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Clients’ experiences of the Boston Psychiatric Rehabilitation Approach: A qualitative study

机译:客户对波士顿精神病康复方法的经验:定性研究

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摘要

The Boston Psychiatric Rehabilitation Approach (BPR) is person-centered and characterized by being based entirely on the individual's unique needs and preferences in the areas of working, learning, social contacts, and living environment. Nevertheless, the person-centered approach is lacking firm evidence regarding outcomes, and empirical studies regarding clients’ experiences of this particular model are needed. A qualitative content analysis of 10 transcribed semistructured individual interviews was used to describe and explore clients’ experiences of the BPR during an implementation project in Sweden. The findings from the interviews could be summarized in “A sense of being in communion with self and others” theme, consisting of three categories: increased self-understanding, getting new perspectives, and being in a trusting relationship. The results showed that clients do not always recognize nor are able to verbalize their goals before they have been given the possibility to reflect their thoughts in collaboration with a trusted person. The guidelines of the approach are intended to support the clients’ ability to participate in decision making regarding their own care. More research about efficacy of different rehabilitation approaches and exploration of fidelity to guidelines of rehabilitation programs are required.
机译:波士顿精神病康复方法(BPR)以人为本,其特点是完全基于个人在工作,学习,社会交往和生活环境方面的独特需求和偏好。但是,以人为中心的方法缺乏关于结果的确凿证据,因此需要有关客户使用此特定模型的经验的研究。通过对10个转录的半结构化个人访谈进行定性内容分析,以描述和探索客户在瑞典实施项目期间的BPR经验。访谈的结果可以归纳为“一种与自我和他人相处的感觉”主题,该主题包括三类:增加自我理解,获得新观点和建立信任关系。结果表明,在赋予客户与受信任的人合作以反映其思想的可能性之前,客户并不总是能够意识到也无法表达自己的目标。该方法的准则旨在支持客户参与有关其自身护理的决策的能力。需要对不同的康复方法的功效进行更多的研究,并按照康复计划的准则探索保真度。

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