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Qualitative exploration of a client-centered, goal-directed approach to community-based occupational therapy for adults with traumatic brain injury

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DOIG E; FLEMING J; CORNWELL PL; KUIPERS P
AM J OCCUP THER , 2009, vol. 63, n° 5, p. 559-568
Doc n°: 142799
Localisation : Documentation IRR
Descripteurs : AF3 - TRAUMATISME CRANIEN, KB - ERGOTHERAPIE Url : http://ajot.aota.org/issue.aspx#issueid=930101

We explored the clinical application of goal-directed therapy in
community-based rehabilitation from the perspective of clients with traumatic
brain injury (TBI), their significant others, and their treating occupational
therapists. METHOD: Twelve people with TBI and their significant others completed
an outpatient, goal-directed, 12-week occupational therapy program.
Semistructured interviews with 12 participants, 10 significant others, and 3
occupational therapists involved in delivering the therapy programs explored
their experiences of goal-directed therapy. RESULTS: Participants, their
significant others, and therapists described goal-directed therapy positively,
expressing satisfaction with progress made. CONCLUSION: Goals provide structure,
which facilitates participation in rehabilitation despite the presence of
barriers, including reduced motivation and impaired self-awareness. A
therapist-facilitated, structured, goal-setting process in which the client,
therapist, and significant others work in partnership can enhance the process of
goal setting and goal-directed rehabilitation in a community rehabilitation
context.

Langue : ANGLAIS

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