Spalding Kaitlyn, Di Tommaso Amelia, Gustafsson Louise
Discipline of Occupational Therapy, School of Health Sciences and Social Work, Griffith University, Queensland, Australia.
Occupational Therapy Department, Surgical Treatment and Rehabilitation Service, Brisbane, Australia.
Scand J Occup Ther. 2023 Feb;30(2):251-260. doi: 10.1080/11038128.2022.2081604. Epub 2022 Jun 2.
Consumer engagement is an important element for developing and maintaining value-based healthcare standards. Occupation-based practice in the context of a group has been adopted by inpatient rehabilitation clinicians, but little research has explored if these groups are valuable and useful to patients.
AIMS/OBJECTIVES: To explore the experiences of patients participating in an occupation-based group intervention for instrumental activities of daily living to understand its value and usefulness in an inpatient rehabilitation setting.
Interpretive description guided the development of the study. Semi-structured interviews were completed with 15 participants of an occupation-based group, the LifeSkills group. Comparative analysis was used to analyse the data and develop themes.
Five themes were reported by participants: choice and control, confidence through doing, a real-world connection, the power of the therapeutic relationship and the impact of the shared experience.
In line with current rehabilitation literature, patient experiences around client-centredness, occupational engagement in a 'real-world' environment, and valued relationships can be facilitated through an occupation-based group. This study supports the implementation of valued-based healthcare in understanding patient perceptions of occupation-based interventions into rehabilitation; ensuring that the right intervention is being used at the right time for the right patient.
患者参与是制定和维持基于价值的医疗保健标准的重要因素。住院康复临床医生已采用基于群体情境下的职业实践，但很少有研究探讨这些群体对患者是否有价值且有用。
探讨参与基于职业的群体干预以进行日常生活工具性活动的患者的体验，以了解其在住院康复环境中的价值和有用性。
解释性描述指导了本研究的开展。对一个基于职业的群体即生活技能小组的15名参与者进行了半结构化访谈。采用比较分析来分析数据并形成主题。
参与者报告了五个主题：选择与控制、通过实践获得信心、与现实世界的联系、治疗关系的力量以及共同经历的影响。
与当前康复文献一致，通过基于职业的群体可以促进患者围绕以患者为中心、在“现实世界”环境中的职业参与以及有价值的关系等方面的体验。本研究支持在理解患者对基于职业的康复干预的看法时实施基于价值的医疗保健；确保在正确的时间为正确的患者使用正确的干预措施。
