Experiences of participating in a client-centred ADL intervention after stroke

Abstract

The intervention contributed to transparency, which appeared to enable and support the client's sense of ownership of daily activities and rehabilitation after stroke. Implications for rehabiliation A client-centred activities of daily living intervention seems to contribute to transparency, where persons with stroke can discover and understand their new ability and situation after stroke. A client-centred rehabilitation situation seems to enable clients to actively engage in their own rehabilitation process. Inviting clients to participate in goal-setting seems to be important in order to create the experience of transparency. Creating continuity in the therapeutic alliance seems to be important in order for the clients to feel trust and experience agency in everyday life.

Exploring future possibilities of using information and communication technology in multidisciplinary rehabilitation after stroke – a grounded theory study

“…In order to further deepen the conceptualization and describe the relationship between the categories, a theoretical coding was used [26]. The results from previous studies that describe the importance of sharing and transparency in a client-centred intervention for rehabilitation after stroke [21,22] were used to create the four categories presented in the results. The coding frame is presented in Supplementary Appendix 2.…”

“…As part of the development of theory, a previous study was performed which showed that people 6-12 months after a stroke had the drive and need to use ICT in their everyday lives, despite having physical and cognitive impairments resulting from the stroke [20]. Another previous study within the research group showed that occupational therapists and people after a stroke emphasized the importance of "sharing and transparency" during the rehabilitation process in order to facilitate a person-centred approach [21,22]. The concept of "sharing" included building a therapeutic relationship, sharing professional knowledge and sharing an understanding of the patients' experiences, activities and goals [21].…”

“…The concept of "sharing" included building a therapeutic relationship, sharing professional knowledge and sharing an understanding of the patients' experiences, activities and goals [21]. Transparency was defined as the participants' ability to visualize and follow the rehabilitation process [22]. Previous research has shown that ICT like mobile phones, computers and tablets can be used within rehabilitation to improve the performance of daily activities and participation in everyday life [23,24].…”

Occupational therapists experiences of implementing a new complex intervention in collaboration with researchers: a qualitative longitudinal study

“…The CCSCI developed to be the CADL intervention comprised in turn different steps and strategies in which the OT's role initially was to create a relationship with the client to jointly work out how the training would be designed in the activities that were important for the client to perform. Using that problem-solving strategy, the clients had the opportunity in collaboration with an OT to designing goals, plan training, evaluating, and formulating new goals (65,66). The group who received the CADL intervention was compared with people who received the UADL.…”

Resource use of healthcare services 1 year after stroke: a secondary analysis of a cluster-randomised controlled trial of a client-centred activities of daily living intervention

“… 19 Moreover, they experienced that the intervention enabled them to feel as owners of their own rehabilitation process. 32 33 This suggests that the effect of the CADL intervention on healthcare usage might be related to a changed healthcare-seeking behaviour of an activated patient. Similar results have also been found in other settings, showing an inverse association between patient activation (knowledge, skills and confidence) and healthcare usage, that is, patients with higher levels of activation had lower healthcare usage.…”