A qualitative investigation into the patient-centered goal-setting practices of allied health clinicians working in rehabilitation

2018 ◽  
Vol 32 (6) ◽  
pp. 827-840 ◽  
Author(s):  
Lisa J Cameron ◽  
Lisa M Somerville ◽  
Catherine E Naismith ◽  
Dina Watterson ◽  
Valentina Maric ◽  
...  
2020 ◽  
Vol 14 (3) ◽  
pp. 271-273
Author(s):  
Nicole D. White ◽  
Vicki Bautista ◽  
Thomas Lenz ◽  
Amy Cosimano

Lifestyle modifications can effectively decrease chronic disease risk but studies show little to no time during patient encounters is spent on lifestyle medicine counseling. The SMART-EST goal framework facilitates both a rich discussion of lifestyle medicine and a comprehensive patient-centered action plan for health behavior change. The tenets of the SMART-EST goal-setting process are discussed.


2019 ◽  
Vol 139 (5) ◽  
pp. S37
Author(s):  
W.T. Eriksen ◽  
V.T. Raziano ◽  
A. Bazen ◽  
J.M. Gelfand ◽  
F. Barg ◽  
...  

PM&R ◽  
2016 ◽  
Vol 8 (9) ◽  
pp. S331
Author(s):  
Lynne Turner-Stokes ◽  
Jovita Balcaitiene ◽  
Stephen Ashford ◽  
Jorge Jacinto ◽  
Pascal Maisonobe ◽  
...  

2018 ◽  
Vol 33 (1) ◽  
pp. 128-140 ◽  
Author(s):  
Rosanne van Seben ◽  
Susanne M Smorenburg ◽  
Bianca M Buurman

Objective: To characterize how rehabilitation goals of older patients change over time and to explore professionals’ attitudes toward patient-centered goal-setting and their perspectives on rehabilitation goals. Design: Qualitative interview study. Setting: Three geriatric rehabilitation centers. Subjects: Ten patients (aged ⩾ 80), who had recently received inpatient geriatric rehabilitation, and seven professionals were purposively recruited. Methods: Semi-structured interviews. Patients were interviewed in the third or fourth week after discharge from inpatient rehabilitation, to reflect on their inpatient goals and to investigate long-term goals now that they were at home. A thematic analysis was performed. Results: During inpatient rehabilitation, participants’ main goals were regaining independence in self-care activities and going home. Post-discharge, patients were not at their baseline functioning level. Rehabilitation goals appeared to shift over time, and once at home, patients formulated more ambitious rehabilitation goals that were related to regaining full independence and being able to perform activities. Although professionals thought goal-setting together with the patient is important, they also stated that older individuals often are either unable to formulate goals or they set unrealistic ones. In addition, professionals indicated that goals have to be related to discharge criteria, such as performing basic self-care activities, and rehabilitation revolves around getting patients ready for discharge. Conclusion: During inpatient rehabilitation, patient goals are related to going home. After discharge, patients have ambitious goals, related to their premorbid functioning level. Rehabilitation services should distinguish between goals that are important while patients are inpatient and goals that are important after discharge.


10.2196/12483 ◽  
2019 ◽  
Vol 21 (8) ◽  
pp. e12483 ◽  
Author(s):  
Daniella Meeker ◽  
Jordan Goldberg ◽  
Katherine K Kim ◽  
Desi Peneva ◽  
Hugo De Oliveira Campos ◽  
...  

Background Over 6 million Americans have heart failure, and 1 in 8 deaths included heart failure as a contributing cause in 2016. Lifestyle changes and adherence to diet and exercise regimens are important in limiting disease progression. Health coaching and public commitment are two interactive communication strategies that may improve self-management of heart failure. Objective This study aimed to conduct patient focus groups to gain insight into how best to implement health coaching and public commitment strategies within the heart failure population. Methods Focus groups were conducted in two locations. We studied 2 patients in Oakland, California, and 5 patients in Los Angeles, California. Patients were referred by local cardiologists and had to have a diagnosis of chronic heart failure. We used a semistructured interview tool to explore several patient-centered themes including medication adherence, exercise habits, dietary habits, goals, accountability, and rewards. We coded focus group data using the a priori coding criteria for these domains. Results Medication adherence barriers included regimen complexity, forgetfulness, and difficulty coping with side effects. Participants reported that they receive little instruction from care providers on appropriate exercise and dietary habits. They also reported personal and social obstacles to achieving these objectives. Participants were in favor of structured goal setting, use of online social networks, and financial rewards as a means of promoting health lifestyles. Peers were viewed as better motivating agents than family members. Conclusions An active communication framework involving dissemination of diet- and exercise-related health information, structured goal setting, peer accountability, and financial rewards appears promising in the management of heart failure.


Author(s):  
Pedro Parreira ◽  
Paulo Santos-Costa ◽  
Manoel Neri ◽  
António Marques ◽  
Paulo Queirós ◽  
...  

This article analyzes the work methods based on care design, identification of needs, care organization, planning, delivery, evaluation, continuity, safety, and complexity of care, and discharge preparation. It describes the diagnosis of the situation, goal setting, strategy selection, implementation, and outcome evaluation that contribute to adopting a given work conception and/or method for nursing care delivery. Later, the concepts underlying the several methods—management theories and theoretical nursing concepts—are presented, with reference to relevant authors. The process of analysis and selection of the method is explained, highlighting the importance of diagnosis of the situation, goal setting, strategy selection, implementation, and outcome evaluation. The importance of various elements is highlighted, such as structural aspects, nature of care, target population, resources, and philosophy of the institution, which may condition the adoption of a method. The importance of care conceptualization is also underlined. The work methods are presented with a description of the key characteristics, advantages, and disadvantages of the task-oriented method (functional nursing) and patient-centered methods: individual, team nursing, and primary nursing. A critical and comparative analysis of the methods is then performed, alluding to the combination of person-centered methods.


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