Effectiveness Study of Occupational Therapy in Parkinson's Disease (OTiP)

• Canadian Occupational Performance Measure (COPM) [ Time Frame: 3 months ] [ Designated as safety issue: No ]
  Perceived activity performance. Three months will be the primary analysis. Effects at follow up will be measured at 6 months (see secondary outcome measures)
  
  

• Perceive Recall Plan Perform Measure (PRPP) [ Time Frame: 3 months ] [ Designated as safety issue: Yes ]
  Observational measure. Activity performance patient
  
  
• Zarit Burden Inventory (ZBI) [ Time Frame: 3 months ] [ Designated as safety issue: No ]
  Perceived caregiver burden.(caregiver)
  
  
• Parkinson's Disease Questionnaire 39 (PDQ-39) [ Time Frame: 3 months ] [ Designated as safety issue: No ]
  Health related Quality of life (Parkinson specific; patient)
  
  
• Resource utilization questionnaire [ Time Frame: 3 months ] [ Designated as safety issue: No ]
  For evaluating costs. (patient and caregiver)
  
  
• Objective Caregiving Burden [ Time Frame: 3 months ] [ Designated as safety issue: No ]
  Evaluating hours of care (costs). (caregiver)
  
  
• Activity Card Sort (ACS) [ Time Frame: 3 months ] [ Designated as safety issue: No ]
  Participation measure:% retained activities.(patient)
  
  
• The Utrecht Scale for evaluation of Rehabilitation Participation (USER-P)(section III) [ Time Frame: 3 months ] [ Designated as safety issue: No ]
  Satisfaction with participation (patient)
  
  
• Becks depression Inventory (BDI) [ Time Frame: 3 months ] [ Designated as safety issue: No ]
  Mood and Depression. (patient)
  
  
• Hospital Anxiety and Depression Scale (HADS) [ Time Frame: 3 months ] [ Designated as safety issue: No ]
  Mood and depression. (caregiver).
  
  
• The Utrecht Proactive Coping Competence list (UPCC) [ Time Frame: 3 months ] [ Designated as safety issue: No ]
  Proactive coping skills. (patient and caregiver)
  
  
• Fatigue Severity Scale (FSS) [ Time Frame: 3 months ] [ Designated as safety issue: No ]
  Impact of fatigue (patient)
  
  
• Canadian Occupational Performance Measure (COPM-satisfaction) [ Time Frame: 3 months ] [ Designated as safety issue: No ]
  Perceived satisfaction with performance. (patient)
  
  
• Quality of life-overall [ Time Frame: 3 months ] [ Designated as safety issue: No ]
  One question on rating overall quality of life (VAS scale). (patient and caregiver).
  
  
• Zarit Burden Inventory (ZBI) [ Time Frame: 6 months ] [ Designated as safety issue: No ]
  Perceived caregiver burden. (caregiver)
  
  
• Parkinson's Disease Questionnaire 39 (PDQ-39) [ Time Frame: 6 months ] [ Designated as safety issue: No ]
  Health related Quality of life (Parkinson specific)
  
  
• Objective Caregiving Burden [ Time Frame: 6 months ] [ Designated as safety issue: No ]
  Evaluating hours of care (costs). (caregiver).
  
  
• Euroqol EQ-5D [ Time Frame: 6 months ] [ Designated as safety issue: No ]
  Quality of life. Used for patient and caregiver in evaluation of cost effectiveness
  
  
• Canadian Occupational Performance Measure (COPM) [ Time Frame: 6 months ] [ Designated as safety issue: No ]
  Perceived performance in activities. Is primary outcome measure at 3 months, but data of 6 months (follow up) wil be used in a secondary analysis and analysis of cost effectiveness.
  
  
• Canadian Occupational Performance Measure (COPM-satisfaction) [ Time Frame: 6 months ] [ Designated as safety issue: No ]
  Perceived satisfaction with performance. (patient)
  
  
• The Utrecht Scale for evaluation of Rehabilitation Participation (USER-P)(section III) [ Time Frame: 6 months ] [ Designated as safety issue: No ]
  Satisfaction with participation (patient)
  
  
• Becks depression Inventory (BDI) [ Time Frame: 6 months ] [ Designated as safety issue: No ]
  Mood and Depression. (patient)
  
  
• Hospital Anxiety and Depression Scale (HADS) [ Time Frame: 6 months ] [ Designated as safety issue: No ]
  Mood and depression. (caregiver).
  
  
• The Utrecht Proactive Coping Competence list (UPCC) [ Time Frame: 6 months ] [ Designated as safety issue: No ]
  Proactive coping skills. (patient and caregiver)
  
  
• Fatigue Severity Scale (FSS) [ Time Frame: 6 months ] [ Designated as safety issue: No ]
  Impact of fatigue (patient)
  
  

Parkinson's disease is a complex disabling condition progressively affecting activities and participation of patients. Occupational Therapy aims to optimise functional performance and engagement in meaningful roles and activities. The lack of scientific evidence for the effectiveness of Occupational Therapy (OT) in Parkinson's Disease (PD) highlights the urgent need for high quality intervention studies. The Dutch clinical practice guideline for OT in PD (2008)offers a good basis for conducting an intervention study. The completed OTiP pilot underscored the feasibility and the need for a large scale trial.

The OTiP study evaluates the effectiveness of OT in improving daily functioning of patients with PD.