Client participation in the rehabilitation process

In this dissertation we will examine the rehabilitation process when it comes to client participation. The Swedish version of a client-centred structure, the Canadian Occupational Performance Measure (COPM), is examined from the points of views of the clients, the occupational therapists as well as the members of a rehabilitation team. We have gathered data through diaries, the COPM, assessments of ability to carry out activities of daily living, mobility, self-assessments of pain and health, interviews with clients, staff, and focus groups interviews.The outcomes indicate that a structured technique is required to be able to improve clients’ active participation in goal creation.The Canadian Occupational Performance Measure COPM has high responsiveness to change over time. The application of the COPM improved client participation in the goal-formulation procedure, based on the outcomes from a research with experiment and control groups. The clients perceived that treatment goals were identified, they were able to recall the goals and felt that they were active participants. In addition they perceived they’d a better capability to manage following the rehabilitation period was completed when compared with clients in the control group. The clinical utility of the COPM was verified in focus-group interviews with occupational therapists. The occupational therapists perceived the Canadian Occupational Performance Measure COPM as useful in the goal-setting procedure and planning of treatment interventions. Despite the fact that problems are identified, they’re directly associated with, and formulated as, goals. Clients receive reviews on improvement over time. The Canadian Occupational Performance Measure COPM assures a client-centred technique, allows for communication inside the rehabilitation team, and stimulates therapists in their professional role. Therapists need understanding of the theoretical foundation of the instrument and have to create a personal interview technique…


Client participation
Client-centred practice
Goal formulation and planning
Measures of outcome
A model of client-centred practice in occupational therapy
A tool for client-centred practice in occupational therapy
Previous testing of the COPM
Previous studies on implementation of client-centred practice
Subjects and Methods in study I-V
Study I-V
Main findings
Methodological considerations
Reflections on practical implications

Source: Linkoping University

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