トモリ　コウノスケ   友利　幸之介    所属   医療保健学部 リハビリテーション学科　作業療法学専攻    職種   教授
言語種別	日本語
発行・発表の年月	2017
形態種別	学術論文
査読	査読あり
標題	Cost effectiveness of the occupation based approach for subacute stroke patients: Result of a randomized controlled trial.
執筆形態	共著
掲載誌名	Topics in Stroke Rehabilitation
掲載区分	国外
巻・号・頁	24,337-344頁
著者・共著者	Nagayama H, Tomori K, Ohno K, Takahashi K, Nagatani R, Izumi R, Moriwaki K, Yamauchi K.
概要	This study determined the cost effectiveness of the occupation-based approach using Aid for Decision-Making in Occupation Choice (ADOC) for subacute stroke patients compared with an impairment-based approach. We conducted an economic evaluation from a societal perspective alongside a pilot randomized controlled trial in subacute rehabilitation units in Japan. The intervention group received occupation-based goal setting using ADOC, with interventions focused on meaningful occupations. The control group received an impairment-based approach focused on restoring capacities. The main outcomes were quality-adjusted life years (QALYs) and total costs. The results show that the occupation-based approach is associated with significantly improved QALYs and has potential cost effectiveness, compared with the impairment-based approach.