Determining whether occupational therapy goals match between pairs of occupational therapists and their clients: a cross-sectional study

Saito, Yuki; Tomori, Kounosuke; Sawada, Tatsunori; Takahashi, Satoshi; Nakatsuka, Satoshi; Sugawara, Hitoshi; Yaginuma, Takahiro; Satō, Tomomi; Kumagai, Atsushi; Nishimaki, Satomi; Hirano, Yuri; Wauke, Yoshinori; Weatherall, Mark; Levack, William

doi:10.1080/09638288.2019.1643417

Cited by 7 publications

(14 citation statements)

References 23 publications

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Section: Discussionmentioning

confidence: 99%

“…Prior studies have identified that OTs, like all health professions, struggle to develop a common understanding of treatment goals with their clients (Holliday et al, 2005; Maitra and Erway, 2006; Saito et al, 2021). For instance, Saito et al (2021) analysed perspectives on goals from 100 clients and 79 OTs from seven subacute rehabilitation wards in Japan and found that while both the OTs and clients perceived that they engaged in goal setting together, only 21% of reported goals actually matched between pairs of OTs and clients. These difficulties in developing a shared understanding of person-centred goal setting could be similar to the difficulty that clients have in selecting the kinds of areas of occupational performance that treating OTs expect when applying the COPM assessment.…”

Section: Discussionmentioning

confidence: 99%

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Information bias in the Canadian occupational performance measure: A qualitative study

Sawada

Tomori

Ohno

et al. 2022

British Journal of Occupational Therapy

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Purpose The Canadian Occupational Performance Measure (COPM) is designed to measure outcomes from client-centred occupational therapy. We explored clients’ views and experiences of participating in an initial COPM assessment in order to examine the potential information bias which may influence COPM scores. Material and methods We used qualitative methods to analyse semi-structured interviews (qualitative thematic analysis) on clients at a typical Japanese rehabilitation hospital, to examine the potential information bias affecting their scores in their initial COPM assessment. Results 19 of 20 clients (13 men; 7 women, aged 19–84 years) demonstrated potential sources of information bias in their COPM scores. We identified 15 sources of information bias, grouped into three domains: (1) bias during the selection of occupational areas (Misunderstanding client-centeredness, Misunderstanding meaningfulness, Misunderstanding occupation, and Composite occupations), (2) bias during the scoring of performance and satisfaction (Imaginary scores, Confusing scores of performance or satisfaction with importance, Ambiguous scores, Hopeful scores, Target scores, Emotional scores, Considerate scores and Humbleness scores) and (3) bias interfering future scoring (Changes in selected occupation, Forgotten scores, Ceiling effects). Conclusion This study identifies potential sources of bias affecting COPM scores, and taking account of this result would facilitate better collaboration with clients through COPM.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Information bias in the Canadian occupational performance measure: A qualitative study

Sawada

Tomori

Ohno

et al. 2022

British Journal of Occupational Therapy

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“…1 In goal setting, therapists may even risk a mismatch of goals and expectations towards the focus of therapy if they fail to practice client involvement and shared decision making. 6 As such, Occupational Therapists (OTs) have the responsibility of fostering a collaborative relationship with clients to communicate the scope of intervention possibilities and build mutual understanding and perspective with the client in enhancing occupational performance.…”

Section: Introductionmentioning

confidence: 99%

Building Occupational Alliance for Therapy (BOAT) Model

Racho¹,

Choa²,

Barrera³

et al. 2022

PJAHS

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Occupational Therapy (OT) is a profession that is not easily understood, leading to limited appreciation and misunderstanding of its therapeutic scope and areas of concern. The BOAT Model was created to guide therapists in establishing a therapeutic alliance with clients for the purpose of eliciting mutual concern, perception, and understanding of the client's unique occupational performance issues (OPI). The model also aims to help enhance the appreciation for OT services. Two specific steps were provided as a process in achieving the outcomes stated, namely Establish and Converse. The use of appropriate therapeutic interactive styles and modes outlined in the IRM were incorporated into the model. At the end of the process, the identified OPI using the COPM will be used to advise the creation of an occupation-based evaluation and intervention that is more relevant and meaningful for the client.

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“…Studies have shown that perceptions of the goal-setting process and outcomes differ between therapists and pat ients. 11,12,16,17 Despite striving for a collaborative nature of goal setting between the therapist and the patient, at some point in establishing or enacting the plan of care (POC), therapist/patient perspectives can diverge. Common points of divergence include patients do not perceive the purpose of clinic intervention as related to their goals, 3 while therapists perceive patients' goals as vague and broad.…”

mentioning

confidence: 99%

“…Studies have shown that perceptions of the goal-setting process and outcomes differ between therapists and patients 11,12,16,17. Despite striving for a collaborative nature of goal setting between the therapist and the patient, at some point in establishing or enacting the plan of care (POC), therapist/patient perspectives can diverge.…”

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confidence: 99%

Reasons Affecting the Choice of Patient-Identified Goals Set by Occupational Therapists in Low Vision Rehabilitation

Smith¹

2022

Topics in Geriatric Rehabilitation

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Background: Goal setting is done in collaboration with the patient, but patient-identified (PID) goals are not always addressed. The purpose of this study was to determine reasons PID goals are not set in low-vision rehabilitation and for which tasks. Methods: Occupational therapists completed an individualized survey to determine from 15 probable reasons why they did not set a PID for specific tasks. Results and Conclusion: PID goals were not set for 3 activities of daily living, 13 instrumental activities of daily living, 4 social participation, and 10 leisure tasks. Further research is needed to understand how prioritization of PID goals differs between therapists and patients.

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Determining whether occupational therapy goals match between pairs of occupational therapists and their clients: a cross-sectional study

Cited by 7 publications

References 23 publications

Information bias in the Canadian occupational performance measure: A qualitative study

Information bias in the Canadian occupational performance measure: A qualitative study

Building Occupational Alliance for Therapy (BOAT) Model

Reasons Affecting the Choice of Patient-Identified Goals Set by Occupational Therapists in Low Vision Rehabilitation

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