Occupational therapists’ perceptions of implementing a client-centered intervention in close collaboration with researchers: A mixed methods study

Abstract

Background: Integration of research-based knowledge in health care is challenging. Occupational therapists (OTs) need to implement new research-based interventions in clinical practice. Therefore it is crucial to recognize and understand the factors of specific barriers and facilitators affecting the implementation process. Aim: To identify the key factors important for OTs during the implementation process of a complex intervention. Materials and methods: A cross-sectional study with a combination of qualitative and quantitative data in a mixed method design. Forty-one OTs and 23 managers from three county councils in Sweden, responded to a questionnaire one year after the OTs participation in a workshop to prepare for implementation of a client-centered activity of daily living intervention for persons with stroke. Results: Over 70% of the OTs benefitted from reading and discussing articles in the workshop; 60% had faith in the intervention; 69% reported usability of the intervention. High level of support from managers was reported, but less from team members. The therapists' interaction, perceptions of own efforts and contextual influence affected the implementation process. Conclusion: The workshop context with facilitation and access to evidence, supportive organizations and teams, sufficient interaction with researchers and satisfying self-image were successful key factors when involved in research.

F@ce: a team-based, person-centred intervention for rehabilitation after stroke supported by information and communication technology – a feasibility study

“…For example, in the CADL study, there were five full days of preparation over one month [28] and in Uganda the participating therapists took part in a series of workshops over eight half days [12]. In the evaluations of the implementation of the CADL intervention, the collaborative relationship between the occupational therapists and the researchers was described as a relationship that enabled the fusion of scientific knowledge and practice [27]. Thus, it is important for researchers to spend sufficient time building a relationship with professionals and sharing knowledge and experiences using a "healthcare professionalcentredness" perspective.…”

“…The client-centred approach included building a therapeutic relationship and ensuring that the person was actively involved in the goal setting and planning of the rehabilitation [24][25][26]. The CADL was delivered by occupational therapists and evaluated in a randomized controlled trial (RCT) [21,22] along with qualitative studies [27][28][29]. The results of the RCT [21,22] were inconclusive but the qualitative studies emphasized that sharing [28] and transparency [29] between therapists and the patients were benefits of using a clientcentred approach.…”

Activities in Daily Living: The development of a new client-centred ADL intervention for persons with stroke

“…Furthermore, according to Upshure and colleagues [64], knowledge derived from qualitative research has the potential to redefine best practice in rehabilitation. By understanding the nature of the lived experience [14] after stroke and how experiences may change [40] in the process of recapturing ADL [15,16], therapists need to integrate this understanding in their clinical work [65][66][67]. This paper described a systematic and clear process based on current scholarship and grounded in theory that occupational therapists can utilize in practice to enhance participation in meaningful activities for persons with stroke.…”

The Issues of Applying Occupation-Based Intervention (OBI) Among Malaysian Occupational Therapists: A Mixed-Methods Study

“…Therefore, the online survey was conducted to gain a general picture of the barriers, and the subsequent qualitative inquiry has refined, explained, and elaborated the statistical results from the online survey by exploring the participant's views and interaction. The focus group was built on the online survey and the synthesis of results from both studies complements each other for a deeper understanding and enables interpretation of the experiences from different perspectives (Eriksson et al, 2020).…”