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- Title
Elucidating a Goal-Setting Continuum in Brain Injury Rehabilitation.
- Authors
Hunt, Anne W.; Le Dorze, Guylaine; Trentham, Barry; Polatajko, Helene J.; Dawson, Deirdre R.
- Abstract
For individuals with brain injury, active participation in goal setting is associated with better rehabilitation outcomes. However, clinicians report difficulty engaging these clients in goal setting due to perceived or real deficits (e.g., lack of awareness). We conducted a study using grounded theory methods to understand how clinicians from occupational therapy facilitate client engagement and manage challenges inherent in goal setting with this population. Through constant comparative analysis, a goal-setting continuum emerged. At one end of the continuum, therapists embrace client-determined goals and enable clients to decide their own goals. At the other, therapists accept preset organization-determined goals (e.g., “the goal is discharge”) and pay little attention to client input. Although all participants aspired to embrace client-determined goal setting, most felt powerless to do so within perceived organizational constraints. Views of advocacy and empowerment help to explain our findings and inform more inclusive practice.
- Subjects
GOAL (Psychology); GROUNDED theory; MEDICAL protocols; OCCUPATIONAL therapy; POWER (Social sciences); PSYCHOLOGY; QUALITATIVE research; THEORY; REHABILITATION for brain injury patients
- Publication
Qualitative Health Research, 2015, Vol 25, Issue 8, p1044
- ISSN
1049-7323
- Publication type
Article
- DOI
10.1177/1049732315588759