Goal-setting in physiotherapy: exploring a person-centered perspective

Melin, Jeanette; Nordin, Åsa; Feldthusen, Caroline; Danielsson, Louise

doi:10.1080/09593985.2019.1655822

Cited by 31 publications

(31 citation statements)

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“…It has been indicated that goals related to the activity and participation domain in the ICF, are the most meaningful and person-centred goals [3]. Still, only about 43% of the goals reported in our dataset included the activity and participation domain.…”

Section: Goal Classes and Patient Characteristicsmentioning

confidence: 81%

“…A systematic review of clinical guidelines for MSD endorse the use of person-centred care within a biopsychosocial model with the use of effective communication and shared decision-making, and recommend providing individualised care based on the persons context and preference [2]. The identification and setting of treatment goals with patients is clearly linked to person-centred care [3] and is regarded as a core component in the treatment process [4].…”

Section: Introductionmentioning

confidence: 99%

“…Previous research has shown that goals of physiotherapy interventions can be described using the The International Classification of Functioning, Disability and Health (ICF) [5]. One study in physiotherapy practice have indicated that person-centred meaningful treatment goals should correspond to the classification level of activity and participation in The International Classification of Functioning, Disability and Health (ICF) [3]. Furthermore, it is recommended to focus goal setting in clinical practice around behaviour related to activity and participation in ICF, rather than reporting of internal experiences, such as pain [6].…”

Section: Introductionmentioning

confidence: 99%

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Associations between treatment goals, patient characteristics, and outcome measures for patients with musculoskeletal disorders in physiotherapy practice

Amundsen

Vøllestad

Meisingset

et al. 2021

BMC Musculoskelet Disord

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Background Goal setting is linked to person-centred care and is a core component in physiotherapy, but the associations between goal classes, patient characteristics and outcome measures for musculoskeletal disorders has not been investigated. The study’s purpose was to examine 1) how goals used in clinical practice for patients with musculoskeletal disorders (MSD) are distributed in classes based on ICF, 2) if goal classes were associated with patient characteristics and 3) whether goal classes were associated with treatment outcome. Methods Data analysis from a longitudinal observational study (N = 2591). Goals were classified in symptom, function/structure, activity/participation and non-classifiable. Associations between patient characteristics and goal classes were examined using x2 and one-way ANOVA. Association between goal classes and outcomes were examined using multiple logistic and linear regression models. Outcomes are reported at 3 months or end of treatment if prior to 3 months. Results There was a high variability in goals used for patients with MSD. 17% had symptom goals, 32.3% function/structure, 43.4% activity/participation and 7.4% non-classifiable goals. We found significant associations between goal classes and age, gender, severity, region of pain/diagnosis and emotional distress (all p < .001). Activity/participation goals were associated with better outcomes on GPE (OR 1.80, 95% CI 1.23–2.66). Non-classifiable goal was associated with poorer outcomes on pain intensity (B .87, 95% CI .32–1.43). Conclusion There is an association between goal classes and patient characteristics. Including activity/participation in the main goal was associated with better outcomes for GPE and having a non-classifiable goal was associated with poorer outcomes for pain intensity. Trial registration The project is approved by the Regional committee for Medical and Health Research Ethics in Norway (REC no. 2013/2030). https://clinicaltrials.gov/ct2/show/NCT03626389.

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Section: Goal Classes and Patient Characteristicsmentioning

confidence: 81%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Associations between treatment goals, patient characteristics, and outcome measures for patients with musculoskeletal disorders in physiotherapy practice

Amundsen

Vøllestad

Meisingset

et al. 2021

BMC Musculoskelet Disord

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“…Reasons for engaging in the programme Goals related to improving health was a major reason for engaging in the exercise programme among participants. Collaborative goal setting between PTs and PLWH can increase PLWH's sense of control towards their rehabilitation and exercise, 53 which can translate to increased adherence to self-management strategies and consequently, physical activity. [54][55][56] Goals should be concrete, collaborative, realistic and measurable for optimal goal attainment and behaviour change as seen in adults with chronic pain.…”

Section: Discussionmentioning

confidence: 99%

Experiences engaging in a group-based physiotherapist-led exercise programme for adults living with HIV and complex multimorbidity: a qualitative study

et al. 2021

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ObjectiveTo explore experiences participating in a group-based physiotherapist (PT)-led exercise programme among people living with HIV and complex multimorbidity.DesignWe conducted a qualitative descriptive study using semistructured interviews.Recruitment and settingWe recruited community-dwelling adults living with HIV who engaged in a group-based PT-led exercise programme within an HIV-specialty hospital in Toronto, Canada. Interviews were conducted in-person or by telephone.ParticipantsEight men and two women with a median age of 58 years and median of six concurrent conditions in addition to HIV, who had attended ≥2 classes of the exercise programme.Data collectionInterviews explored (1) reasons for engaging in the programme, (2) experiences with exercise prior to and after joining the programme, (3) facilitators and barriers to engagement and (4) perceived impacts of participation on health and disability. We administered the HIV Disability Questionnaire and a demographic questionnaire.ResultsExperiences spanned perspectives prior to, during and after the PT-led exercise programme. Reasons for engaging in the programme included addressing health-related goals. Participants identified accessibility, the flexible schedule, interprofessional staff and the HIV-specific, group-based environment as facilitators to engagement. Participants reported high attendance rates, but identified episodic health challenges and overcrowded space as potential barriers to attending exercise classes. Perceived impacts on health and disability outcomes included improved physical, mental, social and cognitive health, and activities of daily living. Anticipated or actual experiences transitioning to independent exercise included facilitators (supportive programme leaders) and barriers (challenges motivatiing self to exercise alone).ConclusionsFeatures of the programme that facilitated engagement included the interprofessional, group-based environment that offered tailored exercise in an HIV-specific facility, whereby participants perceived benefits in domains of health and disability. However, challenges transitioning to independent exercise remain. Group-based PT-led exercise programmes may facilitate engagement in exercise among adults living with HIV and complex multimorbidity.

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“…Specifically, Lewis et al (2017) for example, discuss the importance of setting measurable goals within Motivational Interviewing, and Archuleta et al (2020) have demonstrated the effectiveness of the technique in Solution-focused Therapy. Physical therapy approaches also use the technique, as Melin et al (2019) have shown in their study on person-centered goal setting in physiotherapy, for example. Given a widespread acceptance that goals assist therapeutic processes, the research agenda has turned more recently to the way in which goal setting can best be managed.…”

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confidence: 99%

Guided Goal Setting in Therapy Towards Being Fully Functioning

Renger

Macaskill

2021

J Contemp Psychother

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This qualitative study considered whether the provision of a framework of potential goals based on Rogers’ idea of the fully functioning person would be of any benefit to therapy clients in their goal setting process. It also considered addressed whether client goal setting was methodologically acceptable to integrative therapists who used Rogers’ non-directive principles as the foundation to their approach. We provided a goal setting instrument to 9 therapists and 23 of their clients, enabling them to define therapy goals, and feedback on the process. The clients set their goals using the instruments, before having at least six sessions with their therapist. We then sought joint views on the process from the therapists through a questionnaire or an interview. The data from the responses were analyzed using Thematic Analysis. The majority of the therapists considered that guided goal setting using a description of the ‘fully functioning’ individual was helpful. In terms of the applicability of goal setting to an integrative approach based on non-directive, person-centered principles, the results were mixed and in some cases contrary to those expected. For example, some of the more directive therapists disliked guided goal setting processes, whilst the more non-directive therapists appreciated the approach.

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Goal-setting in physiotherapy: exploring a person-centered perspective

Abstract: Goal-setting in physiotherapy: exploring a person-centered perspective.

Cited by 31 publications

References 58 publications

Associations between treatment goals, patient characteristics, and outcome measures for patients with musculoskeletal disorders in physiotherapy practice

Associations between treatment goals, patient characteristics, and outcome measures for patients with musculoskeletal disorders in physiotherapy practice

Experiences engaging in a group-based physiotherapist-led exercise programme for adults living with HIV and complex multimorbidity: a qualitative study

Guided Goal Setting in Therapy Towards Being Fully Functioning

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