A survey of goal-setting methods used in rehabilitation
A survey of goal-setting methods used in rehabilitation
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DOI：
10.1177/1545968305279206
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发表时间：
2005-09-01
影响因子：
4.2
通讯作者：
Playford, ED
中科院分区：
文献类型：
--
作者：
Holliday, RC;Antoun, M;Playford, ED
目标。这项调查描述了英国社区和住院康复中心目前正在使用的目标设定方法。鉴于目前的政策，重点是发现BOW在目标设定过程中存在大量的患者参与，专注于BOW这种参与可能会得到促进。设计。邮寄调查设计被用来在广泛的地理区域内获取大样本。该问卷是在英国康复医学会(BSRM)的一次会议上试行的；随后，一些回答类别被扩大。该问卷得到了BSRM研究和临床标准委员会的批准。调查问卷被编码以跟踪个人的回答。收到的数据被匿名，并使用社会科学统计包(SPSS)数据库进行分析。受试者。BSRM的成员被选中参加这次调查，因为这是英国最全面的康复服务清单之一。结果。这项调查的回复率为60016。最常报道的是以问题为导向的目标设定方法，由康复团队定义、制定和评估目标。在康复入院期间，患者得到的关于目标设定的信息有限，尽管60%的受访者报告给了患者一份他们的目标副本。30%的受访者将目标作为康复效果的衡量标准。标准化的目标设定措施并不常用。结论。这些数据表明，个别学科倾向于在治疗过程中与患者讨论潜在目标，然后在讨论的基础上制定目标。还有发展和改进目标设定方法的余地，这样患者就有更多的机会参与目标设定过程。
Objectives. This survey provides a description of the goal-setting methods that are currently being used in community and inpatient rehabilitation centers across the United Kingdom. Given current policy, emphasis was placed on finding out bow much patient involvement in the goal-setting process exists, concentrating on bow such involvement may be facilitated. Design. A postal survey design was used to access a large sample size over a broad geographical area. The questionnaire was piloted at a British Society for Rehabilitation Medicine (BSRM) meeting; subsequently, some response categories were expanded. The questionnaire was approved by the BSRM Research and Clinical Standards committee. Questionnaires were coded to track responses from individuals. The received data were anonymized and analyzed using a statistics package for social science (SPSS) database. Subjects. Members of the BSRM were selected for this surveys because this represents one of the most comprehensive listings of rehabilitation services in the United Kingdom. Results. The survey bad a 60016 response rate. A problem-orientated approach to goal setting was most commonly reported, with rehabilitation teams defining, formulating, and evaluating the goals. Patients were supplied with limited information about goal setting during their rehabilitation admission, although 60% of respondents reported giving patients a copy of their goals. Thirty percent of respondents used goals as a measure of rehabilitation effectiveness. Standardized goal-setting measures were not commonly used. Conclusion. These data demonstrate that individual disciplines tend to discuss potential goals with their patients during treatment sessions and then formulate goals on the basis of the discussion. There is scope to develop and refine the approach to goal setting so the patients have more opportunities to engage in the goal-setting process.