Determining whether occupational therapy goals match between pairs of occupational therapists and their clients: a cross-sectional study
Determining whether occupational therapy goals match between pairs of occupational therapists and their clients: a cross-sectional study
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DOI：
10.1080/09638288.2019.1643417
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发表时间：
2019-07-25
影响因子：
2.2
通讯作者：
Levack, William
中科院分区：
文献类型：
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作者：
Saito, Yuki;Tomori, Kounosuke;Levack, William
目的：本研究旨在探讨职业治疗师（OTs）感知的目标与其客户感知的目标的匹配程度。方法：从日本七个亚急性康复病房共招募了100名客户和79名OT。通过半结构化访谈，独立地询问匹配的OT及其客户对客户的职业治疗目标的看法。结果：总的来说，OT报告了239个目标，而客户报告了161个目标。虽然OT和客户都报告了在目标设定过程中客户的参与度很高，但79%的目标陈述在OT和他们的客户之间不匹配。与身体结构或身体功能有关的目标相比，关于日常生活或参与活动的目标的目标匹配性略好。结论：虽然大多数OT和他们的客户认为他们一起制定目标，但只有21%的目标在OT和客户之间实际匹配。这也将是值得调查的目标的内容，患者参与目标设定，目标匹配的程度，以及客户从康复服务出院后所取得的健康结果之间是否有任何相关性。
Purpose: This study examined the degree to which goals perceived by occupational therapists (OTs) matched those perceived by their clients. Methods: A total of 100 clients and 79 OTs were recruited from seven subacute rehabilitation wards in Japan. Matched pairs of OTs and their clients were independently asked for their perception about the clients' occupational therapy goals through semi-structured interviews. Results: Collectively, the OTs reported 239 goals, while the clients reported 161 goals. While both the OTs and the clients reported a high level of client engagement in the goal setting process, 79% of the goal statements were mismatched between pairs of OTs and their clients. Goal matching was slightly better for goals about activities of daily living or participation than for goals about body structure or body function. Conclusions: Although most OTs and their clients perceived that they engaged in goal-setting together, only 21% of reported goals actually matched between OTs and clients. It would also be worth investigating whether there is any correlation between the content of goals, patient engagement in goal setting, degree of goal matching, and health outcomes achieved by clients following discharge from rehabilitation services.