{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T03:19:14Z","timestamp":1787541554660,"version":"build-2736575974"},"reference-count":41,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T00:00:00Z","timestamp":1787184000000},"content-version":"vor","delay-in-days":19,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Aus Occup Therapy J"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Early after stroke, inpatients commonly experience difficulty performing activities of daily living (ADL). Occupational therapists are key to providing early rehabilitation to optimise recovery. However, the effectiveness of early, activity\u2010based retraining of ADLs is not clear. The aim of this systematic scoping review is to determine whether activity\u2010based retraining targeting basic activities of daily living (b\u2010ADL) and\/or simple cognitive instrumental activities of daily living (C\u2010IADL) delivered early after stroke improves functional independence.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>MEDLINE, CINAHL, and Embase were searched. Eligible studies included randomised controlled trials or quasi\u2010randomised trials, with at least 75% of participants over the age of 18, with a stroke diagnosis, and who received activity\u2010based interventions within the hospital setting. Articles were screened by two authors using Covidence. Risk of bias was assessed using Cochrane's Risk of Bias tool (RoB2). All results were meta\u2010analysed using Comprehensive Meta Analysis software (V4.0).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Consumer and community involvement<\/jats:title>\n                    <jats:p>No consumer or community involvement was included in this study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 7546 articles were screened, and six studies including n\u2009=\u2009254 participants met the inclusion criteria. Performance outcome measure results were meta\u2010analysed; there was no statistically significant impact of activity\u2010based interventions on functional performance (standardised mean difference [SMD]\u2009=\u20090.41; 95% confidence interval [CI] \u22120.06, 0.87; P\u2009=\u20090.09). Two studies reviewed quality of life and satisfaction outcomes; data were not synthesised.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Whereas individual trials suggested improvements early after activity\u2010based training, our meta\u2010analysis showed variability in effects in trials to date. Further research is required to determine the clinical and cost\u2010effectiveness of activity\u2010based interventions within the hospital setting to guide occupational therapy practice.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/1440-1630.70119","type":"journal-article","created":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T08:20:46Z","timestamp":1787214046000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Systematic review of hospital\u2010based interventions to improve post\u2010stroke independence in activities of daily living"],"prefix":"10.1111","volume":"73","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-3654-3695","authenticated-orcid":false,"given":"Tayla","family":"Grant","sequence":"first","affiliation":[{"name":"Department of Neuroscience, School of Translational Medicine Monash University  Melbourne Victoria Australia"},{"name":"Occupational Therapy Department Bayside Health (Alfred Care Group)  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3816-3126","authenticated-orcid":false,"given":"Kylie","family":"Wales","sequence":"additional","affiliation":[{"name":"Department of Neuroscience, School of Translational Medicine Monash University  Melbourne Victoria Australia"},{"name":"School of Allied Health Australian Catholic University  North Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1369-9442","authenticated-orcid":false,"given":"Laura","family":"Jolliffe","sequence":"additional","affiliation":[{"name":"Department of Occupational Therapy, School of Primary and Allied Health Care Monash University  Melbourne Victoria Australia"},{"name":"Allied Health Bayside Health (Peninsula Care Group)  Melbourne Victoria Australia"},{"name":"National Centre for Healthy Ageing  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9645-5429","authenticated-orcid":false,"given":"Emma J.","family":"Schneider","sequence":"additional","affiliation":[{"name":"Occupational Therapy Department Bayside Health (Alfred Care Group)  Melbourne Victoria Australia"},{"name":"Department of Allied Health, School of Health Sciences Swinburne University of Technology  Hawthorn Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-6883-7370","authenticated-orcid":false,"given":"Jade","family":"Glascott","sequence":"additional","affiliation":[{"name":"Occupational Therapy Department Bayside Health (Alfred Care Group)  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4378-1401","authenticated-orcid":false,"given":"Danielle","family":"Sansonetti","sequence":"additional","affiliation":[{"name":"Occupational Therapy Department Bayside Health (Alfred Care Group)  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1220-8354","authenticated-orcid":false,"given":"Avril E.","family":"Drummond","sequence":"additional","affiliation":[{"name":"School of Sport, Exercise and Health Sciences Loughborough University  Loughborough UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2066-8345","authenticated-orcid":false,"given":"Natasha A.","family":"Lannin","sequence":"additional","affiliation":[{"name":"Department of Neuroscience, School of Translational Medicine Monash University  Melbourne Victoria Australia"},{"name":"Occupational Therapy Department Bayside Health (Alfred Care Group)  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,20]]},"reference":[{"key":"e_1_2_12_2_1","first-page":"1","article-title":"Occupational Therapy Practice Framework: Domain and Process Fourth Edition","volume":"74","author":"American Occupational Therapy Association","year":"2020","journal-title":"The American Journal of Occupational Therapy"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/1545968317732668"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1523\/JNEUROSCI.3834-03.2004"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/1440-1630.12227"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph19063186"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1440-1630.2011.00945.x"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40141-025-00481-x"},{"key":"e_1_2_12_9_1","volume-title":"Cochrane handbook for systematic reviews of interventions","author":"Deeks J. 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