A systematic review and synthesis of the quantitative and qualitative evidence behind patient-centred goal setting in stroke rehabilitation
Authors: Rosewilliam, S., Roskell, C.A. and Pandyan, A.D.
Journal: Clinical Rehabilitation
Volume: 25
Issue: 6
Pages: 501-514
eISSN: 1477-0873
ISSN: 0269-2155
DOI: 10.1177/0269215510394467
Abstract:Objective: To map out from the literature the nature, extent and effects of application of patient-centred goal setting in stroke rehabilitation practice. Design: Systematic review. Data sources: A search was conducted in the Cochrane (Wiley), AMED, Medline (EBSCO), Embase, Sports discuss, Medline (Ovid) and CINAHL databases. Secondary search based on references from the preliminary search was undertaken. Review methods: Quantitative and qualitative studies that included aspects of patient-centredness and goal setting in stroke patients from 1980 to June 2010 were collected. Studies were scrutinized for relevance and quality based on published methodology. The findings were synthesized by aggregating the themes from the qualitative studies and relating them to relevant findings from the quantitative studies. Results: Eighteen qualitative and eight quantitative and one mixed method study conducted in stroke rehabilitation services ranging from acute to community rehabilitation were included. Themes that emerged were related to perceptions of patients and professionals regarding patient-centredness, nominal adoption of this concept, consequences of discrepancies in the perceptions and practice, related ethical conflicts, challenges to application and strategies to improve its application. The effects of following patient-centred goal-setting practice have been studied mostly with weak methodologies and studies show some benefit with psychological outcomes. Conclusion: Patient-centred goal setting is minimally adopted in goal-setting practice due to various barriers. Since the effects of incorporating this concept have not been evaluated rigorously it is suggested that further research is essential to investigate its effect on patient outcomes. © 2011 The Author(s).
Source: Scopus
A systematic review and synthesis of the quantitative and qualitative evidence behind patient-centred goal setting in stroke rehabilitation.
Authors: Rosewilliam, S., Roskell, C.A. and Pandyan, A.D.
Journal: Clin Rehabil
Volume: 25
Issue: 6
Pages: 501-514
eISSN: 1477-0873
DOI: 10.1177/0269215510394467
Abstract:OBJECTIVE: To map out from the literature the nature, extent and effects of application of patient-centred goal setting in stroke rehabilitation practice. DESIGN: Systematic review. DATA SOURCES: A search was conducted in the Cochrane (Wiley), AMED, Medline (EBSCO), Embase, Sports discuss, Medline (Ovid) and CINAHL databases. Secondary search based on references from the preliminary search was undertaken. REVIEW METHODS: Quantitative and qualitative studies that included aspects of patient-centredness and goal setting in stroke patients from 1980 to June 2010 were collected. Studies were scrutinized for relevance and quality based on published methodology. The findings were synthesized by aggregating the themes from the qualitative studies and relating them to relevant findings from the quantitative studies. RESULTS: Eighteen qualitative and eight quantitative and one mixed method study conducted in stroke rehabilitation services ranging from acute to community rehabilitation were included. Themes that emerged were related to perceptions of patients and professionals regarding patient-centredness, nominal adoption of this concept, consequences of discrepancies in the perceptions and practice, related ethical conflicts, challenges to application and strategies to improve its application. The effects of following patient-centred goal-setting practice have been studied mostly with weak methodologies and studies show some benefit with psychological outcomes. CONCLUSION: Patient-centred goal setting is minimally adopted in goal-setting practice due to various barriers. Since the effects of incorporating this concept have not been evaluated rigorously it is suggested that further research is essential to investigate its effect on patient outcomes.
Source: PubMed
A systematic review and synthesis of the quantitative and qualitative evidence behind patient-centred goal setting in stroke rehabilitation
Authors: Rosewilliam, S., Roskell, C.A. and Pandyan, A.D.
Journal: CLINICAL REHABILITATION
Volume: 25
Issue: 6
Pages: 501-514
eISSN: 1477-0873
ISSN: 0269-2155
DOI: 10.1177/0269215510394467
Source: Web of Science (Lite)
A systematic review and synthesis of the quantitative and qualitative evidence behind patient-centred goal setting in stroke rehabilitation.
Authors: Rosewilliam, S., Roskell, C.A. and Pandyan, A.D.
Journal: Clinical rehabilitation
Volume: 25
Issue: 6
Pages: 501-514
eISSN: 1477-0873
ISSN: 0269-2155
DOI: 10.1177/0269215510394467
Abstract:Objective
To map out from the literature the nature, extent and effects of application of patient-centred goal setting in stroke rehabilitation practice.Design
Systematic review.Data sources
A search was conducted in the Cochrane (Wiley), AMED, Medline (EBSCO), Embase, Sports discuss, Medline (Ovid) and CINAHL databases. Secondary search based on references from the preliminary search was undertaken.Review methods
Quantitative and qualitative studies that included aspects of patient-centredness and goal setting in stroke patients from 1980 to June 2010 were collected. Studies were scrutinized for relevance and quality based on published methodology. The findings were synthesized by aggregating the themes from the qualitative studies and relating them to relevant findings from the quantitative studies.Results
Eighteen qualitative and eight quantitative and one mixed method study conducted in stroke rehabilitation services ranging from acute to community rehabilitation were included. Themes that emerged were related to perceptions of patients and professionals regarding patient-centredness, nominal adoption of this concept, consequences of discrepancies in the perceptions and practice, related ethical conflicts, challenges to application and strategies to improve its application. The effects of following patient-centred goal-setting practice have been studied mostly with weak methodologies and studies show some benefit with psychological outcomes.Conclusion
Patient-centred goal setting is minimally adopted in goal-setting practice due to various barriers. Since the effects of incorporating this concept have not been evaluated rigorously it is suggested that further research is essential to investigate its effect on patient outcomes.Source: Europe PubMed Central