The use of patient-specific measurement instruments in the process of goal-setting: a systematic review of available instruments and their feasibility
The use of patient-specific measurement instruments in the process of goal-setting: a systematic review of available instruments and their feasibility
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DOI：
10.1177/0269215513490178
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发表时间：
2013-11-01
影响因子：
3
通讯作者：
van der Weijden, Trudy
中科院分区：
文献类型：
--
作者：
Stevens, Anita;Beurskens, Anna;van der Weijden, Trudy
目的：本研究的目的是确定目前可用的用于目标设定过程的患者特异性测量仪器，并评估其可行性。方法：在PubMed、EMBASE、CINAHL、PsychINFO和REHABDATA中进行系统检索后，纳入针对患者的医疗器械，将其纳入目标设定实践框架，并对其可行性进行定性专题分析。结果：共鉴定出25种患者专用器械，纳入11种。这些工具可用于目标谈判、目标设定和评价。在目标设定过程的不同阶段，每个工具都有自己的长处和短处。揭示了所有器械的使用时间、指导、培训和可用性等客观可行性数据。主观可行性只能分析加拿大职业绩效测量，目标实现量表，自我识别目标评估和谈话垫。相关主题是加拿大职业绩效测量和目标实现量表对有认知问题的患者来说耗时且困难，但它们促进了以客户为中心的目标设定。说话垫尤其适用于认知和沟通障碍患者。结论：共确定了11种器械，虽然其中一些有优点，但没有一种好的器械可以专门推荐。在目标设定框架内综合运用现有工具的优势，可以改进目标设定并使其适合个别患者。
Objective: The aim of this study was to identify the currently available patient-specific measurement instruments used in the process of goal-setting and to assess their feasibility.Methods: After a systematic search in PubMed, EMBASE, CINAHL, PsychINFO and REHABDATA, patient-specific instruments were included, structured in a goal-setting practice framework and subjected to a qualitative thematic analysis of feasibility.Results: A total of 25 patient-specific instruments were identified and 11 were included. These instruments can be used for goal negotiation, goal-setting and evaluation. Each instrument has its own strengths and weaknesses during the different phases of the goal-setting process. Objective feasibility data were revealed for all instruments such as administration time, instruction, training and availability. Subjective feasibility could only be analysed for the Canadian Occupational Performance Measure, Goal Attainment Scaling, Self-Identified Goal Assessment and Talking Mats. Relevant themes were that Canadian Occupational Performance Measure and Goal Attainment Scaling were time consuming and difficult for patients with cognitive problems, but they facilitated goal-setting in a client-centred approach. Talking Mats was especially feasible for patients with cognitive and communication impairments.Conclusions: A total of 11 instruments were identified, and although some had strong points, there is no single good instrument that can be recommended specifically. Applying a combination of the strengths of the available instruments within a goal-setting framework can improve goal setting and tailor it to individual patients.