Article
The Sense of Coherence scale used in an occupation-based RCT-intervention in patients with hand-related disorders
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Authors
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Alice Ørts Hansen
- Odense University Hospital, University of Southern Denmark, Odense C, Denmark
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Ragnhild Cederlund
- Lund University, Lund, Sweden
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Hanne Kaae Kristensen
- University College Lillebaelt, University of Southern Denmark, Odense M, Denmark
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Sören Möller
- OPEN - Odense Patient data Explorative Network, Odense University Hospital, University of Southern Denmark, Odense C, Denmark
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Hans Tromborg
- Odense University Hospital, University of Southern Denmark, Odense C, Denmark
| Published: | February 6, 2020 |
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Outline
Text
Objective: To investigate the effectiveness of an occupation-based intervention for patients with hand-related disorders and whether sense of coherence (SOC) can give an indication of the anticipated effects.
Materials and Methods: 504 patients referred to outpatient hand therapy were stratified into three SOC groups and then randomized to one of two occupational therapy interventions: An occupation-based intervention, including physical exercises (OBI), or a physical exercise-based intervention with occupational focus (PEI). Participants and therapists were blinded to SOC-13 score but not to allocation. The DASH questionnaire was used to measure functioning as the primary outcome. Data was obtained at baseline and at follow-ups at one, two, three, six, and 12 months.
Results: No significant difference was found between the two interventions in the primary outcome analysis at any time. Nevertheless, patients receiving OBI had a statistically significant larger change in satisfaction with their occupational performance at one, two, and three months' follow-ups. Improvement in functioning was similar in all SOC groups during rehabilitation. However, patients with a weak SOC score had significant lower functioning and health-related quality of life than patients in the medium and strong SOC groups at all assessment times.
Conclusions: OBI as delivered in this study was not superior to PEI in patients with hand-related disorders. However, in a client-centred approach, we recommend that OBI be based on individual needs, given that patients had a statistical significant larger change score in satisfaction with their occupational performance. Rehabilitation outcome was equal between SOC groups, but a weak SOC can give an indication of a greater risk of lower functioning and lower health related quality of life in patients with hand-related disorders.
