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

Abstract

Structured analysis of the content of goal setting (particularly in community rehabilitation) utilizing a framework such as the proposed taxonomy has considerable potential as a 'window' into service delivery to broaden the parameters of existing service evaluation and to more clearly link outcome exploration to intervention.

Comparison of rehabilitation outcomes in day hospital and home settings for people with acquired brain injury – a systematic review

“…Few studies measured QOL, participation, or community integration, and patient or carer satisfaction with services or progress. Given that the nature of rehabilitation goals in the community for people with ABI are commonly at the level of activity and participation [48,49,58], it is necessary to use outcome measures that capture these domains to demonstrate outcomes. It is notable that none of the comparative studies identified in this review used goal-based outcome measures such as the goal attainment scale (GAS) [59] or client-centered measures such as the Canadian Occupational Performance Measure (COPM) [60].…”

“…People with TBI tend to be younger [1], in the establishment phase of life, with varied, participation-oriented rehabilitation goals [48] pertaining to leisure, community participation, study, work-related skills and driving [49]. Problems following ABI are often pervasive requiring ongoing support and rehabilitation [50], with implications for function in the home, community and workplace [51].…”

The description of severe traumatic brain injury in light of the ICF classification

“…This review shows three studies linked to TBI: in the first, the functional assessment was related to the gait (that involve the domain of body function) has been used and, in the second one, the Clinical Outcomes Variable Scale, which assesses the ability in various motor tasks and that can be used as a measure in some body functions and activities. Instead, the third study [28] cited in the review of Thonnard and Penta [27] did not use a scale in the assessment of the subjects but a classification system of the problems.…”

Comparing the experience of outpatient therapy in home and day hospital settings after traumatic brain injury: patient, significant other and therapist perspectives

“…In community settings, goals for people with brain injury undergoing rehabilitation, typically fall within the domains of 'activity' (execution of a task or action), or 'participation' (involvement in a life situation) as defined by the International Classification of Functioning, Disability and Health (ICF) [2][3][4]. Importantly, within this classification, func-tioning is a 'dynamic interaction between health conditions and environmental and personal factors' [5, p. 5], and the person's environment can act as a barrier or facilitator to performance [6].…”