Article

Evidence-based practice creates practice that integrates research-driven
evidence with clinical expertise and patients' preferences in clinical
decision-making. Aim: The aim of this study was to investigate and evaluate the
quality and applicability of scientific research in occupational therapy
intervention related to the use of everyday life occupations and client-centred
practice within stroke rehabilitation. Design: Systematic searches of research
studies published in English during 2000-2007 in peer-reviewed journals were
undertaken. Thirty-nine articles and one Cochrane review were appraised and the
quality evaluated using an evidence taxonomy and an evidence hierarchy. Results:
Evidence arose providing support for a client-centred approach, entailing outcome
related to better ability to recall goals, the patients feeling more involved and
able to manage more everyday life occupations after rehabilitation. There is also
considerable evidence for the use of everyday life occupations in occupational
therapy. Occupational therapy was evaluated as an important aspect of stroke
rehabilitation improving outcomes in everyday life occupations including
activities of daily living (ADL) and participation. Discussion: As research of
relevance for the profession to a large extent includes qualitative research it
gives rise to reflection on including more tools than the evidence hierarchy
while evaluating evidence within occupational therapy.

Langue : ANGLAIS