Publications

Centre for Remote Health

Qualitative Exploration of a client-centred, goal-directed approach to community-based occupational therapy for adults with traumatic brain injury

Year:
2009
Type of Publication:
Article
Keywords:
brain injuriescommunity health servicesgoalspatient participationrehabilitation
Authors:
  • Doig E
  • Fleming J
  • Cornwell L
  • Kuipers P
Journal:
the American journal of Occupational therapy
Volume:
63
Number:
5
Pages:
559-568
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, 12-week 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, goalsetting process in which the client, therapist, and significant others work in partnership can enhance