The Library
Should patients participate in clinical decision making? An optimised balance block design controlled study of goal setting in a rehabilitation unit.
Tools
Tools
Tools
Holliday, R. C., Cano, S., Freeman, J. A. and Playford, E. Diane (2007) Should patients participate in clinical decision making? An optimised balance block design controlled study of goal setting in a rehabilitation unit. Journal of Neurology, Neurosurgery and Psychiatry, 78 (6). pp. 576-580. doi:DOI: 10.1136/jnnp.2006.102509 ISSN 0022-3050.
An open access version can be found in:
Official URL: http://dx.doi.org/10.1136/jnnp.2006.102509
Abstract
OBJECTIVES:
The recent National Service Framework for Long Term Conditions recommends that patients participate more in decision making about their care. However, few protocols exist to support this. One potentially useful method is goal setting, but little has been done to evaluate the added value of increasing patient participation in this way. Therefore, this study examined the impact of an increased participation goal setting protocol in a neurorehabilitation setting.
DESIGN:
The study was an AB optimised balance block design with each block lasting 3 months, over an 18 month period.
SETTING AND PARTICIPANTS:
Patients (n = 201) were recruited from an inpatient neurological rehabilitation unit.
INTERVENTIONS:
Patients (n = 100) recruited in phase A were involved in "usual practice" goal setting. Patients (n = 101) recruited in phase B were involved in "increased participation" goal setting, which included a protocol to help them define and prioritise their own goals.
MAIN OUTCOME MEASURES:
Patients' perceptions of the relevance of goal setting and their autonomy within the process; the number, type and outcome of goals; and level of functional ability.
RESULTS:
Phase B patients ("increased participation") set fewer goals, of which significantly more were participation related. These patients perceived the goals to be more relevant, and expressed greater autonomy and satisfaction with goal setting. There were no differences in functional outcomes between the groups.
CONCLUSION:
This study has shown that patients prefer increased participation in the goal setting process over standard procedures, perceiving their goals as more relevant and rehabilitation more patient centred despite the absence of functional gains. Effective patient centred care can be realised by using structures that help support patients to identify and communicate their priorities. As such, our findings suggest patients would benefit from greater participation in this aspect of clinical decision making.
| Item Type: | Journal Article | ||||
|---|---|---|---|---|---|
| Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences > Social Science & Systems in Health (SSSH) Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
||||
| Journal or Publication Title: | Journal of Neurology, Neurosurgery and Psychiatry | ||||
| Publisher: | B M J Group | ||||
| ISSN: | 0022-3050 | ||||
| Official Date: | June 2007 | ||||
| Dates: |
|
||||
| Volume: | 78 | ||||
| Number: | 6 | ||||
| Page Range: | pp. 576-580 | ||||
| DOI: | DOI: 10.1136/jnnp.2006.102509 | ||||
| Status: | Peer Reviewed | ||||
| Publication Status: | Published | ||||
| Access rights to Published version: | Open Access (Creative Commons) | ||||
| Related URLs: | |||||
| Open Access Version: |
Request changes or add full text files to a record
Repository staff actions (login required)
 |
View Item |
