Article

Setting and achieving goals is fundamental to rehabilitation practice
but has been criticized for being a-theoretical and the key components of
replicable goal-setting interventions are not well established. PURPOSE: To
describe the development of a theory-based goal setting practice framework for
use in rehabilitation settings and to detail its component parts. METHODS: Causal
modelling was used to map theories of behaviour change onto the process of
setting and achieving rehabilitation goals, and to suggest the mechanisms through
which patient outcomes are likely to be affected. A multidisciplinary task group
developed the causal model into a practice framework for use in rehabilitation
settings through iterative discussion and implementation with six patients.
RESULTS: Four components of a goal-setting and action-planning practice framework
were identified: (i) goal negotiation, (ii) goal identification, (iii) planning,
and (iv) appraisal and feedback. The variables hypothesized to effect change in
patient outcomes were self-efficacy and action plan attainment. CONCLUSIONS: A
theory-based goal setting practice framework for use in rehabilitation settings
is described. The framework requires further development and systematic
evaluation in a range of rehabilitation settings.

Langue : ANGLAIS