Article

Goal attainment, adjustment and disengagement in the first year after stroke: A qualitative study

Details

Citation

Duncan E, Scobbie L, Brady M & Wyke S (2021) Goal attainment, adjustment and disengagement in the first year after stroke: A qualitative study. Neuropsychological Rehabilitation, 31 (5), pp. 691-709. https://doi.org/10.1080/09602011.2020.1724803

Abstract
Understanding stroke survivor responses to attainable and unattainable goals is important so that rehabilitation staff can optimally support ongoing recovery and adaption. In this qualitative study, we aimed to investigate (i) stroke survivor’s experiences of goal attainment, adjustment and disengagement in the first year after stroke and (ii) whether the Goal setting and Action Planning (G-AP) framework supported different pathways to goal attainment. In-depth interviews were conducted with eighteen stroke survivors’ to explore their experiences and views. Interview data were transcribed verbatim and analysed using a Framework approach to examine themes within and between participants. Stroke survivors reported that attaining personal goals enabled them to resume important activities, reclaim a sense of self and enhance emotional wellbeing. Experiences of goal-related setbacks and failure facilitated understanding and acceptance of limitations and informed adjustment of, or disengagement from, unattainable goals. Use of the G-AP framework supported stroke survivors to (i) identify personal goals, (ii) initiate and sustain goal pursuit, (iii) gauge progress and (iv) make informed decisions about continued goal pursuit, adjustment or disengagement. Stroke survivor recovery involves attainment of original and adjusted or alternative goals. The G-AP framework can support these different pathways to goal attainment.

Keywords
Stroke; rehabilitation; goal adjustment; adaption; qualitative

Journal
Neuropsychological Rehabilitation: Volume 31, Issue 5

StatusPublished
FundersChief Scientist Office
Publication date31/12/2021
Publication date online15/05/2020
Date accepted by journal28/01/2020
URLhttp://hdl.handle.net/1893/30941
ISSN0960-2011
eISSN1464-0694

People (1)

People

Professor Edward Duncan
Professor Edward Duncan

Professor, NMAHP