Training in client-centeredness enhances occupational therapist documentation on goal setting and client participation in goal setting in the medical records of people with stroke.

No baseline documentation was collected, so the groups may have differed before the training. Only 44 of 77 therapists in the intervention group had participated in the training, so clients may have been seen by untrained therapists. The study analysed written records, not observed therapy sessions or patient-reported experience, so it does not prove patients received more client-centred care. It reports documentation, not stroke recovery, participation or quality of life. County council and electronic record headings may have influenced what therapists wrote. Reviewers had the largest disagreements about responsiveness and shared decision-making. Other client factors, such as aphasia, were not measured.

The authors declared no potential conflicts of interest and received no financial support.

Do not read this as proof that client-centred training improves stroke outcomes or makes therapists more client-centred overall. It showed better goal-setting documentation, but control therapists documented family and emotional support more often, and no patient outcomes were measured.