The Assessment of Client’s Enablement (ACE) was developed to help occupational therapists address perceived differences with clients. However, its clinical utility in promoting collaboration has not been empirically studied.
Method:
This qualitative descriptive study involved semi-structured interviews with experienced occupational therapists who had used ACE in clinical practice. Transcribed data were analysed using the Steps for Coding and Theorization (SCAT) method.
Results:
Seven occupational therapists participated. ACE was perceived to facilitate mutual understanding and dialogue by making differences in perceptions of therapists and clients more visible. Three central themes were identified: (1) clinical characteristics and uses of ACE, including ease of integration into practice, provision of visual feedback and use as a complementary tool; (2) observed changes in both clients and therapists, including increased client insight, more active engagement and enhanced professional reflection; and (3) the promotion of collaborative processes, such as shared goal setting, improved communication and trust building. Participants emphasised the importance of appropriate timing and sensitivity to client characteristics to ensure ACE was used effectively and ethically.
Conclusion:
This study provides preliminary insight into how ACE may support collaboration in occupational therapy.
AlotaibiMAAlhowimelASAlodaibiFA, et al. (2023) The practice of shared decision-making among physiotherapists and patients with musculoskeletal conditions. Journal of Multidisciplinary Healthcare16: 2655–2665.
2.
AndersonRLDobleSEMerrittBK, et al. (2010) Assessment of awareness of disability measures among persons with acquired brain injury. Canadian Journal of Occupational Therapy77(1): 22–29.
3.
Che-DaudAZYauMKBarnettF, et al. (2016) Integration of occupation-based intervention in hand injury rehabilitation: A randomized controlled trial. Journal of Hand Therapy29(1): 30–40.
4.
ColquhounHLIslamRSullivanKJ, et al. (2020) Behaviour change domains likely to influence occupational therapist use of the Canadian Occupational Performance Measure. Occupational Therapy International2020: 3549835.
5.
DawsonDRBinnsMAHuntA, et al. (2013) Occupation-based strategy training for adults with traumatic brain injury: A pilot study. Archives of Physical Medicine and Rehabilitation94(10): 1959–1963.
6.
DawsonDRRichardsonJTroyerA, et al. (2014) An occupation-based strategy training approach to managing age-related executive changes: A pilot randomized controlled trial. Clinical Rehabilitation28(2): 118–127.
7.
GraffMJVernooij-DassenMJThijssenM, et al. (2006) Community-based occupational therapy for patients with dementia and their caregivers: Randomised controlled trial. BMJ333(7580): 1196.
8.
IwaiNAoyagiYTokuhisaK, et al. (2011) The gaps between capability ADL and performance ADL of stroke patients in a convalescent rehabilitation ward–based on the functional independence measure. Journal of Physical Therapy Science23(2): 333–338.
JoyceCRZutshiDWHrubesV, et al. (1975) Comparison of fixed interval and visual analogue scales for rating chronic pain. European Journal of Clinical Pharmacology8(6): 415–420.
11.
KitahashiTSawadaTOhnoK, et al. (2018) Promoting collaboration between client and occupational therapist by using ACE (Assessment of Client’s Enablement): A case study. Japanese Clinical Occupational Therapy Research4: 7–12. (in Japanese)
12.
KottorpAPeterssonI (2011) Psychometric evaluation of an assessment of awareness using two different Rasch models. Scandinavian Journal of Occupational Therapy18(3): 219–230.
13.
LawMBaptisteSMcCollM, et al. (1990) The Canadian occupational performance measure: An outcome measure for occupational therapy. Canadian Journal of Occupational Therapy57(2): 82–87.
14.
LawMBaptisteSAnneC, et al. (2014) The Canadian Occupational Performance Measure, 5th edn. Toronto, ON, Canada: Canadian Association of Occupational Therapy Publication.
15.
MaitraKKErwayF (2006) Perception of client-centered practice in occupational therapists and their clients. American Journal of Occupational Therapy60(3): 298–310.
16.
McCollMALawMBaptisteS, et al. (2005) Targeted applications of the Canadian Occupational Performance Measure. Canadian Journal of Occupational Therapy72(5): 298–300.
17.
MitsuyamaTSonDEtoM (2018) Competencies required for general practitioners/family physicians in urban areas versus non-urban areas: A preliminary study. BMC Family Practice19: 186.
18.
NjelesaniJGTeachmanEDurocherY, et al. (2015) Thinking critically about client-centred practice and occupational possibilities across the lifespan. Scandinavian Journal of Occupational Therapy22(4): 252–259.
19.
OhnoKOiRHaradaA, et al. (2024) Response shifts in the Canadian Occupational Performance Measure: A convergent mixed-methods study. American Journal of Occupational Therapy78(3): 7803205100.
20.
OhnoKTomoriKSawadaT, et al. (2021) Measurement properties of the Canadian Occupational Performance Measure: A systematic review. American Journal of Occupational Therapy75(6): 7506205100.
21.
OhtaniT (2008) ‘SCAT’ a qualitative data analysis method by four-step coding: Easy startable and small-scale data-applicable process of theorization. Bulletin of the Graduate School of Education and Human Development Nagoya University54: 27–44. (in Japanese)
22.
SaitoYTomoriKSawadaT, et al. (2021) Determining whether occupational therapy goals match between pairs of occupational therapists and their clients: A cross-sectional study. Disability and Rehabilitation43(6): 828–833.
23.
SawadaTKitahashiTKoseA, et al. (2018) Reliability and validity of the Assessment of Client’s Enablement (ACE). British Journal of Occupational Therapy81(7): 369–375.
24.
SawadaTTomoriKOhnoK, et al. (2022) Information bias in the Canadian Occupational Performance Measure: A qualitative study. British Journal of Occupational Therapy85(9): 722–732.
25.
SawadaTOhKNamikiM, et al. (2023) The conceptual analysis of collaboration in occupational therapy by combining the scoping review methodology. International Journal of Environmental Research and Public Health20(11): 6055.
26.
SoemantriDFindyartiniAMustikaR, et al. (2023) Looking beyond the COVID-19 pandemic: the recalibration of student-teacher relationships in teaching and learning process. Medical Education Online28(1): 2259162.
27.
SturkenboomIHGraffMJHendriksJC, et al. (2014) Efficacy of occupational therapy for patients with Parkinson’s disease: A randomised controlled trial. The Lancet Neurology13(6): 557–566.
28.
TashiroTTsumotoKSawadaT (2023) Improving the perception of occupational performance in Parkinsonʼs disease through Assessment of Clientʼs Enablement: A case study. Japanese Journal of Occupational Therapy42: 345–352. (in Japanese).
29.
TaylorRR (2003) Extending client-centered practice: The use of participatory methods to empower clients. Occupational Therapy in Mental Health19(2): 57–75.
