Susanne Guidetti1, Gunilla Eriksson1,2, Lena von Koch1,3, Ulla Johansson1,4, Kerstin Tham1. 1. Department of Neurobiology, Care Sciences and Society, Division of Occupational Therapy, Karolinska Institutet, Stockholm, Sweden. 2. Department of Neuroscience, Rehabilitation Medicine, Uppsala University, Uppsala, Sweden. 3. Department of Neurology, Karolinska University Hospital, Stockholm, Sweden. 4. Centre for Clinical Research, Uppsala University/County Council of Gävleborg, Gävle, Sweden.
Abstract
BACKGROUND: An intervention that contains several interacting components can be defined as a complex intervention. This intervention was developed in accordance with the Medical Research Council (MRC) guidance for complex interventions. AIM: To describe the development, theoretical framework, and content of a client-centred activities in daily living intervention (CADL) for people with stroke. MATERIAL AND METHODS: Different steps were used; identifying the evidence base, identifying/developing theory and the modelling process and outcomes in the development of the CADL. The remodelling of the process and content of the intervention that emerged are defined. RESULTS: Findings from a series of qualitative studies of people with stroke demonstrated the need to develop an ADL intervention based on the clients' lived experiences. The theoretical framework is based on empirical research, theories about human occupation and client-centredness. The CADL is applying an occupational and phenomenological perspective in order to enable agency in daily activities and participation in everyday life among persons with stroke. CONCLUSIONS AND SIGNIFICANCE: The article can be used as an example of how to present the development and theoretical framework of a new complex intervention in occupational therapy.
BACKGROUND: An intervention that contains several interacting components can be defined as a complex intervention. This intervention was developed in accordance with the Medical Research Council (MRC) guidance for complex interventions. AIM: To describe the development, theoretical framework, and content of a client-centred activities in daily living intervention (CADL) for people with stroke. MATERIAL AND METHODS: Different steps were used; identifying the evidence base, identifying/developing theory and the modelling process and outcomes in the development of the CADL. The remodelling of the process and content of the intervention that emerged are defined. RESULTS: Findings from a series of qualitative studies of people with stroke demonstrated the need to develop an ADL intervention based on the clients' lived experiences. The theoretical framework is based on empirical research, theories about human occupation and client-centredness. The CADL is applying an occupational and phenomenological perspective in order to enable agency in daily activities and participation in everyday life among persons with stroke. CONCLUSIONS AND SIGNIFICANCE: The article can be used as an example of how to present the development and theoretical framework of a new complex intervention in occupational therapy.
Authors: Gunilla Eriksson; Malin Tistad; Marie Elf; Uno Fors; Lena von Koch; Charlotte Ytterberg; Susanne Guidetti Journal: BMJ Open Date: 2022-08-04 Impact factor: 3.006
Authors: Marco Antonio Raya-Ruiz; María Rodríguez-Bailón; Beatriz Castaño-Monsalve; Laura Vidaña-Moya; Ana Judit Fernández-Solano; José Antonio Merchán-Baeza Journal: PLoS One Date: 2022-10-07 Impact factor: 3.752