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Background <p>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.</p> Aims <p>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.</p> Material and methods <p>Study was conducted alongside a randomised controlled trial collecting data from clients and occupational therapists. Quantitative and qualitative data were analysed descriptively.</p> Results <p>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.</p> Conclusions <p>ABLE was feasible and acceptable in municipal rehabilitation services. Findings support potential for enhancing ADL ability among people with chronic conditions.</p> Significance <p>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.</p> Trial registration <p>Prospective registration on <a href="http://www.ClinicalTrials.gov">www.ClinicalTrials.gov</a> [registration date: 05/03/2020; identifier: NCT04 295837] prior to data collection that occurred between August 2020 and July 2021.</p>

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

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年1月1日

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  • Vita Hagelskjær,
  • Kristina Tomra Nielsen,
  • Tina René Frilev,
  • Cecilie von Bülow,
  • Eva Ejlersen Wæhrens

摘要

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 www.ClinicalTrials.gov [registration date: 05/03/2020; identifier: NCT04 295837] prior to data collection that occurred between August 2020 and July 2021.