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The client-centred approach as experienced by male neurological rehabilitation clients in occupational therapy : a qualitative study based on a grounded theory tradition

(2016) DISABILITY AND REHABILITATION. 38(16). p.1567-1577
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Abstract
Purpose: To explore the perspectives of male clients in a neurological rehabilitation setting with regard to the occupational therapy they have received and the client-centred approach. Method: This study involved a qualitative research design based on the grounded theory tradition. Individual in-depth interviews were used to collect data. Data were analysed using a constant comparative method. Seven male participants from an inpatient neurological setting were included using a theoretical sampling technique. Results: Three themes emerged to describe the approach of the therapists to client-centred practice: (a) a shared biomedical focus as the start of the rehabilitation process, (b) the un-simultaneous shift from a biomedical towards a psycho-social focus and (c) formal versus informal nature of gathering client information. Conclusion: A client-centred approach entails a shift from the therapist focussing on recovery from the short-term neurological issues towards the long-term consequences of the disease. According to the client, this shift in reasoning must occur at a specific and highly subjective moment during the rehabilitation process. Identifying this moment could strengthen the client-centred approach.
Keywords
Client-centred practice, neurological rehabilitation, qualitative research, SPINAL-CORD-INJURY, STROKE REHABILITATION, PATIENTS PERSPECTIVE, PATIENT, CARE, SELF, RECOVERY, ILLNESS, BODY

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Chicago
Van de Velde, Dominique, Ignaas Devisch, and PATRICIA DE VRIENDT. 2016. “The Client-centred Approach as Experienced by Male Neurological Rehabilitation Clients in Occupational Therapy : a Qualitative Study Based on a Grounded Theory Tradition.” Disability and Rehabilitation 38 (16): 1567–1577.
APA
Van de Velde, Dominique, Devisch, I., & DE VRIENDT, P. (2016). The client-centred approach as experienced by male neurological rehabilitation clients in occupational therapy : a qualitative study based on a grounded theory tradition. DISABILITY AND REHABILITATION, 38(16), 1567–1577.
Vancouver
1.
Van de Velde D, Devisch I, DE VRIENDT P. The client-centred approach as experienced by male neurological rehabilitation clients in occupational therapy : a qualitative study based on a grounded theory tradition. DISABILITY AND REHABILITATION. 2016;38(16):1567–77.
MLA
Van de Velde, Dominique, Ignaas Devisch, and PATRICIA DE VRIENDT. “The Client-centred Approach as Experienced by Male Neurological Rehabilitation Clients in Occupational Therapy : a Qualitative Study Based on a Grounded Theory Tradition.” DISABILITY AND REHABILITATION 38.16 (2016): 1567–1577. Print.
@article{7089399,
  abstract     = {Purpose: To explore the perspectives of male clients in a neurological rehabilitation setting with regard to the occupational therapy they have received and the client-centred approach.
Method: This study involved a qualitative research design based on the grounded theory tradition. Individual in-depth interviews were used to collect data. Data were analysed using a constant comparative method. Seven male participants from an inpatient neurological setting were included using a theoretical sampling technique.
Results: Three themes emerged to describe the approach of the therapists to client-centred practice: (a) a shared biomedical focus as the start of the rehabilitation process, (b) the un-simultaneous shift from a biomedical towards a psycho-social focus and (c) formal versus informal nature of gathering client information.
Conclusion: A client-centred approach entails a shift from the therapist focussing on recovery from the short-term neurological issues towards the long-term consequences of the disease. According to the client, this shift in reasoning must occur at a specific and highly subjective moment during the rehabilitation process. Identifying this moment could strengthen the client-centred approach.},
  author       = {Van de Velde, Dominique and Devisch, Ignaas and DE VRIENDT, PATRICIA},
  issn         = {0963-8288},
  journal      = {DISABILITY AND REHABILITATION},
  keyword      = {Client-centred practice,neurological rehabilitation,qualitative research,SPINAL-CORD-INJURY,STROKE REHABILITATION,PATIENTS PERSPECTIVE,PATIENT,CARE,SELF,RECOVERY,ILLNESS,BODY},
  language     = {eng},
  number       = {16},
  pages        = {1567--1577},
  title        = {The client-centred approach as experienced by male neurological rehabilitation clients in occupational therapy : a qualitative study based on a grounded theory tradition},
  url          = {http://dx.doi.org/10.3109/09638288.2015.1107628},
  volume       = {38},
  year         = {2016},
}

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