The Relationship Between Client-Centered Goal-Setting and Treatment Outcomes

Abstract

Shifting definitions of health and well-being, prompted by the World Health Organization's International Classification of Functioning (2001), have stimulated changes in traditional clinician-client relationships in rehabilitation. Among these changes, in keeping with the concept of client-centered care, is a trend toward more collaborative goal-setting and joint determination of intervention plans. Evidence suggests that supporting clients' autonomy in prioritizing personally meaningful goals leads to increased engagement in intervention, less emotional anxiety about the rehabilitation process, and improved treatment outcomes. Supporting people with aphasia in a process of collaborative goal formulation may also serve to alter treatment priorities so that they address more relevant communication challenges embedded in post-rehabilitation life.

Shifting roles: physiotherapists’ perception of person-centered care during a pre-implementation phase in the acute hospital setting - A phenomenographic study

“…Today health care professionals seem to be experiencing a change in clinical practice. This change is characterized by increased patient participation where patients are encouraged to share their knowledge in collaboration with the health professional in order to achieve treatment goals and interventions that are meaningful for the patient (Dudas et al, 2013;Mudge, Stretton, and Kayes, 2014;Solvang and Fougner, 2016;Womack, 2013). In physiotherapy, an increased patient-therapist collaboration seems to be valued by PTs', and to supplement and contribute to good clinical practice (Solvang and Fougner, 2016).…”

“…Clissett, Porock, Harwood, and Gladman (2013) as well as McBrien (2009) and Solvang and Fougner (2016) reported that though health care professionals in acute hospital care appreciate the features of increased patient collaboration, they seem to miss numerous opportunities to provide PCC. Regarding the PT´s professional role, research has revealed the existence of a power asymmetry in the PT-patient relationship which may constitute a barrier for increased patient participation in deliberation and in decision-making (Praestegaard and Gard, 2011;2013;Trede, 2012).…”

Effects of vocational rehabilitation group intervention on motivation and occupational self‐awareness in individuals with intellectual disabilities: A single blind, randomised control study

“…Goal setting is at the heart of person‐centered approaches (Rietkerk et al, 2021; Womack, 2012). It is frequently used in both individual and group interventions.…”

An evaluation of the effectiveness of engaging Canadian clients as partners in in-home care

“…). Recently, research on client/professional dyadic relationships has suggested that supporting healthcare clients' autonomy in prioritising personal goals creates increased engagement in care, less emotional anxiety and improved treatment outcomes (Womack ). In psychological research, self‐monitoring of one's perceived power in a dyadic relationship has been found to be positively correlated with power symmetry in the relationship and perceived relational quality (Oyamot et al .…”