Exploring occupational therapists’ perspectives on the clinical utility of the Assessment of Client’s Enablement (ACE): A qualitative study

Introduction: The Assessment of Client’s Enablement (ACE) was developed to help occupational therapists address perceived differences with clients. However, its clinical utility in promoting collaboration has not been empirically studied. Method: This qualitative descriptive study involved semi-structured interviews with experienced occupational therapists who had used ACE in clinical practice. Transcribed data were analysed using the Steps for Coding and Theorization (SCAT) method. Results: Seven occupational therapists participated. ACE was perceived to facilitate mutual understanding and dialogue by making differences in perceptions of therapists and clients more visible. Three central themes were identified: (1) clinical characteristics and uses of ACE, including ease of integration into practice, provision of visual feedback and use as a complementary tool; (2) observed changes in both clients and therapists, including increased client insight, more active engagement and enhanced professional reflection; and (3) the promotion of collaborative processes, such as shared goal setting, improved communication and trust building. Participants emphasised the importance of appropriate timing and sensitivity to client characteristics to ensure ACE was used effectively and ethically. Conclusion: This study provides preliminary insight into how ACE may support collaboration in occupational therapy.