title: Is there a role for meaningful activity in stroke rehabilitation?
abstract: OBJECTIVE
  Stroke survivors report multiple psychosocial issues after discharge and difficulties returning to meaningful roles and activities. This study explored the impact of an occupation-based group program on activity levels, well-being, and self-efficacy after discharge from inpatient rehabilitation.
  
  
  METHODS
  This pilot study recruited participants from two hospital rehabilitation units. Both units provided individual therapy programs. Unit A provided an additional occupation-based group program. Behavioural mapping recorded participants' activity levels in hospital for one weekday and one weekend day. Outcome measures collected at recruitment, discharge, and/or 1 month after discharge included Modified Barthel Index, use of community supports, length of stay, Stroke Impact Scale, and Self- Efficacy Gauge.
  
  
  RESULTS
  Participants from Unit A (n = 8) had a significantly longer length of stay than Unit B (n = 11) and spent significantly more time in occupational therapy (P = .01). Both participant groups were more inactive on the weekday compared to the weekend (P = .03). Participants in Unit A were more likely to report low levels of social participation and stroke recovery (P <.05) on the Stroke Impact Scale.
  
  
  CONCLUSIONS
  There was no indication from the results of this study that an occupation-based group program had a positive effect on the measured outcomes.
authors.affiliation: School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Australia.
authors.forename: Louise
authors.initials: L
authors.lastname: Gustafsson
authors.forename: Kryss
authors.initials: K
authors.lastname: McKenna
mesh_terms: D000368:Aged; D005260:Female; D006801:Humans; D016014:Linear Models; D008297:Male; D009788:Occupational Therapy / Q000379:methods*; D010351:Patient Discharge / Q000706:statistics & numerical data; D026741:Physical Therapy Modalities; D010865:Pilot Projects; D020127:Recovery of Function; D000071939:Stroke Rehabilitation; D011795:Surveys and Questionnaires; D016896:Treatment Outcome