Document Detail

Would discussion on patients' needs add value to the rehabilitation process?
MedLine Citation:
PMID:  15729091     Owner:  NLM     Status:  MEDLINE    
The objective of this study was to examine the effect of therapists' methods of addressing patients' problems (based on assessment results and discussions of patients' needs compared with assessment results only) on the level of agreement, between patients and therapists, over patients' daily living problems. A comparative design was adopted to examine the five most important daily living problems identified by patients and their occupational therapists. Twelve occupational therapists and five stroke patients of each therapist under in-patient rehabilitation were recruited. Thus, a total of 60 patients were recruited. Content analyses of the therapists' methods of analysing their patients' problems revealed that eight therapists had discussed their patients' needs with their patients (66.7%) and four relied on the assessment results (33.3%). The kappa statistics showed that a higher agreement of daily living problems was identified for the patients of those therapists who had held discussions (kappa=0.76; P<0.001). The results suggested that therapists should take their patients' needs into account in the planning of interventions. If therapists could help their patients to carry out their future life roles, it would lead the patients to better participate in the rehabilitation process.
Karen P Y Liu; Chetwyn C H Chan; Fong Chan
Publication Detail:
Type:  Journal Article; Multicenter Study    
Journal Detail:
Title:  International journal of rehabilitation research. Internationale Zeitschrift für Rehabilitationsforschung. Revue internationale de recherches de réadaptation     Volume:  28     ISSN:  0342-5282     ISO Abbreviation:  Int J Rehabil Res     Publication Date:  2005 Mar 
Date Detail:
Created Date:  2005-02-24     Completed Date:  2005-07-14     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  7805421     Medline TA:  Int J Rehabil Res     Country:  England    
Other Details:
Languages:  eng     Pagination:  1-7     Citation Subset:  IM    
Department of Rehabilitation Sciences, Hong Kong Polytechnic University, Hung Hom, Hong Kong.
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MeSH Terms
Activities of Daily Living*
Aged, 80 and over
Middle Aged
Needs Assessment*
Occupational Therapy*
Patient Participation*
Patient-Centered Care
Professional-Patient Relations
Stroke / rehabilitation*

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