Goal setting practice in services delivering community-based stroke rehabilitation: a United Kingdom (UK) wide survey

Scobbie, L., Duncan, E.A., Brady, M.C. and Wyke, S. (2014) Goal setting practice in services delivering community-based stroke rehabilitation: a United Kingdom (UK) wide survey. Disability and Rehabilitation, 37(14), pp. 1291-1298. (doi: 10.3109/09638288.2014.961652) (PMID:25243765)

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Purpose: We investigated the nature of services providing community-based stroke rehabilitation across the UK, and goal setting practice used within them, to inform evaluation of a goal setting and action planning (G-AP) framework. Methods: We designed, piloted and electronically distributed a survey to health professionals working in community-based stroke rehabilitation settings across the UK. We optimised recruitment using a multi-faceted strategy. Results: Responses were analysed from 437 services. Services size, composition and input was highly variable; however, most were multi-disciplinary (82%; n = 335/407) and provided input to a mixed diagnostic group of patients (71%; n = 312/437). Ninety one percent of services (n = 358/395) reported setting goals with “all” or “most” stroke survivors. Seventeen percent (n = 65/380) reported that no methods were used to guide goal setting practice; 47% (n = 148/315) reported use of informal methods only. Goal setting practice varied, e.g. 98% of services (n = 362/369) reported routinely asking patients about goal priorities; 39% (n = 141/360) reported routinely providing patients with a copy of their goals. Conclusions: Goal setting is embedded within community-based stroke rehabilitation; however, practice varies and is potentially sub-optimal. Further evaluation of the G-AP framework is warranted to inform optimal practice. Evaluation design will take account of the diverse service models that exist.

Item Type:Articles
Glasgow Author(s) Enlighten ID:Wyke, Professor Sally
Authors: Scobbie, L., Duncan, E.A., Brady, M.C., and Wyke, S.
College/School:College of Medical Veterinary and Life Sciences > Institute of Health and Wellbeing > Social Scientists working in Health and Wellbeing
Journal Name:Disability and Rehabilitation
Publisher:Informa Healthcare
ISSN (Online):1464-5165
Copyright Holders:Copyright © 2014 The Authors
First Published:First published in Disability and Rehabilitation 37(14):1291-1298
Publisher Policy:Reproduced under a Creative Commons License

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