Article

The aim of the present study was to compare client-centeredness as it
was documented by the occupational therapists in the units randomized to the
intervention clusters with documentation by occupational therapists in the
control clusters. DESIGN: Comparison of medical records. SETTING: The study is
conducted in a context of a randomized controlled trial in Sweden, with 16
post-stroke rehabilitation units cluster randomized to intervention or control
group. SUBJECTS: Occupational therapist documentation in medical records of 279
clients with stroke. MAIN MEASURES: The medical records were reviewed for their
level of client-centeredness using a protocol developed from the Stewart et al
model. The occupational therapists in the intervention groups participated in a
workshop training to enhance their client-centeredness. RESULTS: Occupational
therapists with training in client-centeredness documented significantly more on
goal setting (OR = 4.1; 95% CI, 1.87-8.81), on client participation in goal
setting (OR=11.34; 95% CI, 5.97-21.57), on how the goals could be reached
(OR=2.8; 95% CI, 1.7-4.62), on client participation in how goals could be reached
(OR=4.56; 95% CI, 2.73-7.64), on the follow-up on goals (OR=5.77; 95% CI,
2.78-11-98) and on client participation in follow-up on goals (OR=7.44, 95% CI,
4.33-12.8). This association remained after adjustment for healthcare setting,
client socio-demographic variables, and stroke severity. CONCLUSION:
Documentation of goal setting and client participation in goal setting can be
influenced by training.
CI - (c) The Author(s) 2015.

Langue : ANGLAIS