Journal of Rehabilitation Research & Development (JRRD)

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Volume 51 Number 6, 2014
   Pages 963 — 974

Abstract — Assessment of learning powered mobility use—Applying grounded theory to occupational performance

Lisbeth Nilsson, PhD, OTR;1* Josephine Durkin, PhD, DipCOT2

1Division of Occupational Therapy and Occupational Science, Department of Health Sciences, Lund University, Lund, Sweden; 2Independent Researcher, East Sussex, United Kingdom

Abstract — Collaboration by two grounded theory researchers, who each had developed a learning continuum instrument, led to the emergence of a new tool for assessment of learning powered mobility use. We undertook a rigorous process of comparative reanalysis that included merging, modifying, and expanding our previous research findings. A new instrument together with its facilitating strategies emerged in the course of revisits to our existing rich account of data taken from real environment powered mobility practice over an extensive time period. Instrument descriptors, categories, phases, and stages allow a facilitator to assess actual phase and plot actual occupational performance and provide a learner with the just right challenge through the learning process. Facilitating strategies are described for each of the phases and provide directions for involvement during learner performance. The learning approach is led by a belief system that the intervention is user-led, working in partnership and empowering the learner. The new assessment tool is inclusive of every potential powered mobility user because it focuses on the whole continuum of the learning process of powered mobility use from novice to expert. The new tool was appraised by clinicians and has been used successfully in clinical practice in the United Kingdom and Sweden.

Key words: clinical assessment tool, coconstruction, cognitive disabilities, dialog, facilitation, instrument development, learning strategies, modification of theory, neurological rehabilitation, occupational performance, occupational therapy, partnership, powered wheelchair, tool use learning, user-led intervention.


View HTML ¦ View PDF ¦ Contents Vol. 51, No.6

This article and any supplementary material should be cited as follows:
Nilsson L, Durkin J. Assessment of learning powered mobility use—Applying grounded theory to occupational performance. J Rehabil Res Dev. 2014;51(6):963–74.
http://dx.doi.org/10.1682/JRRD.2013.11.0237
ResearcherID/ORCID: Lisbeth Nilsson, PhD, OTR: A-8370-2012/0000-0001-5988-3192
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