Active patient involvement in the establishment of physical therapy goals: Effects on treatment outcome and quality of care

Arnetz, Judith E.; Almin, I.; Bergström, Kirstin; Franzén, Y.; Nilsson, Håkan

doi:10.1080/14038190310017147

Cited by 91 publications

(92 citation statements)

References 41 publications

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“…GAS is an objective method used to evaluate the goal attainment level on a 5-point scale. Brown et al 20) , Reid et al 21) , King et al 22) , King et al 23) King et al 24) , Boccignine et al 25) , Paolicelli et al 26) Fisher et al 27) , Maenpaa et al 28) , Schreiber 29) , Mulligan et al PGPQ Asenlof et al 40) , Asenlof et al 41) Patient Participation System Nelson et al 42) 5-step process for writing Randall et al 43) functional goals goal forum intervention Arnetz et al 44) Goal-planning method at Wade 45) Rivermead Rehabilitation Centre The TELER is also an objective method used to evaluate the goal attainment level using codes on a 6-point scale. COPM and PGPQ are subjective methods whereby patients evaluate their goal attainment level by means of self-reports.…”

Section: Resultsmentioning

confidence: 99%

“…The therapists summarize the patient's goals for the same categories. In a second session, the therapist and patient compare their respective checklists and agree upon treatment goals 44) .…”

Section: Resultsmentioning

confidence: 99%

“…Self-reports (11-point) of current behavioral performance, satisfaction, expectation 40) P a t i e n t s w i t h p e r s i s t e n t musculoskeletal pain 40,87) Goal forum intervention ( A r n e t z e t al. 44) ) To establish goals for physical therapy treatment by therapist and r h e u m a t o i d a r t h r i t i s p a t i e n t together 44) Checklists After the first session, the patient is asked about his goals for pain, for physical ability and for functional ability. The therapists summarize the patient's goals for the same categories.…”

Section: Resultsmentioning

confidence: 99%

“…Arnetz et al developed this method to set goals for patients by collaboration between patients and physical therapists, and it was published in 2004 44) . The goal Table 4.…”

Section: Descriptionmentioning

confidence: 99%

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Goal-Setting Method and Goal Attainment Measures in Physical Therapy for Stroke Patients: a Systematic Review

et al. 2009

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Abstract.[Purpose] This review aimed: (1) to obtain all the facts regarding existing goal-setting methods in physical therapy; (2) to clarify the application status of the methods for stroke patients; and (3) to put forth a suggestion for the development of a format prepared by collaboration between stroke patients and physical therapists.[Methods] A systematic search was performed to identify the existing goal-setting methods and to obtain the relevant literature. We reviewed a total of 165 reports. [Results] We identified 8 types of goal-setting methods: Goal Attainment Scaling (GAS), the Canadian Occupational Performance Measure (COPM), goal forum intervention, and others. GAS was evaluated for its validity, reliability, and sensitivity for physically disabled children and the elderly, but there were no reports on the applicability of GAS to stroke patients. The COPM, which is a subjective measurement method using self-reporting, was evaluated for validity, reliability, and sensitivity for occupational therapy patients and physically disabled children. The goal forum intervention is a goal-setting method involving the collaboration of patients and physical therapists with the use of a check-list, but this method was developed for rheumatoid arthritis patients. [Conclusion] We recommend further studies on the development of a goal-setting method using a checklist for stroke patients and the evaluation of the validity and reliability of GAS for stroke patients.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

“…Arnetz et al developed this method to set goals for patients by collaboration between patients and physical therapists, and it was published in 2004 44) . The goal Table 4.…”

Section: Descriptionmentioning

confidence: 99%

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Goal-Setting Method and Goal Attainment Measures in Physical Therapy for Stroke Patients: a Systematic Review

et al. 2009

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“…Entre pacientes com doenças reumatológicas na fisioterapia, o grupo que participou de definição colaborativa de objetivos obteve maior progresso em habilidades funcionais, dor, amplitude de movimento e força muscular 13 . Resultados semelhantes foram encontrados para a independência funcional e autocuidado após tratamento de TO em pacientes com variadas condições de saúde 14 .…”

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Prática centrada no cliente na reabilitação: definição, instrumentos e desafios

Vaz

Jubilini

Queiroz

2017

Rev. Ter. Ocup. Univ. São Paulo (Online)

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Vaz DV, Jubilini LG, Queiroz LC. Prática centrada no cliente na reabilitação: definição, instrumentos e desafios. Rev Ter Ocup Univ São Paulo. 2017 jan.-abr.;28(1):122-7. RESUMO:Introdução: Na reabilitação, a habilidade do paciente em lidar com a sua condição de saúde e tomar decisões, sua motivação e sua adesão, são determinantes para os desfechos terapêuticos. A prática centrada no cliente (PCC) reconhece e promove a centralidade dos interesses de pacientes e por isso seu conhecimento é fundamental para o avanço da reabilitação. Objetivos: i) identificar os fundamentos da PCC, ii) descrever instrumentos para sua implementação, iii) registrar resultados da PCC, e iv) analisar as principais dificuldades e benefícios da PCC. Método: Revisão narrativa a partir de bancos de dados e cruzamento de referências. Resultados: segundo estudos revisados, a PCC é uma abordagem clínica colaborativa e empoderadora do paciente, que reconhece-o no centro do processo decisório, aumentando a adequação do cuidado. Diferentes instrumentos simples podem ser imediatamente adotados na clínica. Ainda poucos estudos documentam resultados da PCC na reabilitação. Para implantação da PCC é necessário vencer desafios no nível individual de terapeutas e pacientes e no nível institucional de serviços de saúde. ABSTRACT: Introduction: in rehabilitation, a patient's ability cope with a health condition, make decisions, find motivation and adhere to treatment are determinants of therapeutic outcomes. Client-centered practice (CCP) recognizes and promotes patients' interests as central to care delivery. CCP is essential for the advancement of rehabilitation. Objectives: i) identify the fundamentals of CCP, ii) describe clinical instruments available for implementing it, iii) register CCP results obtained so far, iv) analyze the main barriers and benefits of CCP. Methods: narrative review of literature from databases and reference lists. Results: based on reviewed studies, CCP is a collaborative approach to clinical practice that aims to empower patients and recognize them at the center of the decision making process, in order to deliver better care. Several simple instruments can be immediately used in clinical practice. Few studies have investigated effects of CCP in rehabilitation. Challenges at the individual level of therapists and patients as well as at the institutional level of health services need to be met in order to implement CCP. DESCRITORES:

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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

170

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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Active patient involvement in the establishment of physical therapy goals: Effects on treatment outcome and quality of care

Cited by 91 publications

References 41 publications

Goal-Setting Method and Goal Attainment Measures in Physical Therapy for Stroke Patients: a Systematic Review

Goal-Setting Method and Goal Attainment Measures in Physical Therapy for Stroke Patients: a Systematic Review

Prática centrada no cliente na reabilitação: definição, instrumentos e desafios

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

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