Client-Centred Rehabilitation - Arthritis Community Research ...

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25 What made the experience more difficult? 2) Client-centred care means that the services are organized around the needs of the client, and not the health professionals. Would you say that that describes your experiences in rehabilitation? Why/why not? (Probe into areas of screening, goal setting, referral, and community linkages) 3) To what extent did you feel that you were included in the decisions being made about your rehabilitation? Did you feel that your individual concerns were addressed? What did the professionals do that made you feel that way? 4) How would you change the rehabilitation services you received to make them more client-centred? What would you keep the same? 3.1.5 Analysis Data were analyzed using a Constant Comparative Approach (Strauss and Corbin, 1990). A coding scheme was developed using an iterative, inductive approach. The PI did initial open-coding of the focus groups and developed a preliminary coding scheme. Two research associates then each coded a focus group using this coding scheme. The PI and the two research associates then met to compare and contrast codes to finalize the coding scheme. Once a satisfactory level of agreement was reached, two researchers coded each focus group. They subsequently met to review the coding to ensure consistency in the definitions and interpretations of codes. The coding scheme was also reviewed by a research associate with a strong background in clientcentred care who was not affiliated with the project. Once coded, the data were entered into Ethnograph, a qualitative data software package. The data were then examined for common themes within and between participant groups.
26 Table 1: Demographics for Focus Group Participants AVERAGE LENGTH OF DISEASE 15 YEARS Average Length of Disease for each condition (in years) Spinal Cord Injury 16 Acquired Brain Injury 9 Multiple Sclerosis 20 COPD 7 Arthritis 18 GENDER DISTRIBUTION FOR ALL CONDITIONS MALE FEMALE 12 (43%) 16 (57%) Gender Distribution For Each Condition Male Female Spinal Cord Injury 3 0 Acquired Brain Injury 1 3 Multiple Sclerosis 1 1 COPD 4 1 Arthritis 3 11 AVERAGE AGE OF PARTICIPANTS IN YEARS (S.D.) 56 (13.5) Average Age of Participants For Each Condition Spinal Cord Injury 42 Acquired Brain Injury 47 Multiple Sclerosis 47 COPD 65 Arthritis 58
Page 1 and 2: ARTHRITIS COMMUNITY RESEARCH & EVAL
Page 3 and 4: 2 Table of Contents Executive Summa
Page 5 and 6: 4 Executive Summary Objectives ♦
Page 7 and 8: 6 Chapter 1: Background 1.1 Arthrit
Page 9 and 10: Articles considered relevant from t
Page 11 and 12: applicable to our conceptualization
Page 13 and 14: likert-type scale) 16 barriers to c
Page 15 and 16: 1990), checklists of physician=s an
Page 17 and 18: communication," giving insight into
Page 19 and 20: A national survey of acute care hos
Page 21 and 22: Although GAS usually involves devel
Page 23 and 24: Much of the work to date at the sys
Page 25: 3.1.2 Setting The SCI, ABI, MS, Hip
Page 29 and 30: 28 expertise. Rehab specialists don
Page 31 and 32: 30 ARTH #2 Preparation for life in
Page 33 and 34: 32 had been involved in goal settin
Page 35 and 36: 34 “.... But in terms of professi
Page 37 and 38: 36 readmission were important to ou
Page 39 and 40: 38 abrupt and left them feeling iso
Page 41 and 42: 40 Chapter 4: Components of Client-
Page 43 and 44: 42 continuum are aware of the roles
Page 45 and 46: 44 Family involvement Family involv
Page 47 and 48: 46 Table 3: System Level Indicators
Page 49 and 50: 48 In summary, there is no single m
Page 51 and 52: 50 ♦ Experimental designs evaluat
Page 53 and 54: 52 Carroll, L., Sullivan, F.M., & C
Page 55 and 56: 54 Guinn, R.M. (1993). Operational
Page 57 and 58: 56 Malec, J.F., Smigielski, J.S., &
Page 59 and 60: 58 Turnbull, J. (1998). Evaluating
Page 61 and 62: Validity: Chan and Lee (1997): Cont
Page 63 and 64: Law M, Polatajko H, Pollock N, McCo
Page 65 and 66: Advantages of GAS GAS is beneficial
Page 67 and 68: Picker survey data indicates proble
Page 69 and 70: Survey Program Survey Frequency: mo
Page 71 and 72: among different sub-populations (ch

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