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Ready for goal setting? Process evaluation of a patient-specific goal-setting method in physiotherapy

BACKGROUND: Patient participation and goal setting appear to be difficult in daily physiotherapy practice, and practical methods are lacking. An existing patient-specific instrument, Patient-Specific Complaints (PSC), was therefore optimized into a new Patient Specific Goal-setting method (PSG). The...

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Autores principales: Stevens, Anita, Köke, Albère, van der Weijden, Trudy, Beurskens, Anna
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5579955/
https://www.ncbi.nlm.nih.gov/pubmed/28859652
http://dx.doi.org/10.1186/s12913-017-2557-9
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author Stevens, Anita
Köke, Albère
van der Weijden, Trudy
Beurskens, Anna
author_facet Stevens, Anita
Köke, Albère
van der Weijden, Trudy
Beurskens, Anna
author_sort Stevens, Anita
collection PubMed
description BACKGROUND: Patient participation and goal setting appear to be difficult in daily physiotherapy practice, and practical methods are lacking. An existing patient-specific instrument, Patient-Specific Complaints (PSC), was therefore optimized into a new Patient Specific Goal-setting method (PSG). The aims of this study were to examine the feasibility of the PSG in daily physiotherapy practice, and to explore the potential impact of the new method. METHODS: We conducted a process evaluation within a non-controlled intervention study. Community-based physiotherapists were instructed on how to work with the PSG in three group training sessions. The PSG is a six-step method embedded across the physiotherapy process, in which patients are stimulated to participate in the goal-setting process by: identifying problematic activities, prioritizing them, scoring their abilities, setting goals, planning and evaluating. Quantitative and qualitative data were collected among patients and physiotherapists by recording consultations and assessing patient files, questionnaires and written reflection reports. RESULTS: Data were collected from 51 physiotherapists and 218 patients, and 38 recordings and 219 patient files were analysed. The PSG steps were performed as intended, but the ‘setting goals’ and ‘planning treatment’ steps were not performed in detail. The patients and physiotherapists were positive about the method, and the physiotherapists perceived increased patient participation. They became aware of the importance of engaging patients in a dialogue, instead of focusing on gathering information. The lack of integration in the electronic patient system was a major barrier for optimal use in practice. Although the self-reported actual use of the PSG, i.e. informing and involving patients, and client-centred competences had improved, this was not completely confirmed by the objectively observed behaviour. CONCLUSION: The PSG is a feasible method and tends to have impact on increasing patient participation in the goal-setting process. However, its full potential for shared goal setting has not been utilized yet. More implementation effort is needed to achieve the required behaviour change and a truly client-centred attitude, to make physiotherapists totally ready for shared goal setting. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1186/s12913-017-2557-9) contains supplementary material, which is available to authorized users.
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spelling pubmed-55799552017-09-07 Ready for goal setting? Process evaluation of a patient-specific goal-setting method in physiotherapy Stevens, Anita Köke, Albère van der Weijden, Trudy Beurskens, Anna BMC Health Serv Res Research Article BACKGROUND: Patient participation and goal setting appear to be difficult in daily physiotherapy practice, and practical methods are lacking. An existing patient-specific instrument, Patient-Specific Complaints (PSC), was therefore optimized into a new Patient Specific Goal-setting method (PSG). The aims of this study were to examine the feasibility of the PSG in daily physiotherapy practice, and to explore the potential impact of the new method. METHODS: We conducted a process evaluation within a non-controlled intervention study. Community-based physiotherapists were instructed on how to work with the PSG in three group training sessions. The PSG is a six-step method embedded across the physiotherapy process, in which patients are stimulated to participate in the goal-setting process by: identifying problematic activities, prioritizing them, scoring their abilities, setting goals, planning and evaluating. Quantitative and qualitative data were collected among patients and physiotherapists by recording consultations and assessing patient files, questionnaires and written reflection reports. RESULTS: Data were collected from 51 physiotherapists and 218 patients, and 38 recordings and 219 patient files were analysed. The PSG steps were performed as intended, but the ‘setting goals’ and ‘planning treatment’ steps were not performed in detail. The patients and physiotherapists were positive about the method, and the physiotherapists perceived increased patient participation. They became aware of the importance of engaging patients in a dialogue, instead of focusing on gathering information. The lack of integration in the electronic patient system was a major barrier for optimal use in practice. Although the self-reported actual use of the PSG, i.e. informing and involving patients, and client-centred competences had improved, this was not completely confirmed by the objectively observed behaviour. CONCLUSION: The PSG is a feasible method and tends to have impact on increasing patient participation in the goal-setting process. However, its full potential for shared goal setting has not been utilized yet. More implementation effort is needed to achieve the required behaviour change and a truly client-centred attitude, to make physiotherapists totally ready for shared goal setting. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1186/s12913-017-2557-9) contains supplementary material, which is available to authorized users. BioMed Central 2017-08-31 /pmc/articles/PMC5579955/ /pubmed/28859652 http://dx.doi.org/10.1186/s12913-017-2557-9 Text en © The Author(s). 2017 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Stevens, Anita
Köke, Albère
van der Weijden, Trudy
Beurskens, Anna
Ready for goal setting? Process evaluation of a patient-specific goal-setting method in physiotherapy
title Ready for goal setting? Process evaluation of a patient-specific goal-setting method in physiotherapy
title_full Ready for goal setting? Process evaluation of a patient-specific goal-setting method in physiotherapy
title_fullStr Ready for goal setting? Process evaluation of a patient-specific goal-setting method in physiotherapy
title_full_unstemmed Ready for goal setting? Process evaluation of a patient-specific goal-setting method in physiotherapy
title_short Ready for goal setting? Process evaluation of a patient-specific goal-setting method in physiotherapy
title_sort ready for goal setting? process evaluation of a patient-specific goal-setting method in physiotherapy
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5579955/
https://www.ncbi.nlm.nih.gov/pubmed/28859652
http://dx.doi.org/10.1186/s12913-017-2557-9
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