Each year, 50,000 Australians will suffer a stroke, and more than 10,000 will be admitted to a rehabilitation hospital. Rehabilitation after stroke aims to improve patients’ independence and quality of life.

Occupational therapists are already an important part of the multidisciplinary stroke care team. They help stroke survivors manage and improve their independence in daily tasks, as well as helping them return to activities that are important to them.

Occupational therapy assessments conducted before patients are discharged from hospital aim to enable a safe transition from hospital to home- these assessments can occur in the hospital (hospital-based) or in the home (home-visit). So far, nobody has carried out research to see if there are differences in outcomes between hospital-based or home-visit occupational therapy assessments to plan discharge for patients who are in hospital for rehabilitation after stroke.

The purpose of the HOME Rehab Trial is to investigate whether one type of occupational therapy assessment (in-hospital or at home), is better than the other for improving recovery in patients after a stroke. We will be looking at whether there are differences post-discharge in participation in daily activities, as well as rates of readmission to hospital.

The results of this trial will help shape future practices in stroke rehabilitation.