liu.seSearch for publications in DiVA
Endre søk
RefereraExporteraLink to record
Permanent link

Direct link
Referera
Referensformat
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • oxford
  • Annet format
Fler format
Språk
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Annet språk
Fler språk
Utmatningsformat
  • html
  • text
  • asciidoc
  • rtf
Improved client participation in the rehabilitation process using a client-centred goal formulation structure
Linköpings universitet, Institutionen för samhälls- och välfärdsstudier. Linköpings universitet, Hälsouniversitetet. Östergötlands Läns Landsting, Närsjukvården i centrala Östergötland, Geriatriska kliniken.
Linköpings universitet, Institutionen för nervsystem och rörelseorgan. Linköpings universitet, Hälsouniversitetet.
Linköpings universitet, Institutionen för klinisk och experimentell medicin, Geriatrik. Linköpings universitet, Hälsouniversitetet. Östergötlands Läns Landsting, Närsjukvården i centrala Östergötland, Geriatriska kliniken.
Linköpings universitet, Institutionen för samhälls- och välfärdsstudier. Linköpings universitet, Hälsouniversitetet.
2002 (engelsk)Inngår i: Journal of Rehabilitation Medicine, ISSN 1650-1977, Vol. 34, nr 1, s. 5-11Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

The aim was to evaluate whether the use of a client-centred instrument, the Canadian Occupational Performance Measure (COPM), affects the patients' perception of active participation in the rehabilitation process. The study included 155 patients in the experiment group and 55 in the control group, within geriatric, stroke, and home rehabilitation. The COPM was used in the experiment group. A structured interview was performed within 2-4 weeks after discharge with 88 patients in the experiment group and 30 patients in the control group. The results show significant differences between the groups. More patients in the experiment group perceived that treatment goals were identified, were able to recall the goals, felt that they were active participants in the goal formulation process, and perceived themselves better able to manage after completed rehabilitation compared with patients in the control group. The study indicates that the COPM improves client participation in the rehabilitation process.

sted, utgiver, år, opplag, sider
2002. Vol. 34, nr 1, s. 5-11
Emneord [en]
Copm, Client-centred, Participation, Goal, Evaluation
HSV kategori
Identifikatorer
URN: urn:nbn:se:liu:diva-14365DOI: 10.1080/165019702317242640OAI: oai:DiVA.org:liu-14365DiVA, id: diva2:23339
Tilgjengelig fra: 2007-03-23 Laget: 2007-03-23 Sist oppdatert: 2009-08-21
Inngår i avhandling
1. Client participation in the rehabilitation process
Åpne denne publikasjonen i ny fane eller vindu >>Client participation in the rehabilitation process
2002 (engelsk)Doktoravhandling, med artikler (Annet vitenskapelig)
Abstract [en]

This thesis evaluates the rehabilitation process with respect to client participation. The Swedish version of a client-centred structure, the Canadian Occupational Performance Measure (COPM), is evaluated from the perspectives of the clients, the occupational therapists and the members of a rehabilitation team. Data have been collected through diaries, the COPM, assessments of ability to perform activities of daily living, mobility, self-assessments of pain and health, interviews with clients, interviews with staff, and focus groups interviews.

The results show that a structured method is needed in order to improve clients’ active participation in goal formulation.

The Swedish version of the COPM has high responsiveness to change over time. The use of the COPM improved client participation in the goal-formulation process, according to the results from a study with experiment and control groups. The clients perceived that treatment goals were identified, they were able to recall the goals and felt that they were active participants. They also perceived they had a higher ability to manage after the rehabilitation period was completed compared to clients in the control group.

The clinical utility of the Swedish version of the COPM was confirmed in focus-group interviews with occupational therapists. The occupational therapists perceived the COPM as helpful in the goal-setting process and planning of treatment interventions. Even though problems are identified, they are directly related to, and formulated as, goals. Clients receive feedback on improvement over time. The COPM ensures a client-centred approach, facilitates communication within the rehabilitation team, and encourages therapists in their professional role. Therapists need knowledge about the theoretical foundation of the instrument and have to develop a personal interview technique.

When the COPM is used in a team setting, it provides the team with broader information on what is purposeful occupation to the client. The focus is on occupational performance rather than function. According to team members the use of the COPM as a team tool increased client participation, was a good outcome measure, resulted in distinct goals, and focused on goals that were meaningful to the client.

Implementation of a client-centred approach is facilitated when a structured method is used, but this is not enough. Involvement and motivation from all team members are required, as well as support during the introduction and implementation period. Support from management, knowledge about the underlying theory, time for discussions and reflections as well as opportunities to develop a personal interview technique are pointed out as important factors for a successful implementation.

sted, utgiver, år, opplag, sider
Linköping: Linköping University Electronic Press, 2002. s. 70
Serie
Linköping University Medical Dissertations, ISSN 0345-0082 ; 722
Emneord
Occupational therapy, Client-centred practice, https://www.diva-portal.org/liu/webform/form.jsp#paper0COPM, Participation, Rehabilitation, Goal formulation, Outcome
HSV kategori
Identifikatorer
urn:nbn:se:liu:diva-8594 (URN)91-7373-167-6 (ISBN)
Disputas
2002-04-05, Berzeliussalen, Campus US, Linköpings Universitet, Linköping, 09:00 (engelsk)
Opponent
Veileder
Merknad
On the day of the defence date the status on article V was Submitted.Tilgjengelig fra: 2007-03-23 Laget: 2007-03-23 Sist oppdatert: 2012-01-25bibliografisk kontrollert

Open Access i DiVA

Fulltekst mangler i DiVA

Andre lenker

Forlagets fulltekstLink to Ph.D. Thesis

Personposter BETA

Wressle, EwaEeg-Olofsson, A-M.Marcusson, JanHenriksson, Chris

Søk i DiVA

Av forfatter/redaktør
Wressle, EwaEeg-Olofsson, A-M.Marcusson, JanHenriksson, Chris
Av organisasjonen

Søk utenfor DiVA

GoogleGoogle Scholar

doi
urn-nbn

Altmetric

doi
urn-nbn
Totalt: 9472 treff
RefereraExporteraLink to record
Permanent link

Direct link
Referera
Referensformat
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • oxford
  • Annet format
Fler format
Språk
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Annet språk
Fler språk
Utmatningsformat
  • html
  • text
  • asciidoc
  • rtf