Benjamin Turner1, Tamara Ownsworth, Petrea Cornwell, Jennifer Fleming. 1. Division of Occupational Therapy, School of Health and Rehabilitation Sciences, Therapies Building, University of Queensland, St. Lucia, Queensland 4072 Australia. b.turner2@uq.edu.au
Abstract
OBJECTIVE: To explore people's lived experiences of reengagement in meaningful occupations during the hospital-to-home transition phase after acquired brain injury (ABI). METHOD: Participants included 20 people with ABI and 18 family caregivers. On the basis of a phenomenological approach, data collection entailed in-depth semistructured interviews at predischarge and 1 and 3 months postdischarge. Thematic analysis of interview transcripts involved open, axial, and selective coding techniques. RESULTS: Two primary themes emerged from the analysis: desired versus actual participation and struggle for independence. Theme 1 depicts the key occupations of importance to people and their caregivers during transition and explores desired and actual participation in occupations. Theme 2 highlights the struggle to regain independence and the differing perspectives of the 2 participant groups concerning this process. CONCLUSION: Clinical practice implications relate to client-centered goal setting, contexts and environments in which therapy occurs, and provision of information to patients and families.
OBJECTIVE: To explore people's lived experiences of reengagement in meaningful occupations during the hospital-to-home transition phase after acquired brain injury (ABI). METHOD:Participants included 20 people with ABI and 18 family caregivers. On the basis of a phenomenological approach, data collection entailed in-depth semistructured interviews at predischarge and 1 and 3 months postdischarge. Thematic analysis of interview transcripts involved open, axial, and selective coding techniques. RESULTS: Two primary themes emerged from the analysis: desired versus actual participation and struggle for independence. Theme 1 depicts the key occupations of importance to people and their caregivers during transition and explores desired and actual participation in occupations. Theme 2 highlights the struggle to regain independence and the differing perspectives of the 2 participant groups concerning this process. CONCLUSION: Clinical practice implications relate to client-centered goal setting, contexts and environments in which therapy occurs, and provision of information to patients and families.
Authors: Jennifer C Tomaszczyk; Nathaniel L Green; Diana Frasca; Brenda Colella; Gary R Turner; Bruce K Christensen; Robin E A Green Journal: Neuropsychol Rev Date: 2014-11-25 Impact factor: 7.444