Longitudinal Process of Setting and Achieving Activity- and Participation-Level Goals in Home Rehabilitation in Japan: A Qualitative Study Using Trajectory Equifinality Modeling

Yuki Saito (), Kounosuke Tomori, Tatsunori Sawada and Kanta Ohno
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Yuki Saito: Department of Rehabilitation Science, Division of Occupational Therapy, Sendai Seiyogakuin College, Miyagi 984-0022, Japan
Kounosuke Tomori: Department of Occupational Therapy, School of Health Science, Tokyo University of Technology, Tokyo 152-8550, Japan
Tatsunori Sawada: Department of Occupational Therapy, School of Health Science, Tokyo University of Technology, Tokyo 152-8550, Japan
Kanta Ohno: Department of Occupational Therapy, School of Health Science, Tokyo University of Technology, Tokyo 152-8550, Japan

IJERPH, 2023, vol. 20, issue 9, 1-13

Abstract: This study aimed to clarify the longitudinal goal negotiation and collaboration process of achieving activity- and participation-level goals. We conducted a qualitative study using the trajectory equifinality model. Nine occupational therapists with experience in setting and achieving activity- and participation-level goals were recruited and interviewed about their clients. We identified two phases and four pathways in the setting and attainment process for activity- and participation-level goals. Throughout the longitudinal goal-setting process, when the occupational therapist and client had difficulty discussing activity- and participation-level goals, the therapist respected the client’s expectations, explained the purpose of occupational therapy in detail, and conducted individual face-to-face interviews. When it was difficult to provide work-based interventions, the occupational therapist made flexible use of functional training, elemental movement training, occupation-based practice, and environmental modifications. The results of this study may assist in supporting clients to improve their activity and participation in home rehabilitation.

Keywords: home rehabilitation; trajectory equifinality modeling; goal setting; goal attainment (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2023
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