Article

OBJECTIVE: To explore people's lived experiences of reengagement in meaningful
occupations during the hospital-to-home transition phase after acquired brain
injury (ABI). METHOD: Participants included 20 people with ABI and 18 family
caregivers. On the basis of a phenomenological approach, data collection entailed
in-depth semistructured interviews at predischarge and 1 and 3 months
postdischarge. Thematic analysis of interview transcripts involved open, axial,
and selective coding techniques. RESULTS: Two primary themes emerged from the
analysis: desired versus actual participation and struggle for independence.
Theme 1 depicts the key occupations of importance to people and their caregivers
during transition and explores desired and actual participation in occupations.
Theme 2 highlights the struggle to regain independence and the differing
perspectives of the 2 participant groups concerning this process. CONCLUSION:
Clinical practice implications relate to client-centered goal setting, contexts
and environments in which therapy occurs, and provision of information to
patients and families.

Langue : ANGLAIS