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Updated: Jan 30, 2026
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Published on: May 2, 2018
Content and delivery of occupation-centred problem-solving occupational therapy for people with chronic somatic
Vita Hagelskjær1,2,3, Kristina Tomra Nielsen1,2,4, Tina René Frilev3
1The Occupation-Centered Occupational Therapy Unit, The Parker Institute, Copenhagen University Hospital Bispebjerg-Frederiksberg, Copenhagen, Denmark.
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.
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