Implementation of G-AP in community rehabiltation settings.

• Research type

  Research Study

• Full title

  The implementation of the goal setting and action planning framework (G-AP) in community rehabilitation settings. A process evaluation.

• IRAS ID

  301499

• Contact name

  Katie Elliott

• Contact email

  katherine.elliott@gcu.ac.uk

• Sponsor organisation

  Glasgow Caledonian University

• Clinicaltrials.gov Identifier

  N/A, N/A

• Duration of Study in the UK

  0 years, 6 months, 0 days

• Research summary

  This PhD study is sponsored by Glasgow Caledonian University.

  Background:
  Supporting patients to set and work towards their goals is a core element of rehabilitation practice and is recommended in clinical guidelines. Person centred goal setting ensures that rehabilitation addresses patients' individual needs, preferences and priorities. The Goal setting and action planning framework (G-AP) is designed to guide patient centred goal setting practice in community rehabilitation teams. However, implementation and sustained use of G-AP can be problematic. G-AP research has demonstrated a need for planning, monitoring and tailoring implementation of G-AP within local teams.

  Study design/ setting:
  A mixed methods process evaluation will be conducted in 3 phases. Participants will be recruited from three community rehabilitation teams in NHS Lanarkshire. This application describes Phase 1 of the study which will last 6 months.

  Aim: To investigate team structure, experiences of 'usual practice' goal setting practice and factors likely to inhibit or promote G-AP implementation, from the perspective of staff and patients.

  Participant involvement is as follows:
  rehabilitation staff: questionnaire and focus group;
  rehabilitation team managers: questionnaire and semi-structured interview
  patients: semi-structured interview.

  The patient population will be aged 18+ with stroke, brain injury or other neurological condition. The participants must have some experience of goal setting with the community rehabilitation team and be able to provide informed consent.
  Team documentation that informs team context and/or usual practice goal setting will be collected to add to the participant data content.

  Intended impacts:
  Benefits for participants are anticipated as follows; local tailoring of a structured person centred goal setting framework; clinical person-centred care guidelines fulfilled (staff and managers) and improved satisfaction with goal setting experience (managers, staff and patients); patients with a variety of conditions (not only stroke as in previous G-AP research) will have the opportunity to set goals using the G-AP framework.

• REC name

  East Midlands - Nottingham 1 Research Ethics Committee

• REC reference

  21/EM/0197

• Date of REC Opinion

  6 Aug 2021

• REC opinion

  Favourable Opinion