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Original Article

A client-centred programme focusing energy conservation for people with heart failure

, , , &
Pages 455-467 | Received 30 Jun 2015, Accepted 11 Dec 2016, Published online: 05 Jan 2017
 

Abstract

Aim: The purpose of this study was to describe clients and occupational therapists (OTs) experiences of a home-based programme focusing energy conservation strategies (ECS) for clients with chronic heart failure (CHF).

Methods: The programme, based on occupational therapy intervention process model (OTIPM), was led by two OTs in primary health care. Five clients’ self-reported activities of daily living (ADL), fatigue, depression, goal achievements and use of ECS. Furthermore, both clients and OTs were individually interviewed.

Results: The clients reported mild depression, severe fatigue and both increased and decreased independence in ADL. Most goals were achieved, and multiple ECS were used. Clients perceived that they worked collaboratively with the OTs and gained professional support to enhance daily activities. The OTs experienced knowledge and structure and found benefits from the programme, but doubted the possibility of using it in clinical practice.

Conclusions: This study, despite having few participants, indicates that both the OTs and the clients experienced that the specialized programme gave structure to the OTs work, provided knowledge about CHF and valuable energy conservation strategies. The programme supported the OTs in working in a more comprehensive client-centred way. However, its feasibility needs to be further evaluated.

Declaration of interest

The authors report no conflicts of interest. The authors alone are responsible for the content and writing of the paper.

Additional information

Funding

This work was supported by the Swedish Heart and Lung Association (local and national); National Research School in General Practice (VR-funded); Department of Community Medicine and Rehabilitation Umeå university; Foundation for Medical Research in Skellefteå Research Grants for Västerbotten County Council.

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