2007 Fiscal Year Final Research Report Summary
THE PATIENT CENTERED OF GOAL SETTING AND GOAL ATTAINMENT MEASURES IN PHYSICAL THERAPY WITH STROKE OUTPATIENTS
| Project/Area Number |
17530698
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| Research Category |
Grant-in-Aid for Scientific Research (C)
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| Allocation Type | Single-year Grants |
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| Section | 一般 |
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| Research Field |
Special needs education
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| Research Institution | Ibaraki Prefectural University of Health Science |
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Principal Investigator |
KAMIOKA Yumiko Ibaraki Prefectural University of Health Science, SCHOOL OF HEALTH SCIENCES, ASSOCIATE PROFESSOR (70274983)
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| Project Period (FY) |
2005 – 2007
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| Keywords | PHYSICAL THERAPY / STROKE / GOAL SETTING / GOALATTAINMENT / PATIENT CENTERED / OUTPATIENTS |
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| Research Abstract |
The objective of this study was to propose a method for treating outpatients with stroke by their physical therapists (PT) to jointly establish and share the goals of physical therapy.
Firstly, we examined the characteristics of the physical therapy goals perceived by outpatients and the PTs as well as the differences in their perceptions. The study used 30 pairs of outpatients receiving physical therapy and their PTs, and analyzed their goals for outpatient physical therapy by the Q-technique, which is a factor analysis method. The results showed that improvement of motor function and walking were the main goals for the patients, whereas improvement of walking and physical strength for everyday life were the main goals for the PTs. The goals of the patients and PTs were thus not identical, indicating that a method of setting goals needs to be developed in order to jointly establish and share the same goals.
Secondly, we examined such a method of setting goals. We reviewed the literature
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and analyzed the existing goal-setting techniques, then used the results to design a goal-setting method that would suit the patients with stroke after discharge. Three types of written forms were interactively used in this goal-setting process (checklist for goals, sheet to enter the goals, sheet to evaluate goal attainment level). When this method was applied to three outpatients, they were able to set appropriate goals for their lifestyle and share the results with the PTs. Further, the patients became more motivated to attain the goals. Thus, this goal-setting method may produce consistency in goal-setting, physical therapy intervention and evaluation, and hence improve rehabilitation activities including physical therapy. However, its effectiveness needs to be verified with more subjects. The method needs to be studied further not only for outpatient physical therapy but also for use in rehabilitation activities by visiting staff and geriatric healthcare facilities as well as for goal-sharing potential between multidisciplinary professions. Less
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Research Products
(10 results)
