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Research Article  |   May 2009
Meaning of Context in Recapturing Self-Care After Stroke or Spinal Cord Injury
Author Affiliations
  • Susanne Guidetti, PhD, Reg OT, is Clinical Director and Assistant Professor, Department of Neurobiology, Care Sciences and Society, Division of Occupational Therapy, Karolinska Institutet, Box 23 200, 141 83 Huddinge, Sweden, and Department of Occupational Therapy, Karolinska University Hospital, Stockholm; susanne.guidetti@ki.se
  • Eric Asaba, PhD, OTR, is Assistant Professor, Department of Neurobiology, Care Sciences and Society, Division of Occupational Therapy, Karolinska Institutet, and Asaba Medical Research Foundation, Affiliated Kohnan Hospital, Okayama Prefecture, Japan
  • Kerstin Tham, PhD., Reg OT, is Associate Professor, Department of Neurobiology, Care Sciences and Society, Division of Occupational Therapy, Karolinska Institutet, Hudding, Sweden
Article Information
Neurologic Conditions / Spinal Cord Injury / Stroke / Rehabilitation, Disability, and Participation
Research Article   |   May 2009
Meaning of Context in Recapturing Self-Care After Stroke or Spinal Cord Injury
American Journal of Occupational Therapy, May/June 2009, Vol. 63, 323-332. doi:10.5014/ajot.63.3.323
American Journal of Occupational Therapy, May/June 2009, Vol. 63, 323-332. doi:10.5014/ajot.63.3.323
Abstract

This study identifies the meaning of context in recapturing self-care after a stroke or spinal cord injury (SCI). Recapturing denotes the process of engaging in self-care to regain the ability to participate in self-care activities. Five people who had had a stroke and 6 people with SCI were interviewed 1–3 months after onset. The interviews were open ended and transcribed verbatim. They were analyzed by using the empirical, phenomenological, psychological method, which identified 6 main characteristics describing the role of context in recapturing self-care: (1) support from others, (2) an air of expectation, (3) extended time, (4) new daily structure, (5) therapeutic relationship as enabling possibility, and (6) gradual change in challenge. These findings showed that rehabilitation professionals play an important role in creating a context that contributes to recapturing self-care by allowing extended time, enabling patients to see possibilities, and creating expectations for them to do things on their own.