A pilot cluster randomized controlled trial of structured goal-setting following stroke

Taylor, William J.; Brown, Melanie; Levack, William; McPherson, Kathryn; Reed, Kirk; Dean, Sarah; Weatherall, Mark

doi:10.1177/0269215511419384

Cited by 20 publications

(34 citation statements)

References 21 publications

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“…Five of the 24 selfmanagement interventions identified were occupational therapy-based interventions which focused upon stroke survivors regaining the skills to perform activities of daily living [58,59,64,65,72,75,76]. These studies met the criteria for 'self-management' as they used aspects of planning, goal setting or problem solving as part of the intervention.…”

Section: Intervention Characteristicsmentioning

confidence: 99%

“…14 out of 24 studies scored high risk of bias in at least one domain [56,58,59,61,62,66,[68][69][70][71][72][73][74]76,79].…”

Section: [Table 2: Risk Of Bias]mentioning

confidence: 99%

“…Three of the studies reported substantial losses at follow-up and conducted 'as treated' analysis [61,72,79] and the remaining study reported substantial losses in the intervention arm in comparison to the control arm [74]. In the selective outcome reporting domain 18 studies (75%) were at an unclear risk of bias [53][54][55][56][60][61][62][63][64][65][67][68][69][70][71][72][73][74][75][76]. These studies did not reference a study protocol or trial registration which pre-specified outcome measures, therefore, they were judged to be at unclear risk of bias.…”

Section: [Table 2: Risk Of Bias]mentioning

confidence: 99%

“…Three studies (13%) were at high risk of bias in this domain [58,59,66,79] due to discrepancies between measures planned (in the protocol or publication) and those reported in the results of the publication. In the other bias domain, two studies were judged to be at high risk of bias; one due to potential recruitment bias as a result of the cluster design [76] and one due to baseline imbalances between study arms [69].…”

Section: [Table 2: Risk Of Bias]mentioning

confidence: 99%

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Post-stroke self-management interventions: a systematic review of effectiveness and investigation of the inclusion of stroke survivors with aphasia

Wray

Clarke

Forster

2017

Disability and Rehabilitation

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Robust conclusions regarding the effectiveness of poststroke self-management approaches could not be drawn. Further trials are needed, these should clearly report the population included. Implications for rehabilitation There is a lack of evidence to demonstrate the effectiveness of self-management approaches for stroke survivors. It is unclear whether self-management approaches are suitable for stroke survivors with aphasia, particularly those with moderate or severe aphasia. Further research is needed to understand the optimal timing for self-management in the stroke pathway and the format in which self-management support should be offered.

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Section: Intervention Characteristicsmentioning

confidence: 99%

“…14 out of 24 studies scored high risk of bias in at least one domain [56,58,59,61,62,66,[68][69][70][71][72][73][74]76,79].…”

Section: [Table 2: Risk Of Bias]mentioning

confidence: 99%

Section: [Table 2: Risk Of Bias]mentioning

confidence: 99%

Section: [Table 2: Risk Of Bias]mentioning

confidence: 99%

See 2 more Smart Citations

Post-stroke self-management interventions: a systematic review of effectiveness and investigation of the inclusion of stroke survivors with aphasia

Wray

Clarke

Forster

2017

Disability and Rehabilitation

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“…In addition, the interaction between goal setting interventions and the context in which they are delivered is rarely considered; this is an important oversight if we are to understand how to optimise the implementation and adoption of goal setting interventions in practice [7,8]. The difficulties of designing a controlled trial of goal setting that is both methodologically sound and sufficiently powered to demonstrate an effect that have been documented [9].…”

Section: Introductionmentioning

confidence: 99%

Goal setting practice in services delivering community-based stroke rehabilitation: a United Kingdom (UK) wide survey

Scobbie

Duncan

Brady

et al. 2014

Disability and Rehabilitation

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Goal setting and strategies to enhance goal pursuit for adults with acquired disability participating in rehabilitation

Levack

Weatherall

Hay-Smith

et al. 2015

Cochrane Database of Systematic Reviews

167

258

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Background Goal setting is considered a key component of rehabilitation for adults with acquired disability, yet there is little consensus regarding the best strategies for undertaking goal setting and in which clinical contexts. It has also been unclear what effect, if any, goal setting has on health outcomes after rehabilitation. Objectives To assess the effects of goal setting and strategies to enhance the pursuit of goals (i.e. how goals and progress towards goals are communicated, used, or shared) on improving health outcomes in adults with acquired disability participating in rehabilitation. Search methods We searched CENTRAL, MEDLINE, EMBASE, four other databases and three trials registers to December 2013, together with reference checking, citation searching and contact with study authors to identify additional studies. We did not impose any language or date restrictions. Selection criteria Randomised controlled trials (RCTs), cluster-RCTs and quasi-RCTs evaluating the effects of goal setting or strategies to enhance goal pursuit in the context of adult rehabilitation for acquired disability. Data collection and analysis Two authors independently reviewed search results for inclusion. Grey literature searches were conducted and reviewed by a single author. Two authors independently extracted data and assessed risk of bias for included studies. We contacted study authors for additional information. 1 Goal setting and strategies to enhance goal pursuit for adults with acquired disability participating in rehabilitation (Review)

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A pilot cluster randomized controlled trial of structured goal-setting following stroke

Abstract: A cluster randomized design is not a practical means of avoiding contamination effects in studies of inpatient rehabilitation goal-setting. Other techniques for coping with contamination effects are necessary.

Cited by 20 publications

References 21 publications

Post-stroke self-management interventions: a systematic review of effectiveness and investigation of the inclusion of stroke survivors with aphasia

Post-stroke self-management interventions: a systematic review of effectiveness and investigation of the inclusion of stroke survivors with aphasia

Goal setting practice in services delivering community-based stroke rehabilitation: a United Kingdom (UK) wide survey

Goal setting and strategies to enhance goal pursuit for adults with acquired disability participating in rehabilitation

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