Larsen Stina Meyer, Brandt Åse, Hounsgaard Lise, Kristensen Hanne Kaae
Centre for Innovative Medical Technology (CIMT), Department of Clinical Research, University of Southern Denmark, Odense, Denmark.
Health Sciences Research Centre, UCL University College, Odense, Denmark.
Br J Occup Ther. 2023 May;86(5):376-384. doi: 10.1177/03080226221148409. Epub 2023 Jan 12.
Reviews within the field of assistive technology have shown that a client-centered approach is important for user satisfaction, and that assistive technology service delivery should be evidence-based, systematic, and structured. However, client-centered instruments and systematic, structured models are not used consistently. As part of a larger research project, an evidence-based, client-centered assistive technology service delivery process was developed and piloted. The purpose of this study was to investigate occupational therapists' perspectives on this evidence-based, client-centered assistive technology intervention.
Ten occupational therapists, from two Danish municipalities, participated in focus groups. Data were analyzed based on a hermeneutic approach.
Three themes emerged from the analysis: a more refined collaboration with clients; advantages of using theoretical frameworks, structured models and instruments and challenges in using the intervention.
By using the evidence-based, client-centered intervention, the occupational therapists found that the collaboration with the clients was refined-more emphasis was placed on shared responsibility. They found that the intervention was time-efficient in the long run; however, there seems to be a particular challenge in designing services that are inclusive of clients with cognitive limitations.
辅助技术领域的综述表明,以客户为中心的方法对于用户满意度很重要,并且辅助技术服务的提供应该基于证据、系统且结构化。然而,以客户为中心的工具以及系统、结构化的模型并未得到一致使用。作为一个更大研究项目的一部分,开发并试点了一个基于证据、以客户为中心的辅助技术服务提供流程。本研究的目的是调查职业治疗师对这种基于证据、以客户为中心的辅助技术干预的看法。
来自丹麦两个市镇的十位职业治疗师参与了焦点小组。基于诠释学方法对数据进行了分析。
分析得出三个主题:与客户更精细的协作;使用理论框架、结构化模型和工具的优势以及使用该干预的挑战。
通过使用基于证据、以客户为中心的干预,职业治疗师发现与客户的协作更加精细——更多地强调了共同责任。他们发现从长远来看,该干预具有时间效率;然而,在设计包含认知受限客户的服务方面似乎存在特殊挑战。