OBJECTIVE: The purpose of this study was to examine the use of the Occupational Adaptation frame of reference in the evaluation and treatment of patients with cerebrovascular accident (CVA). METHOD: Outcomes of functional independence and discharge environment were measured through a quasi-experimental design. Twenty-five former patients served as the control subjects, and 25 patients admitted after the programmatic implementation of Occupational Adaptation served as the treatment subjects. RESULTS: Data analyses indicated that the Occupational Adaptation subjects achieved higher levels of functional independence and were discharged to less restrictive environments compared with the control subjects. CONCLUSION: Use of intervention guided by the Occupational Adaptation frame of reference was associated with improved functional independence and discharge to less-restricted environments for this group of patients with CVA.
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Gibson et al. (1997) studied this question.
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