An Investigation of Occupational Therapists' and Physical Therapists' Perspectives on the Process of Change That Occurs among Clients during Rehabilitation, Including Their Use of Response Shift and Transformative Learning.
In: Physiotherapy Canada, Jg. 71 (2019-10-01), Heft 4, S. 355-366
Online
academicJournal
Zugriff:
Purpose: A significant change in one's health status creates a process of change that has an impact on one's health-related quality of life. This process has been conceptualized in several theories, including response shift (RS) and transformative learning (TL). The purpose of this study was to investigate occupational therapists' and physical therapists' perspectives on the process of change that occurs in clients during rehabilitation. Method: An interpretive description approach guided this study. Five profession-specific focus groups were conducted. Participants were asked about their ideas, thoughts, and understanding of processes of change. Focus group discussions were recorded and transcribed. Data analysis was carried out using both inductive and deductive methods. Results: Participants were 14 physiotherapists and nine occupational therapists with 5–30 years of experience in rehabilitation settings. Participants recognized personal change in clients and noted that it involves many steps. They tried to facilitate this change by identifying signs of readiness. Without using theory-specific terminology, participants described observing and using concepts of RS and TL. Conclusions: Occupational therapists and physiotherapists play an important role in helping people learn to live with their chronic illnesses and disabilities. Further studies are needed to investigate how therapists can facilitate the process of change, including using RS and TL concepts and how this facilitation could improve clients' health-related quality of life. [ABSTRACT FROM AUTHOR]
Objectif : une modification importante à l'état de santé crée un processus de changement qui influe sur la qualité de vie liée à la santé. Ce processus a été conceptualisé à l'aide de plusieurs théories, y compris le changement de réponse (CR) et l'apprentissage transformationnel (AT). La présente étude vise à explorer le point de vue des ergothérapeutes et des physiothérapeutes à l'égard du processus de changement observé chez les clients pendant la réadaptation. Méthodologie : les chercheurs de la présente étude ont adopté une approche descriptive et interprétative. Ils ont organisé cinq groupes de travail propres aux professions. Ils ont invité les participants à confier leurs idées, leurs réflexions et leur compréhension des processus de changement. Ils ont enregistré et transcrit les discussions des groupes de travail et procédé à l'analyse des données par des méthodes inductives et déductives. Résultats : quatorze physiothérapeutes et neuf ergothérapeutes ayant de cinq à trente ans d'expérience en réadaptation ont participé à l'étude. Ils constataient des changements personnels chez les clients, qui se faisaient en plusieurs étapes. Ils tentaient de les faciliter en repérant les signes de réceptivité. Sans utiliser de terminologie théorique, ils ont décrit avoir observé et utilisé les concepts de RC et d'AT. Conclusions : les ergothérapeutes et les physiothérapeutes jouent un rôle important pour aider les gens à vivre avec leurs maladies et incapacités chroniques. D'autres études s'imposent pour explorer comment les thérapeutes peuvent faciliter un processus de changement, y compris le recours aux concepts de RC et d'AT, et établir en quoi cette facilitation peut améliorer la qualité de vie liée à la santé des clients. [ABSTRACT FROM AUTHOR]
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Titel: |
An Investigation of Occupational Therapists' and Physical Therapists' Perspectives on the Process of Change That Occurs among Clients during Rehabilitation, Including Their Use of Response Shift and Transformative Learning.
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Autor/in / Beteiligte Person: | King, Judy ; Barclay, Ruth ; Ripat, Jacquie ; Dubouloz, Claire-Jehanne ; Schwartz, Carolyn E. |
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Zeitschrift: | Physiotherapy Canada, Jg. 71 (2019-10-01), Heft 4, S. 355-366 |
Veröffentlichung: | 2019 |
Medientyp: | academicJournal |
ISSN: | 0300-0508 (print) |
DOI: | 10.3138/ptc-2018-0047 |
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