Improved client participation in the rehabilitation process using a client-centred goal formulation structure

Wressle, Ewa; Eeg-Olofsson, Anne-Marie; Marcusson, Jan; Henriksson, Chris

doi:10.1080/165019702317242640

Cited by 199 publications

(147 citation statements)

References 22 publications

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“…Also, individuals are able to manage more tasks after the completion of rehabilitation if a client-centred approach has been adopted. 5 The use of a measure where the individuals explicitly identify their problems and treatment goals has been highlighted as one of the four key elements of a client-centred approach to rehabilitation practice. 3 Studies report that therapists typically rely on informal methods to engage an individual in problem identification and goal setting; however, the use of formal measures has been advocated.…”

Section: Introductionmentioning

confidence: 99%

Client-centred assessment and the identification of meaningful treatment goals for individuals with a spinal cord injury

et al. 2004

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Study design: Retrospective analysis. Objectives: (1) Describe the self-care, productivity and leisure problems identified by individuals with a spinal cord injury (SCI) during rehabilitation, (2) describe the perceived level of satisfaction and performance with self-care, productivity and leisure activities following an SCI, (3) quantify the relationship between the Canadian occupational performance measure (COPM), a client-centred, individualized measure of function, and the functional independence measure (FIM). Setting: Tertiary rehabilitation centre, spinal cord injury unit, GF Strong Rehabilitation Centre, Vancouver, Canada. Methods: Health records from 41 individuals with an SCI admitted between 2000 and 2002 were reviewed. Information was obtained from assessments performed on admission and discharge. Self-care, productivity and leisure problems identified by individuals with an SCI were described and their perceived level of performance and satisfaction was calculated. The relationship between the COPM and the FIM was measured by the Pearson product correlation. Results: Self-care goals were identified most frequently (79%) followed by productivity (12%) and leisure (9%) goals. The top three problems identified by individuals with an SCI were functional mobility (including transfers and wheelchair use), dressing and grooming. A fair relationship was found between the COPM and the FIM (r between 0.351 and 0.514, Po0.05). Conclusions:The results highlight the importance of including a client-centred outcome measure in the assessment of individuals with an SCI. Initial support is provided for use of the COPM in individuals with an SCI.

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Section: Introductionmentioning

confidence: 99%

Client-centred assessment and the identification of meaningful treatment goals for individuals with a spinal cord injury

et al. 2004

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“…18,19 This leads to closer adherence to the training, to more effort of patients to use the skills in daily life and to maintain these activities after finishing the training, inducing an improved rehabilitation outcome. 19,20 Second, in ToCUEST, specific goals were formulated, which were analyzed and trained, combining principles of motor learning with principles of training physiology. 3 The importance of a task-oriented intensive training was emphasized in ToCUEST, as well as the shift from a multi-to an inter-or trans-disciplinary approach.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of a task-oriented client-centered upper extremity skilled performance training module in persons with tetraplegia

et al. 2011

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Study design: Clinical intervention study. Objective: Arm hand skilled performance (AHSP) has a major role in the rehabilitation of persons with cervical spinal cord injury (C-SCI). A task-oriented client-centered upper extremity skilled performancetraining (ToCUEST) module was developed. The present study aims to evaluate effects of ToCUEST on specific and general AHSP in C-SCI, during and after rehabilitation. Setting: Adelante Rehabilitation Centre (The Netherlands). Methods: C-SCI persons, either during or after rehabilitation, completed the ToCUEST training; a control group of patients during rehabilitation received standard rehabilitation. The training module was focused on patient's individual needs, combining principles of motor learning and training physiology. Three self-selected goals were trained 3 days per week, in three sessions of 30 min per day for 8 weeks. Measures were taken at 3 months after the start of the active rehabilitation (T0), before training (T1), after training (T2), at follow-up (3 months post-training; T3) and at discharge. Results: For both ToCUEST groups during (n ¼ 11) and after (n ¼ 12) rehabilitation, an improvement (Po0.001) on specific AHSP (using the Goal Attainment Scale and the Canadian Occupational Performance Measure (satisfaction and performance)) was found between T1-T2 and T1-T3. Also an improvement (Po0.02) in general AHSP (using the Van Lieshout Test, the QIF and the motor FIM) was found in the total ToCUEST group between T1-T2 and T1-T3. No significant difference in improvement of general AHSP was found between the ToCUEST rehab and control group. Conclusion: The ToCUEST module leads to improvement in AHSP, not only persons with C-SCI during rehabilitation, but also after finishing rehabilitation. These effects remain at follow-up.

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“…Despite a strong emphasis that the person on sick leave should participate in the rehabilitation planning (Millet and Sandberg, 2003;Wressle et al, 2002), there has been little research on this topic. Söderberg et al, 2004 showed that the common work rehabilitation goals expressed by the clients were ignored and that the clients in the study perceived themselves as abandoned after the rehabilitation period.…”

Section: Introductionmentioning

confidence: 99%

Client experiences in work rehabilitation in Sweden: a one‐year follow‐up study

Wallstedt-Paulsson

Erlandsson

Eklund

2007

Occupation Therapy Intl

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This study was carried out in a work rehabilitation unit in Sweden, investigated how clients experienced their work rehabilitation process at a one-year follow-up. A semi-structured interview was administered to 14 former clients and a content analysis was applied. Seven categories were derived from the results: 1. Expectations of the rehabilitation process. 2. Social relationships. 3. Client influences on the rehabilitation process. 4. Occupations engaged in during the rehabilitation programme. 5. Perceived outcome. 6. Current occupations and 7. Future aspirations. The dominating expectations were to find a job with an overall desire for change. The social relationships with the staff and other clients were of great importance. The positive outcome of the rehabilitation was described as feeling better or having new skills. The perceived negative outcome was that the rehabilitation programme had not turned out as the client expected. The clients reported varying daily occupations after the rehabilitation and a majority were contented and optimistic about their future.The main conclusions of the study are that when planning a work rehabilitation programme, efforts have to be made to examine the clients' interests and skills and to develop a dialog between clients and staffs. However, further research is needed to evaluate the work rehabilitation experience from the clients' perspectives.

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Improved client participation in the rehabilitation process using a client-centred goal formulation structure

Cited by 199 publications

References 22 publications

Client-centred assessment and the identification of meaningful treatment goals for individuals with a spinal cord injury

Client-centred assessment and the identification of meaningful treatment goals for individuals with a spinal cord injury

Evaluation of a task-oriented client-centered upper extremity skilled performance training module in persons with tetraplegia

Client experiences in work rehabilitation in Sweden: a one‐year follow‐up study

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