Alice Rose1, Sheeba Rosewilliam2, Andrew Soundy2. 1. South Bristol Rehabilitation Centre, 30 Inns Court Green, Knowle, Bristol BS4 1TF, UK. Electronic address: alice2rose@googlemail.com. 2. School of Sport Exercise and Rehabilitation Sciences, University of Birmingham, Birmingham, UK.
Abstract
OBJECTIVE: To map out and synthesise literature that considers the extent of shared decision-making (SDM) within goal-setting in rehabilitation settings and explore participants' views of this approach within goal-setting. METHODS: Four databases were systematically searched between January 2005-September 2015. All articles addressing SDM within goal-setting involving adult rehabilitation patients were included. The literature was critically appraised followed by a thematic synthesis. RESULTS: The search output identified 3129 studies and 15 articles met the inclusion criteria. Themes that emerged related to methods of SDM within goal-setting, participants' views on SDM, perceived benefits of SDM, barriers and facilitators to using SDM and suggestions to improve involvement of patients resulting in a better process of goal-setting. CONCLUSIONS: The literature showed various levels of patient involvement existing within goal-setting however few teams adopted an entirely patient-centred approach. However, since the review has identified clear value to consider SDM within goal-setting for rehabilitation, further research is required and practice should consider educating both clinicians and patients about this approach. PRACTICE IMPLICATIONS: To enhance the use of SDM within goal-setting in rehabilitation it is likely clinicians and patients will require further education on this approach. For clinicians this could commence during their training at undergraduate level.
OBJECTIVE: To map out and synthesise literature that considers the extent of shared decision-making (SDM) within goal-setting in rehabilitation settings and explore participants' views of this approach within goal-setting. METHODS: Four databases were systematically searched between January 2005-September 2015. All articles addressing SDM within goal-setting involving adult rehabilitation patients were included. The literature was critically appraised followed by a thematic synthesis. RESULTS: The search output identified 3129 studies and 15 articles met the inclusion criteria. Themes that emerged related to methods of SDM within goal-setting, participants' views on SDM, perceived benefits of SDM, barriers and facilitators to using SDM and suggestions to improve involvement of patients resulting in a better process of goal-setting. CONCLUSIONS: The literature showed various levels of patient involvement existing within goal-setting however few teams adopted an entirely patient-centred approach. However, since the review has identified clear value to consider SDM within goal-setting for rehabilitation, further research is required and practice should consider educating both clinicians and patients about this approach. PRACTICE IMPLICATIONS: To enhance the use of SDM within goal-setting in rehabilitation it is likely clinicians and patients will require further education on this approach. For clinicians this could commence during their training at undergraduate level.
Authors: Amy M Pastva; Pamela W Duncan; Gordon R Reeves; M Benjamin Nelson; David J Whellan; Christopher M O'Connor; Joel D Eggebeen; Leigh Ann Hewston; Karen M Taylor; Robert J Mentz; Paul B Rosenberg; Dalane W Kitzman Journal: Contemp Clin Trials Date: 2017-10-25 Impact factor: 2.226
Authors: Ewout B Smit; Hylco Bouwstra; Johannes C van der Wouden; Lizette M Wattel; Cees M P M Hertogh Journal: Eur Geriatr Med Date: 2017-12-21 Impact factor: 1.710
Authors: Neeltje P C A Vermunt; Mirjam Harmsen; Gert P Westert; Marcel G M Olde Rikkert; Marjan J Faber Journal: BMC Geriatr Date: 2017-07-31 Impact factor: 3.921