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Article in Journal ()

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

Citation
Scobbie L, Duncan E, Brady MC & Wyke S (2015) Goal setting practice in services delivering community-based stroke rehabilitation: a United Kingdom (UK) wide survey, Disability and Rehabilitation, 37 (14), pp. 1291-1298.

Abstract

Abstract 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. Implications for Rehabilitation Community-based stroke rehabilitation services across the UK are diverse and tend to see a mixed diagnostic group of patients. Goal setting is implemented routinely within community-based stroke rehabilitation services; however, practice is variable and potentially sub-optimal. Further evaluation of the G-AP framework is warranted to assess its effectiveness in practice.

Keywords
Goals; rehabilitation; stroke; survey

StatusPublished
AuthorsScobbie Lesley, Duncan Edward, Brady Marion C, Wyke Sally
Publication date07/2015
Publication date online22/09/2014
Date accepted by journal01/09/2014
PublisherInforma Healthcare
ISSN 0963-8288
LanguageEnglish

Journal
Disability and Rehabilitation: Volume 37, Issue 14 (2014-Sep-22)

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