Research Reports - Client-centred practice: Perspectives of persons with a traumatic brain injury

Scand J Occup Ther. 2015 Jun 20:1-9

D'Cruz K(1), Howie L, Lentin P.

BACKGROUND: Client-centred practice is well established as a core foundation of
occupational therapy; however, there is little research evidence concerning the
client experience.
OBJECTIVES: To understand client-centred practice from the perspective of adults
with a traumatic brain injury (TBI) participating in community-based occupational
METHODS: Six adults with a moderate-severe TBI participated in two
semi-structured, qualitative interviews each. In total 12 interview transcripts
and additional data were coded using constructivist grounded theory methods.
RESULTS: Data analysis produced three main themes and sub-themes: (i)
Experiencing the client-therapist relationship: Seeing me as the person I was;
Getting to know me in the now; Making a positive connection; (ii) Actively
participating in therapy: Valuing the therapist; Being partners in therapy; and
(iii) Finding my place in life: Adjusting to who I am now and Sharing my journey.
CONCLUSION: The results present a framework for understanding client-centred
practice as a person-centred process of engagement between the client and the
therapist, as informed from the client perspective.
SIGNIFICANCE: Occupational therapists are encouraged to value and invest in the
development of relationships with clients whilst the importance of seeking and
integrating the client perspective into practice and research is affirmed for the

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