STRENGTH and the Health Care Team: changing interprofessional and client-centered practices

Gustafsson, Louise, Fleming, Jennifer, Cornwell, Petrea, Worrall, Linda and Brauer, Sandra (2014) STRENGTH and the Health Care Team: changing interprofessional and client-centered practices. Topics in Stroke Rehabilitation, 21 5: 413-420. doi:10.1310/tsr2105-413

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Author Gustafsson, Louise
Fleming, Jennifer
Cornwell, Petrea
Worrall, Linda
Brauer, Sandra
Title STRENGTH and the Health Care Team: changing interprofessional and client-centered practices
Journal name Topics in Stroke Rehabilitation   Check publisher's open access policy
ISSN 1074-9357
Publication date 2014-09
Year available 2014
Sub-type Article (original research)
DOI 10.1310/tsr2105-413
Open Access Status File (Publisher version)
Volume 21
Issue 5
Start page 413
End page 420
Total pages 8
Place of publication Leeds, W Yorks, United Kingdom
Publisher Maney Publishing
Collection year 2015
Language eng
Formatted abstract
Client-centered practice in stroke rehabilitation is strongly influenced by interprofessional team functioning and collaborative goal setting. The hospital context is problematic for client-centered practice and reduces the ability of the health care team and client with stroke to appreciate the impact of stroke on functioning within the home environment. Objective: The purpose of this study was to trial Stroke Rehabilitation Enhancing and Guiding Transition Home (STRENGTH), an approach to rehabilitation that provides clients, carers, and hospital-based therapists with weekly opportunities to develop goals and undertake therapy sessions in the home and community before hospital discharge. Methods: Nine participants, comprising 3 occupational therapists, 4 physiotherapists, and 2 speech pathologists, completed a custom-made survey and participated in a semi-structured focus group at the completion of the 6-month trial of STRENGTH. The survey and focus group questioned the participants on their experiences and impressions of STRENGTH. Results: Inductive thematic analysis of the focus group identified 2 themes: “influences of context on team functioning“ and “experiences of the program.” The quantitative data supported the value of STRENGTH for team functioning and client outcomes. Conclusions: The findings provide an overall endorsement for STRENGTH from the therapists’ perspectives and highlight the positive impact of environmental context on team functioning, collaborative goal setting, and ultimately client-centered practice.
Keyword Cerebro vascular disorders
Interprofessional Relations
Patient Centered Care
Stroke Rehabilitation
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2015 Collection
School of Health and Rehabilitation Sciences Publications
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Citation counts: TR Web of Science Citation Count  Cited 1 times in Thomson Reuters Web of Science Article | Citations
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