‘Finding a Balance’ in Involving Patients in Goal Setting Early After Stroke: A Physiotherapy Perspective

Lloyd, Anna; Roberts, Angus; Freeman, Jennifer

doi:10.1002/pri.1575

Cited by 54 publications

(77 citation statements)

References 26 publications

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“…A strength of this study is the relatively large sample, particularly compared to other qualitative studies in this area (Arvinen‐Barrow et al, ; Jevon & Johnston, ; Lloyd et al, ; Nielsen et al, ). Nonetheless, due to the findings of qualitative research being bound by the study's context, these results may not be generalizable to all cultures and settings.…”

Section: Discussionmentioning

confidence: 99%

“…Qualitative research has investigated topics such as physiotherapist attitudes towards including psychosocial strategies in their practice and perceived benefits of such strategies. Studies have established that physiotherapists acknowledged the need to address multiple psychosocial aspects along with biomedical factors (Arvinen‐Barrow et al, ; Jevon & Johnston, ; Lloyd, Roberts, & Freeman, ; Nielsen et al, ) and that use of psychosocial strategies enhanced therapeutic relationships (Lloyd et al, ; Scott‐Dempster, Toye, Truman, & Barker, ) and encouraged patients to be more proactive in their rehabilitation (Lloyd et al, ; Scott‐Dempster et al, ).…”

Section: Introductionmentioning

confidence: 99%

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Exploring physiotherapists' considerations regarding the use of psychosocial strategies in practice

Driver

Oprescu

Lovell

2019

Physiotherapy Res Intl

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Objectives To investigate what factors physiotherapists consider when deciding whether to use psychosocial strategies with their patients and what factors they consider when choosing a specific approach. Methods Content analysis of two open‐ended questions contained within a cross‐sectional survey was conducted. Australian physiotherapists (N = 201) provided written comments. Results Textual data were subjected to content analysis. Two key categories emerged: practitioner considerations and patient considerations. Subcategories included physiotherapist factors, practice environment, patient biological factors, patient psychological factors, and patient social factors. When contemplating the use of psychosocial strategies, physiotherapists' responses aligned with a biopsychosocial perspective. The most common consideration overall was patient attitudes. Physiotherapists reflected on which specific psychosocial strategies they perceived were beneficial for a particular patient based on their presentation. Scope of practice was a minor factor in their decision‐making process, as physiotherapists considered their knowledge, confidence, and skill base more frequently. Conclusion Physiotherapists incorporate a biopsychosocial framework in their assessment of patients with regard to potential use of psychosocial strategies. Physiotherapists displayed language that reflected a developed understanding of psychological and social issues with respect to their patients' presentation. Nonetheless, selection of psychosocial strategies was predominantly based on experience, success with an approach, perceived knowledge, skill, and confidence, as opposed to evidence‐based efficacy of such strategies. These findings have implications for the training of physiotherapists. Desired outcomes are enhancing management of patients based on a biopsychosocial approach and ensuring inclusion of appropriate, relevant, and evidence‐based psychosocial strategies within their accepted scope of practice.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Exploring physiotherapists' considerations regarding the use of psychosocial strategies in practice

Driver

Oprescu

Lovell

2019

Physiotherapy Res Intl

View full text Add to dashboard Cite

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“…Patients were more satisfied with impairment‐based goals at admission and discharge compared to activity‐based and participation‐based goals. It is important to consider that despite the drive toward patient‐centered care, available resources and organizational priorities will ultimately lay the groundwork for any goal‐setting approach [23].…”

Section: Discussionmentioning

confidence: 99%

Patient‐Centered Goal Setting in a Hospital‐Based Outpatient Stroke Rehabilitation Center

Rice

McIntyre

Mirkowski

et al. 2017

PM&R

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“…The discussions with patients and their caregivers surrounding the “goal-setting” process require considerable time and effort and can be demanding [36]. If the clinician is not able to involve individuals with aphasia or dysphasia in the “goal-setting process”[37], it is important to resort to other means such as involving their families, or using card sorting [23,24].…”

Section: Discussionmentioning

confidence: 99%

Patient-centered mobility outcome preferences according to individuals with stroke and caregivers: a qualitative analysis

Krishnan

Pappadis

Weller

et al. 2017

Disability and Rehabilitation

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Purpose To explore the mobility-related preferences among stroke survivors and caregivers following post-acute rehabilitation at inpatient or skilled nursing facilities. Methods In this cross-sectional study; semi-structured, qualitative interviews of stroke survivors (n=24) and informal caregivers (n=15) were conducted. The participants were recruited from the community. Results Comparative content analysis was used to identify themes by two independent coders. The survivors (68 years) and caregivers (58 years) mentioned mobility related consequences including inability to walk, balance, drive, and transfer; and increased falls. The survivors (63%) and caregivers (73%) also mentioned the use of assistive devices. The common rehabilitation activities included: walking (62%); followed by standing and mobility; strength and balance; and wheelchair skills. Some stroke survivors were dissatisfied as their rehabilitation was not patient-centered. Frequently mentioned outcome preferences by survivors were ability to walk (88%), move, and balance. They also wanted to acquire assistive devices to move independently. Caregivers were concerned with the survivor’s safety and wanted them to drive (53%), prevent falls, have home accommodations, and transfer independently. Caregivers (40%) also expressed the importance of receiving realistic information. Conclusions This study suggests a need to consider the stroke survivors’ and caregivers’ mobility outcome preferences to improve the patient-centered rehabilitation care.

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‘Finding a Balance’ in Involving Patients in Goal Setting Early After Stroke: A Physiotherapy Perspective

Cited by 54 publications

References 26 publications

Exploring physiotherapists' considerations regarding the use of psychosocial strategies in practice

Exploring physiotherapists' considerations regarding the use of psychosocial strategies in practice

Patient‐Centered Goal Setting in a Hospital‐Based Outpatient Stroke Rehabilitation Center

Patient-centered mobility outcome preferences according to individuals with stroke and caregivers: a qualitative analysis

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