Patient inclusion in goal setting during early inpatient rehabilitation after acquired brain injury
Objective: To investigate the effects of patient participation in multidisciplinary goal setting during early inpatient rehabilitation after acquired brain injury. Design: Case controlled retrospective study. Setting: Regional neurological rehabilitation unit. Subjects: One hundred and five patients...
Gespeichert in:
| Veröffentlicht in: | Clinical rehabilitation 2012-02, Vol.26 (2), p.165-173 |
|---|---|
| Hauptverfasser: | , , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 173 |
|---|---|
| container_issue | 2 |
| container_start_page | 165 |
| container_title | Clinical rehabilitation |
| container_volume | 26 |
| creator | Dalton, Catherine Farrell, Rachel De Souza, Annette Wujanto, Evelyn McKenna-Slade, Ann Thompson, Sharmen Liu, Clarence Greenwood, Richard |
| description | Objective: To investigate the effects of patient participation in multidisciplinary goal setting during early inpatient rehabilitation after acquired brain injury.
Design: Case controlled retrospective study.
Setting: Regional neurological rehabilitation unit.
Subjects: One hundred and five patients with acquired brain injury.
Main measures: Numbers of goals set and achieved per patient before and after intervention; Barthel Index and Functional Independence Measure.
Results: The intervention resulted in a significant increase in the number of goals set per patient (340 versus 411 total goals, mean per patient 6.3 pre versus 8.05 post, P = 0.008). More patients had multiple goals set within each domain (P = 0.023). There was an increase in the number of patients with sleeping (0 pre, 9 post), continence (3 pre, 17 post) and leisure (15 pre, 35 post) goals set, and leisure goals achieved (60% pre and 68% post, P |
| doi_str_mv | 10.1177/0269215511405230 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_964270123</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sage_id>10.1177_0269215511405230</sage_id><sourcerecordid>2571008361</sourcerecordid><originalsourceid>FETCH-LOGICAL-c461t-4576de1811374eb48ebeca26ecb1bc6649ea3c712ea6c08a85911ed8edfa9fb03</originalsourceid><addsrcrecordid>eNqFkc1LxDAQxYMoun7cPUnx4qmaSZMmPcriFyzoQc8lTadrlm67mzSH_e9N2VVhQTzNDO_3XgiPkEugtwBS3lGWFwyEAOBUsIwekAlwKVOqZHZIJqOcjvoJOfV-QSlVjMMxOWFQZFIwPiHmTQ8WuyGxnWmDt30Xt2Te6zbxOAy2myd1cONA7dpNFFc7g8NPXdnWDvGOLt0M6BJt1sE6rJPKaTtGLYLbnJOjRrceL3bzjHw8PrxPn9PZ69PL9H6WGp7DkHIh8xpBAWSSY8UVVmg0y9FUUJk85wXqzEhgqHNDlVaiAMBaYd3ooqlodkZutrkr168D-qFcWm-wbXWHffBlkXMmKbDsfxKUkJkoRCSv98hFH1wXvxEhWXDFFIsQ3ULG9d47bMqVs0vtNiXQciyq3C8qWq52uaFaYv1j-G4mAukW8HqOv4_-GfgFMlWbnQ</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>917948282</pqid></control><display><type>article</type><title>Patient inclusion in goal setting during early inpatient rehabilitation after acquired brain injury</title><source>Applied Social Sciences Index & Abstracts (ASSIA)</source><source>SAGE Complete A-Z List</source><source>MEDLINE</source><creator>Dalton, Catherine ; Farrell, Rachel ; De Souza, Annette ; Wujanto, Evelyn ; McKenna-Slade, Ann ; Thompson, Sharmen ; Liu, Clarence ; Greenwood, Richard</creator><creatorcontrib>Dalton, Catherine ; Farrell, Rachel ; De Souza, Annette ; Wujanto, Evelyn ; McKenna-Slade, Ann ; Thompson, Sharmen ; Liu, Clarence ; Greenwood, Richard</creatorcontrib><description>Objective: To investigate the effects of patient participation in multidisciplinary goal setting during early inpatient rehabilitation after acquired brain injury.
Design: Case controlled retrospective study.
Setting: Regional neurological rehabilitation unit.
Subjects: One hundred and five patients with acquired brain injury.
Main measures: Numbers of goals set and achieved per patient before and after intervention; Barthel Index and Functional Independence Measure.
Results: The intervention resulted in a significant increase in the number of goals set per patient (340 versus 411 total goals, mean per patient 6.3 pre versus 8.05 post, P = 0.008). More patients had multiple goals set within each domain (P = 0.023). There was an increase in the number of patients with sleeping (0 pre, 9 post), continence (3 pre, 17 post) and leisure (15 pre, 35 post) goals set, and leisure goals achieved (60% pre and 68% post, P < 0.001). Correlations between goal achievement and change in activity-related outcome measures (Barthel Index and Functional Independence Measure) also improved with the new goal setting process. The proportion of goals achieved remained similar (60% pre and 63% post intervention), suggesting there was no evidence of inappropriate or unachievable goals set when the patient and family were included.
Conclusions: Real-time engagement of brain-injured patients in the goal setting process during early inpatient rehabilitation is achievable, but requires a structured multidisciplinary assessment of need. We found it increases the number of domains in which goals are set and includes functional areas not rated by commonly used global measures of outcome during inpatient rehabilitation.</description><identifier>ISSN: 0269-2155</identifier><identifier>EISSN: 1477-0873</identifier><identifier>DOI: 10.1177/0269215511405230</identifier><identifier>PMID: 21937524</identifier><identifier>CODEN: CEHAEN</identifier><language>eng</language><publisher>London, England: SAGE Publications</publisher><subject>Adult ; Brain injuries ; Brain Injuries - diagnosis ; Brain Injuries - rehabilitation ; Case-Control Studies ; Cooperative Behavior ; Disability Evaluation ; Female ; Follow-Up Studies ; Goal setting ; Goals ; Hospitalization ; Humans ; Injury Severity Score ; Inpatients - statistics & numerical data ; Leisure ; Male ; Middle Aged ; Outcome Assessment (Health Care) ; Patient Care Team - organization & administration ; Patient Participation - statistics & numerical data ; Patients ; Physical Therapy Modalities ; Professional-Patient Relations ; Recovery of Function ; Rehabilitation ; Rehabilitation Centers ; Retrospective Studies ; Risk Assessment ; Statistics, Nonparametric ; Time Factors ; Traumatic brain injury ; Treatment Outcome ; United Kingdom</subject><ispartof>Clinical rehabilitation, 2012-02, Vol.26 (2), p.165-173</ispartof><rights>SAGE Publications 2011</rights><rights>SAGE Publications © Feb 2012</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c461t-4576de1811374eb48ebeca26ecb1bc6649ea3c712ea6c08a85911ed8edfa9fb03</citedby><cites>FETCH-LOGICAL-c461t-4576de1811374eb48ebeca26ecb1bc6649ea3c712ea6c08a85911ed8edfa9fb03</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/0269215511405230$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/0269215511405230$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,776,780,12827,21800,27903,27904,30978,30979,43600,43601</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21937524$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Dalton, Catherine</creatorcontrib><creatorcontrib>Farrell, Rachel</creatorcontrib><creatorcontrib>De Souza, Annette</creatorcontrib><creatorcontrib>Wujanto, Evelyn</creatorcontrib><creatorcontrib>McKenna-Slade, Ann</creatorcontrib><creatorcontrib>Thompson, Sharmen</creatorcontrib><creatorcontrib>Liu, Clarence</creatorcontrib><creatorcontrib>Greenwood, Richard</creatorcontrib><title>Patient inclusion in goal setting during early inpatient rehabilitation after acquired brain injury</title><title>Clinical rehabilitation</title><addtitle>Clin Rehabil</addtitle><description>Objective: To investigate the effects of patient participation in multidisciplinary goal setting during early inpatient rehabilitation after acquired brain injury.
Design: Case controlled retrospective study.
Setting: Regional neurological rehabilitation unit.
Subjects: One hundred and five patients with acquired brain injury.
Main measures: Numbers of goals set and achieved per patient before and after intervention; Barthel Index and Functional Independence Measure.
Results: The intervention resulted in a significant increase in the number of goals set per patient (340 versus 411 total goals, mean per patient 6.3 pre versus 8.05 post, P = 0.008). More patients had multiple goals set within each domain (P = 0.023). There was an increase in the number of patients with sleeping (0 pre, 9 post), continence (3 pre, 17 post) and leisure (15 pre, 35 post) goals set, and leisure goals achieved (60% pre and 68% post, P < 0.001). Correlations between goal achievement and change in activity-related outcome measures (Barthel Index and Functional Independence Measure) also improved with the new goal setting process. The proportion of goals achieved remained similar (60% pre and 63% post intervention), suggesting there was no evidence of inappropriate or unachievable goals set when the patient and family were included.
Conclusions: Real-time engagement of brain-injured patients in the goal setting process during early inpatient rehabilitation is achievable, but requires a structured multidisciplinary assessment of need. We found it increases the number of domains in which goals are set and includes functional areas not rated by commonly used global measures of outcome during inpatient rehabilitation.</description><subject>Adult</subject><subject>Brain injuries</subject><subject>Brain Injuries - diagnosis</subject><subject>Brain Injuries - rehabilitation</subject><subject>Case-Control Studies</subject><subject>Cooperative Behavior</subject><subject>Disability Evaluation</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Goal setting</subject><subject>Goals</subject><subject>Hospitalization</subject><subject>Humans</subject><subject>Injury Severity Score</subject><subject>Inpatients - statistics & numerical data</subject><subject>Leisure</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Outcome Assessment (Health Care)</subject><subject>Patient Care Team - organization & administration</subject><subject>Patient Participation - statistics & numerical data</subject><subject>Patients</subject><subject>Physical Therapy Modalities</subject><subject>Professional-Patient Relations</subject><subject>Recovery of Function</subject><subject>Rehabilitation</subject><subject>Rehabilitation Centers</subject><subject>Retrospective Studies</subject><subject>Risk Assessment</subject><subject>Statistics, Nonparametric</subject><subject>Time Factors</subject><subject>Traumatic brain injury</subject><subject>Treatment Outcome</subject><subject>United Kingdom</subject><issn>0269-2155</issn><issn>1477-0873</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><sourceid>BENPR</sourceid><recordid>eNqFkc1LxDAQxYMoun7cPUnx4qmaSZMmPcriFyzoQc8lTadrlm67mzSH_e9N2VVhQTzNDO_3XgiPkEugtwBS3lGWFwyEAOBUsIwekAlwKVOqZHZIJqOcjvoJOfV-QSlVjMMxOWFQZFIwPiHmTQ8WuyGxnWmDt30Xt2Te6zbxOAy2myd1cONA7dpNFFc7g8NPXdnWDvGOLt0M6BJt1sE6rJPKaTtGLYLbnJOjRrceL3bzjHw8PrxPn9PZ69PL9H6WGp7DkHIh8xpBAWSSY8UVVmg0y9FUUJk85wXqzEhgqHNDlVaiAMBaYd3ooqlodkZutrkr168D-qFcWm-wbXWHffBlkXMmKbDsfxKUkJkoRCSv98hFH1wXvxEhWXDFFIsQ3ULG9d47bMqVs0vtNiXQciyq3C8qWq52uaFaYv1j-G4mAukW8HqOv4_-GfgFMlWbnQ</recordid><startdate>20120201</startdate><enddate>20120201</enddate><creator>Dalton, Catherine</creator><creator>Farrell, Rachel</creator><creator>De Souza, Annette</creator><creator>Wujanto, Evelyn</creator><creator>McKenna-Slade, Ann</creator><creator>Thompson, Sharmen</creator><creator>Liu, Clarence</creator><creator>Greenwood, Richard</creator><general>SAGE Publications</general><general>Sage Publications Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>3V.</scope><scope>7QJ</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88C</scope><scope>88E</scope><scope>88G</scope><scope>88J</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HEHIP</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0R</scope><scope>M0S</scope><scope>M0T</scope><scope>M1P</scope><scope>M2M</scope><scope>M2R</scope><scope>M2S</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20120201</creationdate><title>Patient inclusion in goal setting during early inpatient rehabilitation after acquired brain injury</title><author>Dalton, Catherine ; Farrell, Rachel ; De Souza, Annette ; Wujanto, Evelyn ; McKenna-Slade, Ann ; Thompson, Sharmen ; Liu, Clarence ; Greenwood, Richard</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c461t-4576de1811374eb48ebeca26ecb1bc6649ea3c712ea6c08a85911ed8edfa9fb03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Adult</topic><topic>Brain injuries</topic><topic>Brain Injuries - diagnosis</topic><topic>Brain Injuries - rehabilitation</topic><topic>Case-Control Studies</topic><topic>Cooperative Behavior</topic><topic>Disability Evaluation</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Goal setting</topic><topic>Goals</topic><topic>Hospitalization</topic><topic>Humans</topic><topic>Injury Severity Score</topic><topic>Inpatients - statistics & numerical data</topic><topic>Leisure</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Outcome Assessment (Health Care)</topic><topic>Patient Care Team - organization & administration</topic><topic>Patient Participation - statistics & numerical data</topic><topic>Patients</topic><topic>Physical Therapy Modalities</topic><topic>Professional-Patient Relations</topic><topic>Recovery of Function</topic><topic>Rehabilitation</topic><topic>Rehabilitation Centers</topic><topic>Retrospective Studies</topic><topic>Risk Assessment</topic><topic>Statistics, Nonparametric</topic><topic>Time Factors</topic><topic>Traumatic brain injury</topic><topic>Treatment Outcome</topic><topic>United Kingdom</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Dalton, Catherine</creatorcontrib><creatorcontrib>Farrell, Rachel</creatorcontrib><creatorcontrib>De Souza, Annette</creatorcontrib><creatorcontrib>Wujanto, Evelyn</creatorcontrib><creatorcontrib>McKenna-Slade, Ann</creatorcontrib><creatorcontrib>Thompson, Sharmen</creatorcontrib><creatorcontrib>Liu, Clarence</creatorcontrib><creatorcontrib>Greenwood, Richard</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Social Sciences Premium Collection</collection><collection>ProQuest Central (Corporate)</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Healthcare Administration Database (Alumni)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>Social Science Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Social Science Premium Collection</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Sociology Collection</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Consumer Health Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Healthcare Administration Database</collection><collection>Medical Database</collection><collection>ProQuest Psychology</collection><collection>Social Science Database</collection><collection>Sociology Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Clinical rehabilitation</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Dalton, Catherine</au><au>Farrell, Rachel</au><au>De Souza, Annette</au><au>Wujanto, Evelyn</au><au>McKenna-Slade, Ann</au><au>Thompson, Sharmen</au><au>Liu, Clarence</au><au>Greenwood, Richard</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Patient inclusion in goal setting during early inpatient rehabilitation after acquired brain injury</atitle><jtitle>Clinical rehabilitation</jtitle><addtitle>Clin Rehabil</addtitle><date>2012-02-01</date><risdate>2012</risdate><volume>26</volume><issue>2</issue><spage>165</spage><epage>173</epage><pages>165-173</pages><issn>0269-2155</issn><eissn>1477-0873</eissn><coden>CEHAEN</coden><abstract>Objective: To investigate the effects of patient participation in multidisciplinary goal setting during early inpatient rehabilitation after acquired brain injury.
Design: Case controlled retrospective study.
Setting: Regional neurological rehabilitation unit.
Subjects: One hundred and five patients with acquired brain injury.
Main measures: Numbers of goals set and achieved per patient before and after intervention; Barthel Index and Functional Independence Measure.
Results: The intervention resulted in a significant increase in the number of goals set per patient (340 versus 411 total goals, mean per patient 6.3 pre versus 8.05 post, P = 0.008). More patients had multiple goals set within each domain (P = 0.023). There was an increase in the number of patients with sleeping (0 pre, 9 post), continence (3 pre, 17 post) and leisure (15 pre, 35 post) goals set, and leisure goals achieved (60% pre and 68% post, P < 0.001). Correlations between goal achievement and change in activity-related outcome measures (Barthel Index and Functional Independence Measure) also improved with the new goal setting process. The proportion of goals achieved remained similar (60% pre and 63% post intervention), suggesting there was no evidence of inappropriate or unachievable goals set when the patient and family were included.
Conclusions: Real-time engagement of brain-injured patients in the goal setting process during early inpatient rehabilitation is achievable, but requires a structured multidisciplinary assessment of need. We found it increases the number of domains in which goals are set and includes functional areas not rated by commonly used global measures of outcome during inpatient rehabilitation.</abstract><cop>London, England</cop><pub>SAGE Publications</pub><pmid>21937524</pmid><doi>10.1177/0269215511405230</doi><tpages>9</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0269-2155 |
| ispartof | Clinical rehabilitation, 2012-02, Vol.26 (2), p.165-173 |
| issn | 0269-2155 1477-0873 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_964270123 |
| source | Applied Social Sciences Index & Abstracts (ASSIA); SAGE Complete A-Z List; MEDLINE |
| subjects | Adult Brain injuries Brain Injuries - diagnosis Brain Injuries - rehabilitation Case-Control Studies Cooperative Behavior Disability Evaluation Female Follow-Up Studies Goal setting Goals Hospitalization Humans Injury Severity Score Inpatients - statistics & numerical data Leisure Male Middle Aged Outcome Assessment (Health Care) Patient Care Team - organization & administration Patient Participation - statistics & numerical data Patients Physical Therapy Modalities Professional-Patient Relations Recovery of Function Rehabilitation Rehabilitation Centers Retrospective Studies Risk Assessment Statistics, Nonparametric Time Factors Traumatic brain injury Treatment Outcome United Kingdom |
| title | Patient inclusion in goal setting during early inpatient rehabilitation after acquired brain injury |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-27T22%3A53%3A33IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Patient%20inclusion%20in%20goal%20setting%20during%20early%20inpatient%20rehabilitation%20after%20acquired%20brain%20injury&rft.jtitle=Clinical%20rehabilitation&rft.au=Dalton,%20Catherine&rft.date=2012-02-01&rft.volume=26&rft.issue=2&rft.spage=165&rft.epage=173&rft.pages=165-173&rft.issn=0269-2155&rft.eissn=1477-0873&rft.coden=CEHAEN&rft_id=info:doi/10.1177/0269215511405230&rft_dat=%3Cproquest_cross%3E2571008361%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=917948282&rft_id=info:pmid/21937524&rft_sage_id=10.1177_0269215511405230&rfr_iscdi=true |