Article

We investigated the nature of services providing community-based stroke
rehabilitation across the UK, and goal setting practice used within them, to
inform evaluation of a goal setting and action planning
(G-AP) framework.
METHODS: We designed, piloted and electronically distributed a survey to health
professionals working in community-based stroke rehabilitation settings across
the UK. We optimised recruitment using a multi-faceted strategy. RESULTS:
Responses were analysed from 437 services. Services size, composition and input
was highly variable; however, most were multi-disciplinary (82%; n = 335/407) and
provided input to a mixed diagnostic group of patients (71%; n = 312/437). Ninety
one percent of services (n = 358/395) reported setting goals with "all" or "most"
stroke survivors. Seventeen percent (n = 65/380) reported that no methods were
used to guide goal setting practice; 47% (n = 148/315) reported use of informal
methods only. Goal setting practice varied, e.g. 98% of services (n = 362/369)
reported routinely asking patients about goal priorities; 39% (n = 141/360)
reported routinely providing patients with a copy of their goals. CONCLUSIONS:
Goal setting is embedded within community-based stroke rehabilitation; however,
practice varies and is potentially sub-optimal. Further evaluation of the G-AP
framework is warranted to inform optimal practice. Evaluation design will take
account of the diverse service models that exist. Implications for Rehabilitation
Community-based stroke rehabilitation services across the UK are diverse and tend
to see a mixed diagnostic group of patients. Goal setting is implemented
routinely within community-based stroke rehabilitation services; however,
practice is variable and potentially sub-optimal. Further evaluation of the G-AP
framework is warranted to assess its effectiveness in practice.
- Royaume Uni

Langue : ANGLAIS