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Although stroke clinical\n                            practice guidelines recommend predischarge occupational therapy home\n                            visits to ensure safe discharge and provision of appropriate equipment,\n                            there is currently limited evidence to support this\n                            recommendation.<\/jats:p>\n                    <\/jats:sec>\n                    <jats:sec>\n                        <jats:title>Methods and analysis<\/jats:title>\n                        <jats:p>The HOME Rehab trial is a national, multicentre, phase III\n                            randomised controlled trial with concealed allocation, blinded\n                            assessment and intention-to-treat analysis being conducted in Australia.\n                            The trial aim is to determine the effect and potential\n                            cost-effectiveness of an enhanced occupational therapy discharge\n                            planning intervention that involves pre and postdischarge home visits,\n                            goal setting and occupational therapy in the home (the HOME programme)\n                            in comparison to an in-hospital predischarge planning intervention.\n                            Stroke survivors aged \u226545\u2009years, admitted to a rehabilitation ward,\n                            expected to return to a community (private) dwelling after discharge,\n                            with no significant prestroke disability will be randomly allocated 1:1\n                            to receive a standardised discharge planning intervention and the HOME\n                            programme or the standardised discharge planning intervention alone. The\n                            primary outcome is participation measured using the Nottingham Extended\n                            Activities of Daily Living. Secondary outcome areas include hospital\n                            readmission, disability, performance of instrumental activities of daily\n                            living, health-related quality of life, quality of care transition and\n                            carer burden. Resources used\/costs will be collected for the\n                            cost-effectiveness analysis and hospital readmission. Recruitment\n                            commenced in 2019. Allowing for potential attrition, 360 participants\n                            will be recruited to detect a clinically important treatment difference\n                            with 80% power at a two-tailed significance level of 0.05.<\/jats:p>\n                    <\/jats:sec>\n                    <jats:sec>\n                        <jats:title>Ethics and dissemination<\/jats:title>\n                        <jats:p>This study is approved by the Alfred Health Human Research Ethics\n                            Committee and site-specific ethics approval has been obtained at all\n                            participating sites. Results of the main trial and the secondary\n                            endpoint of cost-effectiveness will be submitted for publication in\n                            peer-reviewed journals<\/jats:p>\n                        <jats:p><jats:bold>Trial registration number<\/jats:bold><\/jats:p>\n                        <jats:p><jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"clintrialgov\" specific-use=\"clinicaltrial pre-results\" xlink:href=\"NCT12618001360202\">NCT12618001360202<\/jats:ext-link><\/jats:p>\n                    <\/jats:sec>","DOI":"10.1136\/bmjopen-2020-044573","type":"journal-article","created":{"date-parts":[[2022,11,4]],"date-time":"2022-11-04T15:09:21Z","timestamp":1667574561000},"page":"e044573","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":10,"title":["Effect of occupational therapy home visit discharge planning on\n                        participation after stroke: protocol for the HOME Rehab trial"],"prefix":"10.1136","volume":"11","clinical-trial-number":[{"clinical-trial-number":"nct12618001360202","registry":"10.18810\/clinical-trials-gov","type":"preResults"}],"author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2066-8345","authenticated-orcid":false,"given":"Natasha A","family":"Lannin","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lindy","family":"Clemson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Avril","family":"Drummond","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7958-5181","authenticated-orcid":false,"given":"Mandy","family":"Stanley","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leonid","family":"Churilov","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kate","family":"Laver","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sophie","family":"O'Keefe","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ian","family":"Cameron","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria","family":"Crotty","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tim","family":"Usherwood","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4846-2840","authenticated-orcid":false,"given":"Nadine E","family":"Andrew","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura","family":"Jolliffe","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8162-682X","authenticated-orcid":false,"given":"Dominique A","family":"Cadilhac","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2021,7,5]]},"reference":[{"key":"2022110304311450000_11.7.e044573.1","doi-asserted-by":"publisher","DOI":"10.1161\/STROKEAHA.113.003165"},{"key":"2022110304311450000_11.7.e044573.2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2014.8"},{"key":"2022110304311450000_11.7.e044573.3","doi-asserted-by":"crossref","first-page":"565","DOI":"10.1007\/s10900-016-0289-0","article-title":"Care coordination for community transitions for individuals post-stroke returning to low-resource rural communities","volume":"42","author":"Kitzman","year":"2017","journal-title":"J Community Health"},{"key":"2022110304311450000_11.7.e044573.4","unstructured":"Stroke Foundation . National stroke audit \u2013\n                            rehabilitation services report 2016. Melbourne, Australia: Stroke\n                            Foundation, 2016."},{"key":"2022110304311450000_11.7.e044573.5","doi-asserted-by":"crossref","first-page":"106","DOI":"10.1111\/ijs.12325","article-title":"Understanding long-term unmet needs in Australian survivors of stroke","volume":"9 Suppl A100","author":"Andrew","year":"2014","journal-title":"Int J Stroke"},{"key":"2022110304311450000_11.7.e044573.6","doi-asserted-by":"publisher","DOI":"10.1191\/0269215500cr331oa"},{"key":"2022110304311450000_11.7.e044573.7","doi-asserted-by":"crossref","unstructured":"Gon\u00e7alves-Bradley DC , Lannin NA , Clemson LM , et al\n                            . Discharge planning from hospital. 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Ecology and the aging\n                            process. In: The psychology of adult development and aging. Washington,\n                            DC, US: American Psychological Association, 1973 pp.:\n                            619\u201374.","DOI":"10.1037\/10044-020"},{"key":"2022110304311450000_11.7.e044573.25","unstructured":"Lawton M . Competence, environmental press, and the\n                            adaptation of older people. In: Aging and the environment: theoretical\n                            approaches. New York: Springer Publishing Co, 1982:\n                            33\u201359."},{"key":"2022110304311450000_11.7.e044573.26","unstructured":"Wahl H , Lang F . Aging in context across the adult\n                            life course: integrating physical and social environmental research. In:\n                            Wahl HW , Scheidt RJ , Windley PG , et al , eds. Annual review of\n                            gerontology and geriatrics. 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Assistive\n                            environments for elder Care\u2014Integrating smart phones with smart homes.\n                            In: International Conference on Aging, Disability and Independence\n                            Washington, DC, USA, December 2003, 2003.\n                            p.:128\u20139."},{"key":"2022110304311450000_11.7.e044573.45","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2006.00703.x"},{"key":"2022110304311450000_11.7.e044573.46","doi-asserted-by":"crossref","first-page":"52","DOI":"10.1177\/030802260807100203","article-title":"Occupational Therapists\u2019 Perceptions of Predischarge Home Assessments with Older Adults in Acute Care","volume":"71","author":"Atwal","year":"2008","journal-title":"British Journal of Occupational Therapy"},{"key":"2022110304311450000_11.7.e044573.47","doi-asserted-by":"crossref","first-page":"33","DOI":"10.3109\/02703180903381060","article-title":"Occupational therapy discharge assessment of elderly patients from acute care hospitals","volume":"28","author":"Crennan","year":"2010","journal-title":"Phys Occup Ther Geriatr"}],"container-title":["BMJ Open"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bmjopen-2020-044573","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,11,4]],"date-time":"2022-11-04T15:09:51Z","timestamp":1667574591000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmjopen.bmj.com\/lookup\/doi\/10.1136\/bmjopen-2020-044573"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,7]]},"references-count":47,"journal-issue":{"issue":"7","published-online":{"date-parts":[[2021,7,5]]},"published-print":{"date-parts":[[2021,7]]}},"alternative-id":["10.1136\/bmjopen-2020-044573"],"URL":"https:\/\/doi.org\/10.1136\/bmjopen-2020-044573","relation":{},"ISSN":["2044-6055","2044-6055"],"issn-type":[{"value":"2044-6055","type":"print"},{"value":"2044-6055","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,7]]}}}