Content and delivery of occupation-centred problem-solving occupational therapy for people with chronic somatic conditions: A process evaluation of ABLE 2.0

BACKGROUND: People with chronic conditions often experience decreased ability to perform activities of daily living (ADL). ABLE is a structured, client-centred, occupational therapy programme developed to address ADL ability using adaptational strategies.

AIMS: Evaluate the feasibility of ABLE in terms of content and delivery, i.e., intervention development and components, mechanisms of action, perceived value, feasibility in practice, and fidelity.

MATERIAL AND METHODS: Study was conducted alongside a randomised controlled trial collecting data from clients and occupational therapists. Quantitative and qualitative data were analysed descriptively.

RESULTS: ABLE was delivered with high fidelity and perceived meaningful and satisfactory. Goals were attained in 55 out of 64 cases (86%). Key mechanisms included standardised ADL evaluations, collaborative goal setting, and adaptational strategies. Minor deviations occurred, and goal setting posed challenges.

CONCLUSIONS: ABLE was feasible and acceptable in municipal rehabilitation services. Findings support potential for enhancing ADL ability among people with chronic conditions.

SIGNIFICANCE: This study adds to a comprehensive evidence base for ABLE and informs future implementation, highlighting the importance of training in goal setting and standardised evaluation.

TRIAL REGISTRATION: Prospective registration on www.ClinicalTrials.gov [registration date: 05/03/2020; identifier: NCT04 295837] prior to data collection that occurred between August 2020 and July 2021.