Please use this identifier to cite or link to this item: http://hdl.handle.net/1893/21249
Appears in Collections:Faculty of Health Sciences and Sport Journal Articles
Peer Review Status: Refereed
Title: Goal setting practice in services delivering community-based stroke rehabilitation: a United Kingdom (UK) wide survey
Authors: Scobbie, Lesley
Duncan, Edward
Brady, Marion C
Wyke, Sally
Contact Email: edward.duncan@stir.ac.uk
Keywords: Goals
rehabilitation
stroke
survey
Issue Date: Jul-2015
Publisher: Informa Healthcare
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.
Type: Journal Article
URI: http://hdl.handle.net/1893/21249
DOI Link: http://dx.doi.org/10.3109/09638288.2014.961652
Rights: Copyright 2015 The Author(s). Published by Taylor & Francis. This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Affiliation: NMAHP Research
NMAHP Research
Glasgow Caledonian University
University of Glasgow

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