Document Detail


Qualitative exploration of a client-centered, goal-directed approach to community-based occupational therapy for adults with traumatic brain injury.
MedLine Citation:
PMID:  19785255     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVES: 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.
Authors:
Emmah Doig; Jennifer Fleming; Petrea L Cornwell; Pim Kuipers
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  The American journal of occupational therapy. : official publication of the American Occupational Therapy Association     Volume:  63     ISSN:  0272-9490     ISO Abbreviation:  Am J Occup Ther     Publication Date:    2009 Sep-Oct
Date Detail:
Created Date:  2009-09-29     Completed Date:  2009-10-23     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7705978     Medline TA:  Am J Occup Ther     Country:  United States    
Other Details:
Languages:  eng     Pagination:  559-68     Citation Subset:  IM    
Affiliation:
School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Queensland 4062 Australia. emmah.doig@optusnet.com.au
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Brain Injuries / rehabilitation*
Female
Goals
Humans
Male
Occupational Therapy / methods*
Patient-Centered Care
Patients / psychology
Qualitative Research
Young Adult

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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