Goal facilitation in rehabilitation after stroke
Research type
Research Study
Full title
A study to investigate the impact of a designated model of goal setting in rehabilitation after stroke on clinician experience and patient rehabilitation plans.
IRAS ID
184191
Contact name
John Parsons
Contact email
Duration of Study in the UK
0 years, 2 months, 30 days
Research summary
Goal setting is a key component of rehabilitation. However there is increasing evidence to show that it is often not done well, that there is a lack of clarity about its purpose among team members and that there is often discrepancy between what the clinicians see as important rehabilitation goals and the areas that the family and patient see as a key focus. However, when goal setting is used as a key component of a comprehensive model of rehabilitation that places the patient / family at the centre then the potential for maximising clinical and patient outcomes can be realised.
The study will involve semi-structured interviews with clinicians within the inpatient and community based rehabilitation teams at Southport and Ormskirk Hospital NHS Trust and thematic classification of goals recorded in the anonymised clinical records of up to 20 patients who received services from the team using the World Health Organisation International Classification of Functioning as a framework for analysis.
Following these interviews the team members will attend an individually tailored educational programme based on a pragmatic approach and evidence-based framework for goal setting within community based rehabilitation teams developed by the principal investigator but contextualised following close liaison with the rehabilitation team leaders.
On completion of the programme the semi-structured interviews with the team members will be repeated and a further group of up to 20 anonymised clinical records of patients admitted to the team following the delivery of the training programme will be analysed to determine if the content and structure of the goals have changed following the training programme. The semi-structured interviews will be audio recorded and analysed using a general inductive method to determine the attitudes, barriers and facilitators of the team members relating to goal setting as part of rehabilitation before and after the training programme.REC name
Yorkshire & The Humber - Leeds East Research Ethics Committee
REC reference
15/YH/0356
Date of REC Opinion
27 Jul 2015
REC opinion
Favourable Opinion