An Exploratory Study of the Differences between Unidisciplinary and Multidisciplinary Goal Setting in Acute Therapy Services
The purpose of this preliminary study was to examine the differences between unidisciplinary and multidisciplinary therapy goal setting in an acute trust. The ideal goal is thought to be SMART (specific, measurable, achievable, realistic and timely) and related to functional activity. Twenty-one therapists from one acute trust participated in the study. One group of therapists used a unidisciplinary approach to goal setting and one group of therapists used a multidisciplinary approach. Goals were collected over an 8-week period. The goals were scored as SMART and functional by three independent therapists blind to the method of working. Compared with the unidisciplinary goals, the multidisciplinary goals were more frequently SMART (66/76 multi v 11/50 uni, p<0.001) and related to functional activity (64/76 multi v 31/50 uni, p<0.005). Multidisciplinary working seems to result in goals that are more likely to be SMART and functional. Nevertheless, it remains to be discovered whether setting SMART, functional goals improves patient outcomes.