title: Applicability and clinical utility of the Client-Centred Strategies Framework.
abstract: BACKGROUND
  The Client-centred Strategies Framework consists of strategies for facilitating therapists' application of client-centred approaches.
  
  
  OBJECTIVE
  The purpose of this study was to explore the application of the strategies and the utility of the framework to implement client-centred approaches.
  
  
  METHODS
  The study used a sequential mixed-methods procedure. The quantitative phase consisted of a survey of 230 Canadian occupational therapists. The qualitative phase consisted of telephone focus groups with a sample of 14 Canadian respondents to the initial survey.
  
  
  RESULTS
  Results indicated that occupational therapists experience challenges in implementing strategies, particularly related to community organizing, coalition advocacy, and political action. Therapists identified multiple factors that influenced the implementation of strategies and ways of incorporating strategies into daily practice. The Client-centred Strategies Framework was viewed as a useful tool for increasing dialogue about occupational therapists' role in client-centred practice.
  
  
  CONCLUSIONS
  The results of this study encourage an expanded view of client-centred strategies and the application of strategies to daily practice.
authors.affiliation: Department of Occupational Therapy, University of Manitoba, Winnipeg, Manitoba, Canada. g_restall@umanitoba.ca
authors.forename: Gayle
authors.initials: G
authors.lastname: Restall
authors.forename: Jacquie
authors.initials: J
authors.lastname: Ripat
mesh_terms: D000203:Activities of Daily Living; D000328:Adult; D002170:Canada; D003430:Cross-Sectional Studies; D005260:Female; D017144:Focus Groups; D006801:Humans; D007407:Interviews as Topic; D008875:Middle Aged; D009788:Occupational Therapy / Q000379:methods*; D010358:Patient Participation / Q000379:methods*; D011364:Professional Practice; D011369:Professional-Patient Relations