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Title: An exploration of client-centred practice in occupational therapy : perspectives and impact
Author: Parker, Davina Margaret
ISNI:       0000 0004 2741 7391
Awarding Body: University of Birmingham
Current Institution: University of Birmingham
Date of Award: 2013
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Client-centred practice underpins Occupational Therapy and is defined as a partnership between the client and therapist that empowers a client to fulfil his/her occupational roles in a variety of environments. Given the importance of this approach, there has been limited exploration of what therapists and clients experience of this approach. A mixed method design examining the view of the clients and therapists was undertaken using; a systematic review to examine worldwide evidence of a clientcentred outcomes measure, a survey of a sample of therapists’ experiences and individual client and therapist interviews. Findings from this programme of work revealed that the clients’ perspective of client-centred practice was the value they placed on the attitude and behaviour of the therapist, communicating respect and treating them as equals. Therapists valued partnership but were challenged in establishing a relationship with the client and failed to negotiate goals with them. Using a client-centred outcomes measure (the COPM) reinforced partnership, demonstrated joint goal setting and evaluated client satisfaction. Implications for practice; training needed in client-centred practice, theoretical models, interviewing, risk assessment, goal negotiation and use of outcome measures. Communication, use of language and documentation should be clientcentred and reflect the client’s needs.
Supervisor: Not available Sponsor: Not available
Qualification Name: Thesis (Ph.D.) Qualification Level: Doctoral
EThOS ID:  DOI: Not available
Keywords: R Medicine (General) ; RA Public aspects of medicine