Client-centred ADL intervention after stroke: Occupational therapists’ experiences
Sammanfattning
Background This study was conducted in the context of a randomized controlled trial evaluating
the effect of a client-centred activities in daily living intervention (CADL). The aim of the CADL was to
enable agency in daily activities and participation in everyday life among persons with stroke.
Objective This qualitative, longitudinal study aimed to describe how occupational therapists (OTs)
applied the CADL in their clinical practice by studying their experiences and reflections concerning
their interaction with the clients with stroke. Methods Six OTs who conducted the CADL were followed
through interviews and observations on four separate occasions over one year. Data were analysed
using a grounded theory approach. Results Sharing was the core category showing how the OTs
helped their clients to achieve agency in daily activities. Through sharing the situation the OTs
strove to obtain an empathetic understanding of the clients’ lived experience throughout the whole
intervention process in order to enable the clients’ ownership of their daily activities. Conclusion The
continuity of sharing seems to be the key for a gradual increase in agency. The approach of sharing
should preferably be applied by all members of the interprofessional team, including the client and
significant others.