Hedberg-Kristensson Elizabeth, Iwarsson Susanne
Department of Health Sciences, Faculty of Medicine, Lund University, Sweden.
Disabil Rehabil Assist Technol. 2013 Sep;8(5):381-6. doi: 10.3109/17483107.2012.753328. Epub 2013 Jan 16.
This study explored therapists' attitudes to and strategies for developing client-centred approaches in relation to the provision of mobility devices.
Four physiotherapists and eight occupational therapists in a Swedish municipality context were interviewed according to a semi-structured interview guide. Data collection and analysis were guided by a qualitative approach, applying manifest content analysis.
The analysis resulted in a main theme: "Awareness and positive attitudes towards a client-centred approach" and two sub-themes: "Challenges to a client-centred approach" and "Strategies for developing a client-centred approach".
Therapists in municipality-based geriatric rehabilitations are aware of and have ambitions to apply a client-centred approach in mobility device provision, despite different kinds of obstacles for client interaction. The examples of different strategies they suggested to facilitate a client-centred approach can be used to improve clinical practice. While more research is needed in this field, the results can be used as a basis for practice development which may increase activity among older clients. Implications for Rehabilitation The fact that therapists seem aware of the client's legal right to interact with them in the rehabilitation process, in relation to the provision of mobility devices, is promising and an important prerequisite for the development of more client-centred practices. The identification of different types of obstacles that could interfere with applying a client-centred approach has the potential to increase the therapists' attention to such aspects. The results show that it is necessary for practitioners to develop strategies to be successful in applying a client-centred approach. The examples provided can serve as a basis for continuing discussions among practitioners, increasing their awareness of strategies and opportunities for client interaction.
本研究探讨了治疗师在提供移动设备方面对以客户为中心的方法的态度和发展策略。
根据半结构化访谈指南，对瑞典一个市镇的四名物理治疗师和八名职业治疗师进行了访谈。数据收集和分析采用定性方法，应用显性内容分析法。
分析得出一个主要主题：“对以客户为中心的方法的认识和积极态度”以及两个子主题：“以客户为中心的方法面临的挑战”和“发展以客户为中心的方法的策略”。
在市镇老年康复机构工作的治疗师意识到并有意在移动设备提供中采用以客户为中心的方法，尽管在与客户互动方面存在各种障碍。他们提出的促进以客户为中心方法的不同策略示例可用于改进临床实践。虽然该领域还需要更多研究，但研究结果可作为实践发展的基础，这可能会增加老年客户的活动量。对康复的启示治疗师似乎意识到客户在康复过程中与他们就移动设备提供进行互动的合法权利，这是有希望的，也是发展更多以客户为中心实践的重要前提。识别可能干扰应用以客户为中心方法的不同类型障碍，有可能提高治疗师对这些方面的关注。结果表明，从业者有必要制定策略，以便成功应用以客户为中心的方法。所提供的示例可作为从业者持续讨论的基础，提高他们对客户互动策略和机会的认识。
