Content and delivery of occupation-centred problem-solving occupational therapy for people with chronic somatic conditions: A process evaluation of ABLE 2.0.

Background: People with chronic conditions often experience decreased ability to perform activities of daily living (ADL). ABLE is a structured, client-centred, occupational therapy programme developed to address ADL ability using adaptational strategies. Aims: Evaluate the feasibility of ABLE in te...

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Publicado en:Scandinavian Journal of Occupational Therapy Vol. 32; no. 1; pp. 1 - 17
Autores principales: Hagelskjær, Vita, Nielsen, Kristina Tomra, Frilev, Tina René, von Bülow, Cecilie, Wæhrens, Eva Ejlersen
Formato: research tables/charts Journal Article
Publicado: Springer Nature Jan2025
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jan2025
      vid: 32
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      pub: Springer Nature
      place: New York, New York
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        10.1080/11038128.2026.2619344
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        atl: Content and delivery of occupation-centred problem-solving occupational therapy for people with chronic somatic conditions: A process evaluation of ABLE 2.0.
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          Hagelskjær, Vita
          Nielsen, Kristina Tomra
          Frilev, Tina René
          von Bülow, Cecilie
          Wæhrens, Eva Ejlersen
        affil: The Occupation-Centered Occupational Therapy Unit, The Parker Institute, Copenhagen University Hospital Bispebjerg-Frederiksberg, Copenhagen, Denmark
      sug:
        subj:
          Chronic Disease Rehabilitation
          Home Occupational Therapy Methods
          Problem Solving
          Health Care Delivery
          Patient Centered Care
          Program Evaluation
          Human
          Male
          Female
          Denmark
          Pilot Studies
          Descriptive Statistics
          Funding Source
          Data Analysis Software
          Goal Attainment
          Activities of Daily Living
          Therapeutic Alliance
          Male
          Female
      ab: Background: People with chronic conditions often experience decreased ability to perform activities of daily living (ADL). ABLE is a structured, client-centred, occupational therapy programme developed to address ADL ability using adaptational strategies. Aims: Evaluate the feasibility of ABLE in terms of content and delivery, i.e., intervention development and components, mechanisms of action, perceived value, feasibility in practice, and fidelity. Material and methods: Study was conducted alongside a randomised controlled trial collecting data from clients and occupational therapists. Quantitative and qualitative data were analysed descriptively. Results: ABLE was delivered with high fidelity and perceived meaningful and satisfactory. Goals were attained in 55 out of 64 cases (86%). Key mechanisms included standardised ADL evaluations, collaborative goal setting, and adaptational strategies. Minor deviations occurred, and goal setting posed challenges. Conclusions: ABLE was feasible and acceptable in municipal rehabilitation services. Findings support potential for enhancing ADL ability among people with chronic conditions. Significance: This study adds to a comprehensive evidence base for ABLE and informs future implementation, highlighting the importance of training in goal setting and standardised evaluation. Trial registration: Prospective registration on [registration date: 05/03/2020; identifier: NCT04 295837] prior to data collection that occurred between August 2020 and July 2021.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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