Client-Centred Rehabilitation - Arthritis Community Research ...

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Table of Contents
Executive Summary…………………………………..…………...…………………..3
Chapter 1: Background………………………...………………………………….….5
1.1 Arthritis Community Research & Evaluation Unit…………………………….…5
1.2 Partnership with the Rehabilitation Program Policy Unit………………………..5
1.3 Objectives……………………………………………………………………....…5
Chapter 2: Literature Review…………………………………………………...…..6
2.1 Literature Search Strategy………………………………………………………....6
2.2 Defining Client-Centred Rehabilitation…………………………………………...7
2.3 Professional/ Client Level Literature……………………………………………...9
2.3.1 Occupational Therapy Literature: Client-centred Practice………...….9
2.3.2 Medical Literature: Patient-Centred Care………………………..…..11
2.3.3 Nursing Literature: Patient Focused / Centred Care…………………14
2.4 Service / System level Literature…………………………………………….15
2.4.1 Hospital Literature: Patient Focused Care…………………………...15
2.4.2 Picker Institute: Patient-Centred Care……………………………….16
2.5 Measuring Client-Centred Rehabilitation: Client-Centred Tools………...….17
2.5.1 Canadian Occupational Performance Measure……………………....18
2.5.2 Goal Attainment Scaling…………………………………………..…18
2.5.3 Picker Questionnaires…………………………………………...…...19
2.5.4 Wascana Client-Centred Care Questionnaire…………………….….19
2.5.5 Consumer Assessment of Health Plans Study……………...………..20
2.6 Summary of the Literature Review…………………………………...……...20
Chapter 3: Focus Groups…………………………………………………...……….21
3.1 Focus Group Methodology………………………………………………....……22
3.1.1 Sampling for Focus Groups………………………………………..…..22
3.1.2 Setting…………………………………………………..……………...23
3.1.3 Procedure…………………………………………………..…….…….23
3.1.4 Client Focus Group Questions………….…………………..…….……23
3.1.5 Analysis………………………………………………..…………....….24
3.2 Focus Group Results……………………………....………………………..…....26
Chapter 4: Components of Client-Centred Rehabilitation……..…….….39
4.1 Individual Client Level……………………………………………………....…..39
4.2 Service / System Level……………………………………………..………….....40
4.3 Implications For the Rehabilitation Reference Group Framework…………..…..47