social services by elderly people at risk of institutionalization: An evaluation," Health Policy, Elsevier, vol. 87(3), pages 285-295, September.
    5. Roy G. Elbers & Kirsten I. de Oude & Theodore Kastanidis & Dederieke A. M. Maes-Festen & Alyt Oppewal, 2022. "The Effect of Progressive Resistance Exercise Training on Cardiovascular Risk Factors in People with Intellectual Disabilities: A Study Protocol," IJERPH, MDPI, vol. 19(24), pages 1-13, December.
    6. Linda P. M. Op het Veld & Anna J. H. M. Beurskens & Henrica C. W. Vet & Sander M. J. Kuijk & KlaasJan Hajema & Gertrudis I. J. M. Kempen & Erik Rossum, 2019. "The ability of four frailty screening instruments to predict mortality, hospitalization and dependency in (instrumental) activities of daily living," European Journal of Ageing, Springer, vol. 16(3), pages 387-394, September.
    7. van Jaarsveld, Cornelia H.M. & Ranchor, Adelita V. & Sanderman, Robbert & Ormel, Johan & Kempen, Gertrudis I.J.M., 2005. "The role of premorbid psychological attributes in short- and long-term adjustment after cardiac disease. A prospective study in the elderly in The Netherlands," Social Science & Medicine, Elsevier, vol. 60(5), pages 1035-1045, March.
    8. Paolo Riccardo Brustio & Anna Mulasso & Samuel D’Emanuele & Gianluca Zia & Luca Feletti & Susanna Del Signore & Alberto Rainoldi, 2022. "Indoor Mobility, Frailty, and Disability in Community-Dwelling Older Adults: A Mediation Model," IJERPH, MDPI, vol. 19(18), pages 1-11, September.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:plo:pctr00:0010002. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: plosone (email available below). General contact details of provider: https://collections.plos.org/plos-clinical-trials .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.