Abstract
Objective To verify the effectiveness of home-based occupational therapy for safe discharge of in-patients with recent stroke. Methods A pre/post interventional design was performed to document patients' outcome during 3 months following discharge. Interventions included improving functioning, reducing environmental risks and the risk associated with early discharge of homebound stroke patients, improving caregivers' handling skills through training, and providing on-site skills training for indoor and outdoor environments. Results Comparing pre- and post-interventional status, a sample of 144 patients showed improvements ( p Conclusion Reduction of environmental risks by on-site consultation, aids to support daily activities, and training in community living can improve functional performance of stroke patients. Furthermore, strengthening caregiver efficacy and patient self-efficacy can result in long-lasting benefit for patients' quality of life.
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