title: Ability in daily activities after early supported discharge models of stroke rehabilitation.
abstract: More knowledge is needed about how different rehabilitation models in the municipality influence stroke survivors' ability in activities of daily living (ADL).
  
  
  OBJECTIVE
  To compare three models of outpatient rehabilitation; early supported discharge (ESD) in a day unit, ESD at home and traditional treatment in the municipality (control group), regarding change in ADL ability during the first three months after stroke.
  
  
  METHODS
  A group comparison study was designed within a randomized controlled trial. Included participants were tested with the Assessment of Motor and Process Skills (AMPS) at baseline and discharged directly home. Primary and secondary outcomes were the AMPS and the modified Rankin Scale (mRS).
  
  
  CONCLUSIONS
  Included were 154 participants (57% men, median age 73 years), and 103 participants completed the study. There were no significant group differences in pre-post changed ADL ability measured by the AMPS. To find the best rehabilitation model to improve the quality of stroke survivors' motor and process skills needs further research. Patients participating in the ESD rehabilitation models were, compared with traditional treatment, significantly associated with improved ADL ability measured by the mRS when controlling for confounding factors, indicating that patients with social needs and physical impairment after stroke may benefit from ESD rehabilitation models.
authors.affiliation: Department of Occupational Therapy, Haukeland University Hospital (HUH) , Bergen , Norway.
authors.forename: Tina
authors.initials: T
authors.lastname: Taule
authors.forename: Liv Inger
authors.initials: LI
authors.lastname: Strand
authors.forename: Jörg
authors.initials: J
authors.lastname: Assmus
authors.forename: Jan Sture
authors.initials: JS
authors.lastname: Skouen
mesh_terms: D000203:Activities of Daily Living; D000368:Aged; D005260:Female; D006801:Humans; D008297:Male; D009788:Occupational Therapy; D017063:Outcome Assessment, Health Care; D010351:Patient Discharge; D000071939:Stroke Rehabilitation
keywords: Follow-up service; instrument; occupational therapy; outcome measure; stroke