{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T12:01:14Z","timestamp":1786363274086,"version":"build-2736575974"},"reference-count":36,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2020,3,5]],"date-time":"2020-03-05T00:00:00Z","timestamp":1583366400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100009717","name":"Eastern Health Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100009717","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001215","name":"La Trobe University","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100001215","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Aus Occup Therapy J"],"published-print":{"date-parts":[[2020,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>As part of hospital discharge planning, occupational therapists often provide recommendations to improve the interaction between a person and their home environment. The aim of this study was to investigate the number and type of recommendations made by occupational therapists during a home assessment visit compared to hospital\u2010based assessment for patients recovering from hip fracture. A secondary aim was to explore adherence rates to the different types of recommendations.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Process evaluation of a randomised controlled trial of 65 participants recovering from hip fracture, returning to community living after hospital discharge. All participants received inpatient multidisciplinary rehabilitation and hospital\u2010based assessment by an occupational therapist (usual care). In addition, the intervention group participated in a single home visit with an occupational therapist prior to hospital discharge. Analysis included the number and type of occupational therapy recommendations, adherence to recommendations at 30\u00a0days after discharge, and mediation analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Participants in the home visit group received more recommendations than the usual care group (mean difference [MD] 2.8, 95% CI 1.6 to 3.9) and adhered to a greater proportion of recommendations for assistive technologies (MD 11.4%, 95% CI 2.6 to 20.2) and task modifications (MD 10.0%, 95% CI 0.7 to 19.3). Participants in both groups had lower rates of adherence to recommendations for home modifications compared with other types of recommendations. Adherence to recommendations was a mediator in the relationship between participants' involvement in a pre\u2010discharge home visit and reduced hospital readmissions.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>There was greater adherence to occupational therapy recommendations when patients recovering from hip fracture participated in a home visit compared to hospital\u2010based assessment, contributing to reduced readmissions to hospital in the first 30\u00a0days. Home visits offer additional benefits to hospital\u2010based assessment through the use of a collaborative approach to decision making in the home environment.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1440-1630.12651","type":"journal-article","created":{"date-parts":[[2020,3,5]],"date-time":"2020-03-05T09:46:25Z","timestamp":1583401585000},"page":"287-296","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":21,"title":["Home visits by occupational therapists improve adherence to recommendations: Process evaluation of a randomised controlled trial"],"prefix":"10.1111","volume":"67","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1824-2713","authenticated-orcid":false,"given":"Kylee J.","family":"Lockwood","sequence":"first","affiliation":[{"name":"School of Allied Health Human Services &amp; Sport La Trobe University Melbourne Vic. Australia"},{"name":"Allied Health Clinical Research Office Eastern Health Melbourne Vic. Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0207-7071","authenticated-orcid":false,"given":"Katherine E.","family":"Harding","sequence":"additional","affiliation":[{"name":"School of Allied Health Human Services &amp; Sport La Trobe University Melbourne Vic. Australia"},{"name":"Allied Health Clinical Research Office Eastern Health Melbourne Vic. Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jude N.","family":"Boyd","sequence":"additional","affiliation":[{"name":"Department of Occupational Therapy Eastern Health Melbourne Vic. Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9474-2504","authenticated-orcid":false,"given":"Nicholas F.","family":"Taylor","sequence":"additional","affiliation":[{"name":"School of Allied Health Human Services &amp; Sport La Trobe University Melbourne Vic. Australia"},{"name":"Allied Health Clinical Research Office Eastern Health Melbourne Vic. Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,3,5]]},"reference":[{"key":"e_1_2_10_2_1","volume-title":"An occupational therapist's guide to home modification practice","author":"Ainsworth E.","year":"2019"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/1440-1630.12022"},{"key":"e_1_2_10_4_1","first-page":"1","volume-title":"An occupational therapist's guide to home modification practice","author":"Aplin T.","year":"2019"},{"key":"e_1_2_10_5_1","volume-title":"ANZHFR Bi\u2010National annual report for hip fracture care","author":"Australian and New Zealand Hip Fracture Registry","year":"2017"},{"key":"e_1_2_10_6_1","unstructured":"Australian Rehabilitation & Assistive Technology Association(2019).About assistive technology. Retrieved fromhttps:\/\/www.arata.org.au\/about-at\/about-at\/"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1037\/0022-3514.51.6.1173"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2019.103469"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaging.2011.03.006"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1080\/096382899297189"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.14287"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1080\/J148v19n01_01"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.3109\/02703180903381060"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.5014\/ajot.55.6.641"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1741-6612.2011.00545.x"},{"key":"e_1_2_10_16_1","first-page":"w13884","article-title":"Evaluation of a novel photography\u2010based home assessment protocol for identification of environmental risk factors for falls in elderly persons","volume":"143","author":"Daniel H.","year":"2013","journal-title":"Swiss Medical Weekly"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1002\/oti.312"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.archger.2014.03.003"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2012.4842"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1440-1630.2010.00911.x"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.1080\/09638288.2016.1273973"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.1177\/0269215518823256"},{"key":"e_1_2_10_23_1","doi-asserted-by":"publisher","DOI":"10.1111\/1440-1630.12311"},{"key":"e_1_2_10_24_1","doi-asserted-by":"publisher","DOI":"10.1080\/09638280110087089"},{"key":"e_1_2_10_25_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1532-5415.2003.51102.x"},{"key":"e_1_2_10_26_1","doi-asserted-by":"publisher","DOI":"10.5195\/IJT.2017.6218"},{"key":"e_1_2_10_27_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-6712.2004.00270.x"},{"key":"e_1_2_10_28_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.1975.tb00927.x"},{"key":"e_1_2_10_29_1","doi-asserted-by":"publisher","DOI":"10.1080\/02763893.2012.673382"},{"key":"e_1_2_10_30_1","doi-asserted-by":"publisher","DOI":"10.1002\/art.11379"},{"key":"e_1_2_10_31_1","doi-asserted-by":"publisher","DOI":"10.1080\/10400435.2004.10132073"},{"key":"e_1_2_10_32_1","doi-asserted-by":"publisher","DOI":"10.1111\/1440-1630.12121"},{"key":"e_1_2_10_33_1","doi-asserted-by":"publisher","DOI":"10.5014\/ajot.2017.018887"},{"key":"e_1_2_10_34_1","doi-asserted-by":"publisher","DOI":"10.5014\/ajot.2018.021774"},{"key":"e_1_2_10_35_1","doi-asserted-by":"publisher","DOI":"10.3109\/09638280903483869"},{"key":"e_1_2_10_36_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00198-018-4558-x"},{"key":"e_1_2_10_37_1","volume-title":"ICD\u201010: International classification of diseases and related health problems","author":"World Health Organization","year":"2004"}],"container-title":["Australian Occupational Therapy Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2F1440-1630.12651","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/1440-1630.12651","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/1440-1630.12651","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/1440-1630.12651","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,5]],"date-time":"2023-09-05T14:13:10Z","timestamp":1693923190000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/1440-1630.12651"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,3,5]]},"references-count":36,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2020,8]]}},"alternative-id":["10.1111\/1440-1630.12651"],"URL":"https:\/\/doi.org\/10.1111\/1440-1630.12651","archive":["Portico"],"relation":{},"ISSN":["0045-0766","1440-1630"],"issn-type":[{"value":"0045-0766","type":"print"},{"value":"1440-1630","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,3,5]]},"assertion":[{"value":"2019-07-29","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-02-01","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-03-05","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}