Uncovering the experiences of engaging in an inpatient occupation-based group program: The LifeSkills group

Scand J Occup Ther. 2023 Feb;30(2):251-260. doi: 10.1080/11038128.2022.2081604. Epub 2022 Jun 2.

Abstract

Background: Consumer engagement is an important element for developing and maintaining value-based healthcare standards. Occupation-based practice in the context of a group has been adopted by inpatient rehabilitation clinicians, but little research has explored if these groups are valuable and useful to patients.

Aims/objectives: To explore the experiences of patients participating in an occupation-based group intervention for instrumental activities of daily living to understand its value and usefulness in an inpatient rehabilitation setting.

Material and methods: Interpretive description guided the development of the study. Semi-structured interviews were completed with 15 participants of an occupation-based group, the LifeSkills group. Comparative analysis was used to analyse the data and develop themes.

Results: Five themes were reported by participants: choice and control, confidence through doing, a real-world connection, the power of the therapeutic relationship and the impact of the shared experience.

Conclusions and significance: In line with current rehabilitation literature, patient experiences around client-centredness, occupational engagement in a 'real-world' environment, and valued relationships can be facilitated through an occupation-based group. This study supports the implementation of valued-based healthcare in understanding patient perceptions of occupation-based interventions into rehabilitation; ensuring that the right intervention is being used at the right time for the right patient.

Keywords: Occupation-based practice; groups; qualitative research; rehabilitation; value-based healthcare.

MeSH terms

  • Activities of Daily Living*
  • Humans
  • Inpatients
  • Occupational Therapy*
  • Occupations
  • Qualitative Research