Goal setting and action planning in the rehabilitation setting: development of a theoretically informed practice framework

Scobbie, L., Dixon, D. and Wyke, S. (2011) Goal setting and action planning in the rehabilitation setting: development of a theoretically informed practice framework. Clinical Rehabilitation, 25(5), pp. 468-482. (doi:10.1177/0269215510389198)

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Abstract

Background: Setting and achieving goals is fundamental to rehabilitation practice but has been criticized for being a-theoretical and the key components of replicable goal-setting interventions are not well established. Purpose: To describe the development of a theory-based goal setting practice framework for use in rehabilitation settings and to detail its component parts. Methods: Causal modelling was used to map theories of behaviour change onto the process of setting and achieving rehabilitation goals, and to suggest the mechanisms through which patient outcomes are likely to be affected. A multidisciplinary task group developed the causal model into a practice framework for use in rehabilitation settings through iterative discussion and implementation with six patients. Results: Four components of a goal-setting and action-planning practice framework were identified: (i) goal negotiation, (ii) goal identification, (iii) planning, and (iv) appraisal and feedback. The variables hypothesized to effect change in patient outcomes were self-efficacy and action plan attainment. Conclusions: A theory-based goal setting practice framework for use in rehabilitation settings is described. The framework requires further development and systematic evaluation in a range of rehabilitation settings

Item Type:Articles
Status:Published
Refereed:Yes
Glasgow Author(s) Enlighten ID:Wyke, Professor Sally
Authors: Scobbie, L., Dixon, D., and Wyke, S.
College/School:College of Medical Veterinary and Life Sciences > Institute of Health and Wellbeing > Social Scientists working in Health and Wellbeing
College of Social Sciences
Journal Name:Clinical Rehabilitation
Journal Abbr.:Clin Rehabil
Publisher:SAGE Publications
ISSN:0269-2155
ISSN (Online):1477-0873
Published Online:03 December 2010

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