Background. An emerging trend in work practice is to move knowledge into the hands and minds of the end-users-our clients. Purpose. The purpose of this study was to investigate clients' perspectives on their experiences, needs, and preferences for accessing and using information to make decisions in resuming work and living with disability. Methods. Data from a grounded theory study with a sample of 14 participants with chronic disabilities from three regions across Canada were analyzed using the constant comparative method. Findings. Barriers revealed the pervasive struggles of clients in accessing and communicating information. Clients need places, resource people as well as access to diverse formats, and material to support knowledge use. Clients engaged themselves in interpreting or acting upon knowledge through planning for contingencies, appraising the self in context, and reflecting and learning from others. Implications. Findings advance the conceptual understanding of knowledge translation principles and processes needed to support clients in making decisions about return-to-work. Opportunities for policy change and for occupational therapists to support knowledge brokering and translation are elaborated.
Available at: http://works.bepress.com/drlynn/22/