title: A client-centred programme focusing energy conservation for people with heart failure.
abstract: OBJECTIVE
  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.
authors.affiliation: a Department of Community Medicine and Rehabilitation , Occupational Therapy, Umeå University, Umeå , Sweden.
authors.forename: Eva-Britt
authors.initials: EB
authors.lastname: Norberg
authors.affiliation: a Department of Community Medicine and Rehabilitation , Occupational Therapy, Umeå University, Umeå , Sweden.
authors.forename: Britta
authors.initials: B
authors.lastname: Löfgren
authors.affiliation: b Department of Public Health and Clinical Medicine , Research Unit, Medcine Skellefteå, Umeå University , Skellefteå , Sweden.
authors.forename: Kurt
authors.initials: K
authors.lastname: Boman
authors.affiliation: c Department of Public Health and Clinical Medicine , Family Medicine, Umeå University , Umeå , Sweden.
authors.forename: Patrik
authors.initials: P
authors.lastname: Wennberg
authors.affiliation: d Department of Nursing , Umeå University , Umeå , Sweden.
authors.forename: Margareta
authors.initials: M
authors.lastname: Brännström
mesh_terms: D000203:Activities of Daily Living; D000369:Aged, 80 and over; D001291:Attitude of Health Personnel; D005221:Fatigue / Q000517:prevention & control*; D005260:Female; D006333:Heart Failure / Q000534:rehabilitation*; D006801:Humans; D008297:Male; D000072087:Occupational Therapists; D009788:Occupational Therapy / Q000379:methods*; D010358:Patient Participation; D018802:Patient-Centered Care
keywords: Activities of daily living; case study; energy conservation; goal achievement; intervention