Is goal planning in rehabilitation effective? A systematic review

Levack, William; Taylor, Kathryn D.; Siegert, Richard J.; Dean, Sarah; McPherson, Kathryn; Weatherall, Mark

doi:10.1177/0269215506070791

Cited by 205 publications

(227 citation statements)

References 66 publications

Supporting

Mentioning

205

Contrasting

Unclassified

Order By: Relevance

“…Goal setting is viewed as an essential component of rehabilitation (1)(2)(3)(4)(5)(6)(7) and a core skill of rehabilitation practitioners (3). However, there is no standard use of terminology in relation to goal setting -it has been described in the rehabilitation literature and clinical documentation a variety of ways including: goal planning, care planning, setting aims/ objectives and action planning.…”

Section: Introductionmentioning

confidence: 99%

“…However, there is no standard use of terminology in relation to goal setting -it has been described in the rehabilitation literature and clinical documentation a variety of ways including: goal planning, care planning, setting aims/ objectives and action planning. Neither is there an agreed terminology regarding goal setting's component parts (5,(8)(9)(10)(11). Further more, there is not a universally accepted definition of goal setting in the rehabilitation practice.…”

Section: Introductionmentioning

confidence: 99%

“…In spite of its inclusion in clinical guidelines (1,2) and assumed status as an important rehabilitation intervention, the practice of setting and achieving rehabilitation goals in the clinical setting is highly variable (2,5,6,8,12) and often problematic (13)(14)(15)(16).…”

Section: Introductionmentioning

confidence: 99%

“…A recent, well conducted, systematic review examined the effectiveness of setting goals in rehabilitation settings (5). It concluded that whilst there is some evidence that setting goals can improve patient adherence to rehabilitation programmes, the evidence to support its impact on health-related outcomes was inconsistent.…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Identifying and applying psychological theory to setting and achieving rehabilitation goals

2009

View full text Add to dashboard Cite

This version is available at https://strathprints.strath.ac.uk/20128/ Strathprints is designed to allow users to access the research output of the University of Strathclyde. Unless otherwise explicitly stated on the manuscript, Copyright © and Moral Rights for the papers on this site are retained by the individual authors and/or other copyright owners. Please check the manuscript for details of any other licences that may have been applied. You may not engage in further distribution of the material for any profitmaking activities or any commercial gain. You may freely distribute both the url (https://strathprints.strath.ac.uk/) and the content of this paper for research or private study, educational, or not-for-profit purposes without prior permission or charge.Any correspondence concerning this service should be sent to the Strathprints administrator: strathprints@strath.ac.ukThe Strathprints institutional repository (https://strathprints.strath.ac.uk) is a digital archive of University of Strathclyde research outputs. It has been developed to disseminate open access research outputs, expose data about those outputs, and enable the management and persistent access to Strathclyde's intellectual output.

show abstract

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Identifying and applying psychological theory to setting and achieving rehabilitation goals

2009

View full text Add to dashboard Cite

show abstract

“…Many of the interventions included here employed goal setting as part of the rehabilitation process. This was generally not evaluated in itself, illustrating its ubiquity in neuro-rehabilitation Levack, Taylor, et al, 2006;Playford et al, 2009). Furthermore, several of the interventions used Goal Attainment Scaling (GAS) as an outcome measure.…”

Section: Discussionmentioning

confidence: 99%

Interventions to increase engagement with rehabilitation in adults with acquired brain injury: A systematic review

Brett

Sykes²,

Pires-Yfantouda

2015

Neuropsychological Rehabilitation

View full text Add to dashboard Cite

15 studies were included in the review. Intervention techniques fell into two broad categories:behavioural modification techniques and cognitive/meta-cognitive skills. Contingent reward techniques were most effective at increasing adherence and compliance, while interventions enabling clients' active participation in rehabilitation appeared to increase engagement and motivation. The review highlighted methodological and measurement inconsistencies in the

show abstract

Effect of an Individually Tailored and Home-Based Intervention in the Chronic Phase of Traumatic Brain Injury

et al. 2023

View full text Add to dashboard Cite

ImportanceTraumatic brain injury (TBI) can cause long-lasting and heterogeneous difficulties that require an individually tailored approach to rehabilitation. However, high-quality studies of treatment options in the chronic phase of TBI are lacking.ObjectiveTo evaluate the effect of a home-based, individualized, and goal-oriented rehabilitation intervention in the chronic phase of TBI.Design, Setting, and ParticipantsThis study was an intention-to-treat parallel-group assessor-blinded randomized clinical trial with 1:1 randomization to an intervention or control group. Participants included adults in southeastern Norway who had sustained a TBI more than 2 years earlier, lived at home, and had ongoing TBI-related difficulties. A population-based sample of 555 individuals were invited, and 120 were included. Participants were assessed at baseline, 4 months, and 12 months after inclusion. Specialized rehabilitation therapists provided the intervention in patients’ homes or via video conference and telephone. Data collection was conducted between June 5, 2018, and December 14, 2021.InterventionsThe intervention group received an 8-session individually tailored and goal-oriented rehabilitation program over 4 months. The control group received usual care in their municipality.Main Outcomes and MeasuresPreestablished primary outcomes were disease-specific health-related quality of life (HRQOL; measured by the Quality of Life After Brain Injury [QOLIBRI] overall scale) and social participation (measured by the Participation Assessment With Recombined Tools–Objective [PART-O] social subscale). Preestablished secondary outcomes included generic HRQOL (measured by the EuroQol 5-dimension 5-level [EQ-5D-5L] questionnaire), difficulty with TBI-related problem management (target outcomes; mean severity calculated across 3 main self-identified problem areas that were individually measured using a 4-point Likert scale), TBI symptoms (measured by the Rivermead Post Concussion Symptoms Questionnaire [RPQ]), psychological distress (depression and anxiety; measured by the Patient Health Questionnaire 9-item scale and the Generalized Anxiety Disorder 7-item scale [GAD-7], respectively), and functional competency (measured by the Patient Competency Rating Scale).ResultsAmong 120 participants in the chronic phase of TBI, the median (IQR) age was 47.5 (31.0-55.8) years, and the median (IQR) time since injury was 4 (3-6) years; 85 (70.8%) were male. A total of 60 participants were randomized to the intervention group, and 60 were randomized to the control group. Between baseline and 12 months, no significant between-group effects were found for the primary outcomes of disease-specific HRQOL (QOLIBRI overall scale score: 2.82; 97.5% CI, −3.23 to 8.88; P = .30) or social participation (PART-O social subscale score: 0.12; 97.5% CI, −0.14 to 0.38; P = .29). At 12 months, the intervention group (n = 57) had significantly higher generic HRQOL (EQ-5D-5L score: 0.05; 95% CI, 0.002-0.10; P = .04) and fewer symptoms of TBI (RPQ total score: −3.54; 95% CI, −6.94 to −0.14; P = .04) and anxiety (GAD-7 score: −1.39; 95% CI, −2.60 to −0.19; P = .02) compared with the control group (n = 55). At 4 months only, the intervention group (n = 59) had significantly less difficulty managing TBI-related problems (target outcomes mean severity score: −0.46, 95% CI, −0.76 to −0.15; P = .003) compared with the control group (n = 59). No adverse events were reported.Conclusions and RelevanceIn this study, no significant results were observed for the primary outcomes of disease-specific HRQOL or social participation. However, the intervention group reported improvements in secondary outcomes (generic HRQOL and symptoms of TBI and anxiety) that were maintained at 12-month follow-up. These findings suggest that rehabilitation interventions could help patients even in the chronic phase of TBI.Trial RegistrationClinicalTrials.gov Identifier: NCT03545594

show abstract

Is goal planning in rehabilitation effective? A systematic review

Abstract: This review identified that while some studies demonstrated positive effects associated with goal planning in local contexts, the best available empirical evidence regarding the generalizable effectiveness of goal planning was inconsistent and compromised by methodological limitations.

Cited by 205 publications

References 66 publications

Identifying and applying psychological theory to setting and achieving rehabilitation goals

Identifying and applying psychological theory to setting and achieving rehabilitation goals

Interventions to increase engagement with rehabilitation in adults with acquired brain injury: A systematic review

Effect of an Individually Tailored and Home-Based Intervention in the Chronic Phase of Traumatic Brain Injury

Contact Info

Product

Resources

About