title: Occupational adaptation intervention with patients with cerebrovascular accident: a clinical study.
abstract: OBJECTIVE
  The purpose of this study was to examine the use of the Occupational Adaptation frame of reference in the evaluation and treatment of patients with cerebrovascular accident (CVA).
  
  
  METHODS
  Outcomes of functional independence and discharge environment were measured through a quasi-experimental design. Twenty-five former patients served as the control subjects, and 25 patients admitted after the programmatic implementation of Occupational Adaptation served as the treatment subjects.
  
  
  RESULTS
  Data analyses indicated that the Occupational Adaptation subjects achieved higher levels of functional independence and were discharged to less restrictive environments compared with the control subjects.
  
  
  CONCLUSIONS
  Use of intervention guided by the Occupational Adaptation frame of reference was associated with improved functional independence and discharge to less-restricted environments for this group of patients with CVA.
authors.affiliation: Gibson Therapy Services, Inc., Hot Springs Village, Arizona, USA.
authors.forename: J W
authors.initials: JW
authors.lastname: Gibson
authors.forename: J K
authors.initials: JK
authors.lastname: Schkade
mesh_terms: D000203:Activities of Daily Living; D000368:Aged; D000369:Aged, 80 and over; D002561:Cerebrovascular Disorders / Q000534:rehabilitation*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D015999:Multivariate Analysis; D009788:Occupational Therapy / Q000379:methods*; D010351:Patient Discharge