Content » Vol 48, Issue 5

Original report

An enriched environmental programme during inpatient neuro-rehabilitation: A randomized controlled trial

Fary Khan, Bhasker Amatya, Alaeldin Elmalik , Matthew Lowe, Louisa Ng, Isabella Reid, Mary P. Galea
Department of Rehabilitation Medicine, Royal Melbourne Hospital, 34-54 Poplar, Road Parkville, Melbourne VIC 3052, Australia. E-mail: fary.khan@mh.org.au
DOI: 10.2340/16501977-2081

Abstract

Objective: To assess the effectiveness of an enriched environmental activities programme in an inpatient tertiary neuro-rehabilitation unit.
Methods: A total of 103 participants were randomized to an intervention group (n = 52) undertaking an enriched environmental activities programme or a control group (n = 51) receiving usual ward activity. Primary outcome measure: Depression, Anxiety Stress Scale (DASS). Other measures included: Neurological Impairment Scale; Multidimensional Health Locus of Control, Rosenberg Self-Esteem Scale, Montreal Cognitive Assessment (MoCA); Functional Independence Measure (FIM), and Euro-Quality of Life-5D. Questionnaire assessments were performed at admission, discharge and 3-months post-discharge.
Results: Mean age of subjects was 62.5 years (standard deviation 18.5), 63% were male; 53 had stroke and the remainder had other neurological conditions. Compared with controls, the intervention group showed significant improvement at discharge in: DASS: “total”, “depression”, and “stress” subscales (p < 0.05 for all, with small effect sizes (η2) = 0.04–0.05); MoCA (p = 0.048, η2 = 0.04) and FIM motor (total and “self-care”, “mobility” subscales (p < 0.05 for all, with moderate effect sizes, η2 = 0.0–0.08). At 3-month follow-up, significant differences were maintained in most secondary outcomes in the intervention group. Cognitive function and activities improved most in participants with stroke.
Conclusion: An enriched environmental programme can produce significant improvements in functional and cognitive ability in inpatient neurological cohorts compared with routine ward activity programmes.

Lay Abstract

Comments

Do you want to comment on this paper? The comments will show up here and if appropriate the comments will also separately be forwarded to the authors. You need to login/create an account to comment on articles. Click here to login/create an account.
Advertisement