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Awareness and satisfaction of therapeutic goals on functional status in persons with hemiparetic stroke

  • Ahn, Si-Nae (Department of Occupational Therapy, College of Health and Medical Science, Cheongju University) ;
  • Lee, Jeong-Weon (Department of Occupational Therapy, Yeoju Institute of Technology) ;
  • Hwang, Sujin (Department of Physical Therapy, Division of Health Science, Baekseok University)
  • Received : 2018.01.28
  • Accepted : 2018.03.08
  • Published : 2018.03.30

Abstract

Objective: Setting therapeutic goals assist to identify patient priorities and predict problem that may arise in performing daily and functional activities. Goal setting is associated with improved rehabilitation outcomes in individuals with hemiparetic stroke. This study was conducted to assess the effects of having awareness and satisfaction of goals on the functional status of individuals with hemiparetic stroke. Design: Cross-sectional study. Methods: Eighty-one people who had been diagnosed with stroke participated in this study. The study was conducted through a face-to-face surveys to identify participants' awareness and satisfaction of goals and standard assessment tools were used to evaluate patients' functional status. This study measured functional status through three clinical measures including the manual function test (MFT), Berg Balance scale (BBS), and modified Barthel index (MBI). Results: In participants with hemiparetic stroke, the MBI, BBS, and MFT scores were significantly higher in the participants who were aware of the therapeutic goal than in those who were unaware (p<0.05). The MBI, BBS, and MFT scores were not significant between the participants who were satisfied with the goal and those who were unsatisfied. Conclusions: This study suggests that having awareness in therapeutic goal-setting could lead to improvement of functional status in those with hemiparetic stroke. This study highlights how goal-setting can have a positive effect on persons with hemiparetic stroke.

Keywords

References

  1. World Health Organization. The world health report 2003: shaping the future. Geneva: World Health Organization; 2003.
  2. Desrosiers J, Demers L, Robichaud L, Vincent C, Belleville S, Ska B; BRAD Group. Short-term changes in and predictors of participation of older adults after stroke following acute care or rehabilitation. Neurorehabil Neural Repair 2008;22:288-97. https://doi.org/10.1177/1545968307307116
  3. Hartman-Maeir A, Soroker N, Ring H, Avni N, Katz N. Activities, participation and satisfaction one-year post stroke. Disabil Rehabil 2007;29:559-66. https://doi.org/10.1080/09638280600924996
  4. Hildebrand M, Brewer M, Wolf T. The impact of mild stroke on participation in physical fitness activities. Stroke Res Treat 2012;2012:548682.
  5. Amini DA, Kannenberg K, Bodison S, Chang P, Colaianni D, Goodrich B, et al. Occupational therapy practice framework: domain & process 3rd edition. Am J Occup Ther 2014;68:S1-48.
  6. Sumsion T, Law M. A review of evidence on the conceptual elements informing client-centred practice. Can J Occup Ther 2006; 73:153-62. https://doi.org/10.1177/000841740607300303
  7. Townsend EA, Polatajko HJ. Enabling occupation II: advancing an occupational therapy vision for health, well-being, and justice through occupation. Ottawa, ON: CAOT Publications ACE; 2007.
  8. Holliday RC, Cano S, Freeman JA, Playford ED. Should patients participate in clinical decision making? An optimised balance block design controlled study of goal setting in a rehabilitation unit. J Neurol Neurosurg Psychiatry 2007;78:576-80. https://doi.org/10.1136/jnnp.2006.102509
  9. Rosewilliam S, Roskell CA, Pandyan AD. A systematic review and synthesis of the quantitative and qualitative evidence behind patient-centred goal setting in stroke rehabilitation. Clin Rehabil 2011;25:501-14.
  10. Doig E, Fleming J, Kuipers P, Cornwell P, Khan A. Goal-directed outpatient rehabilitation following TBI: a pilot study of programme effectiveness and comparison of outcomes in home and day hospital settings. Brain Inj 2011;25:1114-25. https://doi.org/10.3109/02699052.2011.607788
  11. Gauggel S, Hoop M, Werner K. Assigned versus self-set goals and their impact on the performance of brain-damaged patients. J Clin Exp Neuropsychol 2002;24:1070-80. https://doi.org/10.1076/jcen.24.8.1070.8377
  12. Eriksson G, Aasnes M, Tistad M, Guidetti S, von Koch L. Occupational gaps in everyday life one year after stroke and the association with life satisfaction and impact of stroke. Top Stroke Rehabil 2012;19:244-55. https://doi.org/10.1310/tsr1903-244
  13. Michimata A, Kondo T, Suzukamo Y, Chiba M, Izumi S. The manual function test: norms for 20- to 90-year-olds and effects of age, gender, and hand dominance on dexterity. Tohoku J Exp Med 2008;214:257-67. https://doi.org/10.1620/tjem.214.257
  14. Berg K, Wood-Dauphine S, Williams JI, Gayton D. Measuring balance in the elderly: preliminary development of an instrument. Physiother Can 1989;41:304-11.
  15. Blum L, Korner-Bitensky N. Usefulness of the Berg Balance scale in stroke rehabilitation: a systematic review. Phys Ther 2008;88:559-66. https://doi.org/10.2522/ptj.20070205
  16. Fricke J, Unsworth CA. Inter-rater reliability of the original and modified Barthel Index, and a comparison with the Functional Independence Measure. Aust Occup Ther J 1997;44:22-9.
  17. Rollnik JD. The early rehabilitation Barthel index (ERBI). Rehabilitation (Stuttg) 2011;50:408-11. https://doi.org/10.1055/s-0031-1273728
  18. O'Sullivan SB, Schmitz TJ, Fulk GD. Physical rehabilitation. Philadelphia: FA Davis Co.; 2014.
  19. Stevens A, Koke A, van der Weijden T, Beurskens A. The development of a patient-specific method for physiotherapy goal setting: a user-centered design. Disabil Rehabil 2017. doi: 10.1080/09638288.2017.1325943. [Epub ahead of print]
  20. Reuben DB, Tinetti ME. Goal-oriented patient care--an alternative health outcomes paradigm. N Engl J Med 2012;366:777-9. https://doi.org/10.1056/NEJMp1113631
  21. Verma S, Paterson M, Medves J. Core competencies for health care professionals: what medicine, nursing, occupational therapy, and physiotherapy share. J Allied Health 2006;35:109-15.
  22. Hunt AW, Le Dorze G, Trentham B, Polatajko HJ, Dawson DR. Elucidating a goal-setting continuum in brain injury rehabilitation. Qual Health Res 2015;25:1044-55.
  23. Baker SM, Marshak HH, Rice GT, Zimmerman GJ. Patient participation in physical therapy goal setting. Phys Ther 2001;81: 1118-26.
  24. Leach E, Cornwell P, Fleming J, Haines T. Patient centered goal-setting in a subacute rehabilitation setting. Disabil Rehabil 2010;32:159-72. https://doi.org/10.3109/09638280903036605
  25. Levack WM, Dean SG, Siegert RJ, McPherson KM. Purposes and mechanisms of goal planning in rehabilitation: the need for a critical distinction. Disabil Rehabil 2006;28:741-9. https://doi.org/10.1080/09638280500265961
  26. Barnard RA, Cruice MN, Playford ED. Strategies used in the pursuit of achievability during goal setting in rehabilitation. Qual Health Res 2010;20:239-50. https://doi.org/10.1177/1049732309358327