Anita Stevens1,2, Albère Köke1,3,4, Trudy van der Weijden2, Anna Beurskens1,2. 1. a Faculty of Health , Zuyd University of Applied Sciences , Heerlen , The Netherlands. 2. b Department of Family Medicine , Maastricht University, CAPHRI School for Public Health and Primary Care , Maastricht , The Netherlands. 3. c Adelante Centre of Research in Rehabilitation , Hoensbroek , The Netherlands. 4. d Department of Rehabilitation Medicine , Maastricht University , Maastricht , The Netherlands.
Abstract
PURPOSE: To deliver client-centered care, physiotherapists need to identify the patients' individual treatment goals. However, practical tools for involving patients in goal setting are lacking. The purpose of this study was to improve the frequently used Patient-Specific Complaints instrument in Dutch physiotherapy, and to develop it into a feasible method to improve physiotherapy goal setting. METHODS: An iterative user-centered design was conducted in co-creation with the physiotherapists and patients, in three phases. Their needs and preferences were identified by means of group meetings and questionnaires. The new method was tested in several field tests in physiotherapy practices. RESULTS: Four main objectives for improvement were formulated: clear instructions for the administration procedure, targeted use across the physiotherapy process, client-activating communication skills, and a client-centered attitude of the physiotherapist. A theoretical goal-setting framework and elements of shared decision making were integrated into the new-called, Patient-Specific Goal-setting method, together with a practical training course. CONCLUSIONS: The user-centered approach resulted in a goal-setting method that is fully integrated in the physiotherapy process. The new goal-setting method contributes to a more structured approach to goal setting and enables patient participation and goal-oriented physiotherapy. Before large-scale implementation, its feasibility in physiotherapy practice needs to be investigated. Implications for rehabilitation Involving patients and physiotherapists in the development and testing of a goal-setting method, increases the likelihood of its feasibility in practice. The integration of a goal-setting method into the physiotherapy process offers the opportunity to focus more fully on the patient's goals. Patients should be informed about the aim of every step of the goal-setting process in order to increase their awareness and involvement. Training physiotherapists to use a patient-specific method for goal setting is crucial for a correct application.
PURPOSE: To deliver client-centered care, physiotherapists need to identify the patients' individual treatment goals. However, practical tools for involving patients in goal setting are lacking. The purpose of this study was to improve the frequently used Patient-Specific Complaints instrument in Dutch physiotherapy, and to develop it into a feasible method to improve physiotherapy goal setting. METHODS: An iterative user-centered design was conducted in co-creation with the physiotherapists and patients, in three phases. Their needs and preferences were identified by means of group meetings and questionnaires. The new method was tested in several field tests in physiotherapy practices. RESULTS: Four main objectives for improvement were formulated: clear instructions for the administration procedure, targeted use across the physiotherapy process, client-activating communication skills, and a client-centered attitude of the physiotherapist. A theoretical goal-setting framework and elements of shared decision making were integrated into the new-called, Patient-Specific Goal-setting method, together with a practical training course. CONCLUSIONS: The user-centered approach resulted in a goal-setting method that is fully integrated in the physiotherapy process. The new goal-setting method contributes to a more structured approach to goal setting and enables patient participation and goal-oriented physiotherapy. Before large-scale implementation, its feasibility in physiotherapy practice needs to be investigated. Implications for rehabilitation Involving patients and physiotherapists in the development and testing of a goal-setting method, increases the likelihood of its feasibility in practice. The integration of a goal-setting method into the physiotherapy process offers the opportunity to focus more fully on the patient's goals. Patients should be informed about the aim of every step of the goal-setting process in order to increase their awareness and involvement. Training physiotherapists to use a patient-specific method for goal setting is crucial for a correct application.
Authors: Lorynn Teela; Lieke E Verhagen; Mariken P Gruppen; Maria J Santana; Martha A Grootenhuis; Lotte Haverman Journal: Health Expect Date: 2022-06-24 Impact factor: 3.318
Authors: Julia C A Noorduyn; Tess Glastra van Loon; Victor A van de Graaf; Nienke W Willigenburg; Ise K Butter; Gwendolyne G M Scholten-Peeters; Michel W Coppieters; Rudolf W Poolman; Vanessa A B Scholtes; Eduard L A R Mutsaerts; Matthijs R Krijnen; Dirk Jan F Moojen; Derek F P van Deurzen; Coen H Bloembergen; Julius Wolkenfelt; Arthur de Gast; Thom Snijders; Daniel B F Saris; Nienke Wolterbeek; Camille Neeter; Gino M M J Kerkhoffs; Rolf W Peters; Igor C J B van den Brand; Suzanne de Vos-Jakobs; Andy B Spoor; Taco Gosens; Wahid Rezaie; Dirk Jan Hofstee; Bart J Burger; Daniel Haverkamp; Anton M J S Vervest; Thijs A van Rheenen; Anne E Wijsbek; Ewoud R A van Arkel; Bregje J W Thomassen; Sheila Sprague; Maurits W van Tulder; Mirjam Schavemaker; Rogier van Dijk; J van der Kraan Journal: Orthop J Sports Med Date: 2020-10-29