Qualitative Exploration of a Client-Centered, Goal-Directed Approach to Community-Based Occupational Therapy for Adults With Traumatic Brain Injury

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Title Qualitative Exploration of a Client-Centered, Goal-Directed Approach to Community-Based Occupational Therapy for Adults With Traumatic Brain Injury
Author Doig, Emmah; Fleming, Jennifer; Cornwell, Petrea; Kuipers, Pim
Journal Name American Journal of Occupational Therapy
Year Published 2009
Place of publication United States
Publisher American Occupational Therapy Association, Inc.
Abstract OBJECTIVES. We explored the clinical application of goal-directed therapy in community-based rehabilitation from the perspective of clients with traumatic brain injury (TBI), their significant others, and their treating occupational therapists. METHOD. Twelve people with TBI and their significant others completed an outpatient, goal-directed, 12week occupational therapy program. Semistructured interviews with 12 participants, 10 significant others, and 3 occupational therapists involved in delivering the therapy programs explored their experiences of goal-directed therapy. RESULTS. Participants, their significant others, and therapists described goal-directed therapy positively, expressing satisfaction with progress made. CONCLUSION. Goals provide structure, which facilitates participation in rehabilitation despite the presence of barriers, including reduced motivation and impaired self-awareness. A therapist-facilitated, structured, goal-setting process in which the client, therapist, and significant others work in partnership can enhance the process of goal setting and goal-directed rehabilitation in a community rehabilitation context.
Peer Reviewed Yes
Published Yes
Alternative URI http://dx.doi.org/10.5014/ajot.63.5.559
Copyright Statement Copyright 2009 AOTA. The attached file is reproduced here in accordance with the copyright policy of the publisher. Please refer to the journal's website for access to the definitive, published version.
Volume 63
Issue Number 5
Page from 559
Page to 568
ISSN 0272-9490
Date Accessioned 2011-07-25
Date Available 2011-10-24T07:26:30Z
Language en_AU
Research Centre Griffith Health Institute
Faculty Griffith Health Faculty
Subject Clinical Sciences
URI http://hdl.handle.net/10072/39947
Publication Type Journal Articles (Refereed Article)
Publication Type Code c1x

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