Jackson, J.P., and Schkade, J.K. (2001). Occupational adaptation model versus biomechnical-rehabilitative model in the treatment of patients with hip fractures. American Journal of Occupational Therapy, 55, 531-537.
This study compared the effectiveness of the OA frame of reference with the biomechanical frame of reference in the treatment of two groups of 20 patients post-hip fracture. Using a quasi-experimental design, groups were compared on changes in scores of the FIM, a satisfaction questionnaire developed for this study, and discharge environment. No group differences in the FIM changes for the total stay were found. However, average FIM score change per day of hospitalization and overall patient satisfaction were higher in the OA group. No significant differences in the discharge setting were present. Results of this study indicate that both groups benefited from OT intervention. Furthermore, OA was associated with more efficient outcome and greater satisfaction than using the biomechanical-rehabilitative model. However, this study did have threats to both internal and external validity that should be considered.
This study compared the effectiveness of the OA frame of reference with the biomechanical frame of reference in the treatment of two groups of 20 patients post-hip fracture. Using a quasi-experimental design, groups were compared on changes in scores of the FIM, a satisfaction questionnaire developed for this study, and discharge environment. No group differences in the FIM changes for the total stay were found. However, average FIM score change per day of hospitalization and overall patient satisfaction were higher in the OA group. No significant differences in the discharge setting were present. Results of this study indicate that both groups benefited from OT intervention. Furthermore, OA was associated with more efficient outcome and greater satisfaction than using the biomechanical-rehabilitative model. However, this study did have threats to both internal and external validity that should be considered.