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Training in client-centeredness enhances occupational therapist documentation on goal setting and client participation in goal setting in the medical records of people with stroke
- Source :
- Clinical Rehabilitation
- Publication Year :
- 2015
- Publisher :
- SAGE Publications, 2015.
-
Abstract
- Objective: 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.
- Subjects :
- Occupational therapy
Adult
030506 rehabilitation
medicine.medical_specialty
Adolescent
medicine.medical_treatment
Physical Therapy, Sports Therapy and Rehabilitation
Context (language use)
Medical Records
Patient Care Planning
law.invention
rehabilitation
03 medical and health sciences
Young Adult
0302 clinical medicine
Documentation
Randomized controlled trial
Nursing
Occupational Therapy
law
Patient-Centered Care
medicine
Humans
030212 general & internal medicine
Patient participation
Goal setting
Aged
goal setting
Rehabilitation
business.industry
Medical record
Stroke Rehabilitation
Evaluative Studies
Middle Aged
Stroke
patient-centred care
Physical therapy
Patient Participation
0305 other medical science
business
Subjects
Details
- Language :
- English
- ISSN :
- 14770873 and 02692155
- Volume :
- 30
- Issue :
- 12
- Database :
- OpenAIRE
- Journal :
- Clinical Rehabilitation
- Accession number :
- edsair.doi.dedup.....a97aa47631bc6471382cb65a16d8e5ec