Implementing a client-centred approach in rehabilitation: an autoethnography

Area of Science:

• Rehabilitation Science
• Clinical Psychology
• Qualitative Research Methods

Background:

• Client-centred practice is a cornerstone of effective rehabilitation.
• Implementation strategies for client-centred care remain underexplored.
• This study examines operationalizing client-centred practice within a clinical trial.

Purpose of the Study:

• To explore the practical implementation of client-centred practice.
• To understand how client-centredness was operationalized during a goal-setting intervention trial.

Main Methods:

• Co-autoethnography utilizing personal experiences of clinical researchers.
• Data collection through group discussions and written reflections.
• Thematic analysis and coding to identify key themes.

Main Results:

• Client-centred practice was primarily operationalized through deep listening to understand client meaning.
• Four key strategies emerged: mindful listening, allocating sufficient time, supporting client prioritization, and reframing the therapist's role.
• These strategies facilitate understanding what is meaningful to clients.

Conclusions:

• A 'being with' approach, rather than 'doing to,' enhances client engagement in rehabilitation.
• Practical strategies for fostering client-centred practice have been identified.
• These findings align with client-reported needs and desires for rehabilitation services.