An Audit of Goal Planning in Rehabilitation

A prospective interrupted time series study of interventions to improve the quality, rating, framing and structure of goal-setting in community-based brain injury rehabilitation

“…21 Another important component of implementing research into practice is the ongoing cycle of training and auditing. 17,18 Further training was provided to staff at the end of the study and a reporting system was built into the electronic goals system to allow auditing. Owing to changes to funding schemes within New South Wales, goal training and auditing is now being managed at a state level, 30 and as such, further research would be required to ascertain if these results can be replicated and sustained.…”

“…Turner-Stokes 16 ), and the completion of goal rating. 1,12,13,16 A small number of studies have also evaluated goal quality, 12 framing 12,16 and structure; 15,17 however, these studies were predominantly with stroke patients in inpatient settings. Therefore a gap in our knowledge exists regarding the elements of goal-setting, as applied to the community rehabilitation context, among adults with severe traumatic brain injury.…”

“…One exception is the work conducted within the inpatient programme at the Rivermead Rehabilitation Centre in the United Kingdom, in which documentation and staff training were employed to the goal-setting process over a number of years to promote an interdisciplinary, client centred, participation approach. 15,[17][18][19] However, the changes were introduced concurrently and regularly refined, therefore, the relative efficacy of the intervention components in contributing to change was unknown. Therefore the aim of the current study was to investigate whether the introduction of an electronic goals system (Phase 1), followed by staff training (Phase 2), improved the quality, rating, framing and structure of goals written by a community-based brain injury rehabilitation team.…”

Personalised social care for adults with disabilities: a problematic concept for frontline practice

“…In community‐based services, statements of individual goals are increasingly utilised for evaluation purposes and organisational planning (Elsworth et al . 1999).…”

Classifying client goals in community-based ABI rehabilitation: a taxonomy for profiling service delivery and conceptualizing outcomes

“…16 Some progress has been made however, in the identi®ca-tion of appropriate strategies for formulating rehabilitation goals with people with acquired brain injuries (ABI). 17,18 Considerably more research eort has been directed towards measures of attainment of goals and goal attainment scaling in measuring clinical change and programme outcome in rehabilitation. 19 ± 23 Some recent studies indicate possible directions for goal related research.…”