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المؤلفون: Jan Pool, Harriet Wittink, Albère Köke, Stefan Elbers, Rob J. E. M. Smeets
المساهمون: Revalidatiegeneeskunde, RS: CAPHRI - R3 - Functioning, Participating and Rehabilitation
المصدر: JMIR human factors, 7(4):21545. JMIR Publications Inc.
JMIR Human Factors
JMIR Human Factors, Vol 7, Iss 4, p e21545 (2020)
JMIR Human Factors, 7(4)مصطلحات موضوعية: medicine.medical_specialty, behavior change, strategy, Health Informatics, Human Factors and Ergonomics, Context (language use), Relapse prevention, rehabilitation, 03 medical and health sciences, 0302 clinical medicine, Workbook, Health care, Medical technology, medicine, interdisciplinary treatment, Medical physics, pain, 030212 general & internal medicine, R855-855.5, relapse, goal setting, Original Paper, treatment, business.industry, behavior, feasability, Behavior change, Focus group, Thematic analysis, Psychology, business, chronic pain, 030217 neurology & neurosurgery, Qualitative research, feasibility
الوصف: Background Although interdisciplinary multimodal pain treatment (IMPT) programs are widely regarded as treatment of choice for patients with chronic pain, there are signs that many patients are unable to maintain their treatment gains in the long term. To facilitate the maintenance of positive treatment outcomes over time, we developed two relapse prevention strategies. Objective The main objective of this study was to explore the feasibility of these strategies within the context of IMPT programs. Methods We performed a feasibility study using 3 workbook prototypes containing either one or both strategies. For a period of 6 months, the workbooks were made available in two IMPT facilities. Qualitative data were collected through a focus group and semistructured interviews. We performed a thematic analysis using a deductive approach with (1) applicability to the treatment program, (2) acceptability of the workbook content, and (3) form, as predefined themes. Results The final dataset consisted of transcripts from a focus group with health care providers and 11 telephone interviews and 2 additional in-depth interviews with patients. In general, the intervention was perceived as useful, easy to use, and in line with the treatment program. The data also include suggestions to further improve the use of both strategies, including more specific implementation guidelines, revised goal-setting procedure, and development of a mobile health version. However, several factors, including a high dropout rate and small sample size, impact the external validity of our findings. Conclusions This study should be regarded as a first step in the process of transforming the prototype workbook into an effective intervention for clinical practice. Although these initial results indicate a favorable evaluation of both behavior regulation strategies within the workbook, this study encountered multiple barriers regarding implementation and data collection that limit the generalizability of these results. Future research efforts should specifically address the fidelity of HCPs and patients and should include clear procedures regarding recruitment and use of both relapse prevention strategies during treatment.
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المؤلفون: Albère Köke, Anna Beurskens, Anita Stevens, Trudy van der Weijden
المساهمون: Promovendi PHPC, Family Medicine, RS: CAPHRI - R6 - Promoting Health & Personalised Care, RS: CAPHRI - R3 - Functioning, Participating and Rehabilitation, Revalidatiegeneeskunde
المصدر: Disability and Rehabilitation, 40(17), 2048-2055. Routledge/Taylor & Francis Group
مصطلحات موضوعية: Male, 030506 rehabilitation, medicine.medical_specialty, Process (engineering), Attitude of Health Personnel, Decision Making, client-centered care, PARTICIPATION, Treatment goals, Field tests, NEUROLOGICAL REHABILITATION, Patient Care Planning, RESPONSIVENESS, patient-specific instruments, 03 medical and health sciences, 0302 clinical medicine, Goal setting, Patient-Centered Care, Surveys and Questionnaires, OCCUPATIONAL PERFORMANCE-MEASURE, Medicine, Humans, REPORTED OUTCOMES, 030212 general & internal medicine, Patient participation, Physical Therapy Modalities, physiotherapy, user-centered design, FUNCTIONAL SCALE, User-centered design, Netherlands, business.industry, Rehabilitation, OUTCOME MEASURE, Patient specific, Middle Aged, Quality Improvement, Physical Therapists, CLINICAL-PRACTICE, Physical therapy, Female, Communication skills, patient participation, 0305 other medical science, business, SHARED DECISION-MAKING, LOW-BACK-PAIN
الوصف: 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 rehabilitationInvolving 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. 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.
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المؤلفون: Anita Stevens, Anna Beurskens, Albère Köke, Trudy van der Weijden
المساهمون: Family Medicine, Promovendi PHPC, RS: CAPHRI - R3 - Functioning, Participating and Rehabilitation, Revalidatiegeneeskunde, RS: CAPHRI - R6 - Promoting Health & Personalised Care
المصدر: BMC Health Services Research, 17:618. BioMed Central Ltd
BMC Health Services Research., 17(618)
BMC Health Services Research, Vol 17, Iss 1, Pp 1-10 (2017)
BMC Health Services Researchمصطلحات موضوعية: Male, Quality management, Psychological intervention, COMMUNICATION, Health informatics, Patient Care Planning, CENTEREDNESS, 0302 clinical medicine, Surveys and Questionnaires, IMPLEMENTATION, Medicine, 030212 general & internal medicine, Netherlands, lcsh:Public aspects of medicine, Health Policy, Nursing research, Middle Aged, Quality Improvement, DETAILED ANALYSIS, Patient Satisfaction, Female, Clinical Competence, Goals, STROKE, Research Article, LOW-BACK-PAIN, INTERVENTIONS, Adult, REHABILITATION, medicine.medical_specialty, PARTICIPATION, Qualitative property, Young Adult, 03 medical and health sciences, Patient satisfaction, Nursing, Humans, Patient participation, Goal setting, Physical Therapy Modalities, Aged, business.industry, lcsh:RA1-1270, Physical Therapists, Physical therapy, Feasibility Studies, Perception, Patient Participation, business, SHARED DECISION-MAKING, 030217 neurology & neurosurgery
الوصف: Background Patient participation and goal setting appear to be difficult in daily physiotherapy practice, and practical methods are lacking. An existing patient-specific instrument, Patient-Specific Complaints (PSC), was therefore optimized into a new Patient Specific Goal-setting method (PSG). The aims of this study were to examine the feasibility of the PSG in daily physiotherapy practice, and to explore the potential impact of the new method. Methods We conducted a process evaluation within a non-controlled intervention study. Community-based physiotherapists were instructed on how to work with the PSG in three group training sessions. The PSG is a six-step method embedded across the physiotherapy process, in which patients are stimulated to participate in the goal-setting process by: identifying problematic activities, prioritizing them, scoring their abilities, setting goals, planning and evaluating. Quantitative and qualitative data were collected among patients and physiotherapists by recording consultations and assessing patient files, questionnaires and written reflection reports. Results Data were collected from 51 physiotherapists and 218 patients, and 38 recordings and 219 patient files were analysed. The PSG steps were performed as intended, but the ‘setting goals’ and ‘planning treatment’ steps were not performed in detail. The patients and physiotherapists were positive about the method, and the physiotherapists perceived increased patient participation. They became aware of the importance of engaging patients in a dialogue, instead of focusing on gathering information. The lack of integration in the electronic patient system was a major barrier for optimal use in practice. Although the self-reported actual use of the PSG, i.e. informing and involving patients, and client-centred competences had improved, this was not completely confirmed by the objectively observed behaviour. Conclusion The PSG is a feasible method and tends to have impact on increasing patient participation in the goal-setting process. However, its full potential for shared goal setting has not been utilized yet. More implementation effort is needed to achieve the required behaviour change and a truly client-centred attitude, to make physiotherapists totally ready for shared goal setting. Electronic supplementary material The online version of this article (doi:10.1186/s12913-017-2557-9) contains supplementary material, which is available to authorized users.
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المؤلفون: Trudy van der Weijden, Anita Stevens, Albère Köke, Anna Beurskens
المساهمون: Promovendi PHPC, Family Medicine, Revalidatiegeneeskunde, RS: CAPHRI School for Public Health and Primary Care
المصدر: Clinical Rehabilitation, 27, 11, pp. 1005-19
Clinical Rehabilitation, 27, 1005-19
Clinical Rehabilitation, 27(11), 1005-1019. SAGE Publications Ltdمصطلحات موضوعية: Value of Life, measurement instrument, Process management, Process (engineering), Implementation Science [NCEBP 3], Physical Therapy, Sports Therapy and Rehabilitation, CINAHL, Goal Attainment Scaling, systematic review, Humans, Goal-setting, Medicine, Goal setting, Management science, business.industry, Rehabilitation, Reproducibility of Results, Patient Preference, Patient specific, Patient Outcome Assessment, Measuring instrument, Feasibility Studies, Thematic analysis, business, Goals, Strengths and weaknesses, feasibility
الوصف: Objective: The aim of this study was to identify the currently available patient-specific measurement instruments used in the process of goal-setting and to assess their feasibility. Methods: After a systematic search in PubMed, EMBASE, CINAHL, PsychINFO and REHABDATA, patient-specific instruments were included, structured in a goal-setting practice framework and subjected to a qualitative thematic analysis of feasibility. Results: A total of 25 patient-specific instruments were identified and 11 were included. These instruments can be used for goal negotiation, goal-setting and evaluation. Each instrument has its own strengths and weaknesses during the different phases of the goal-setting process. Objective feasibility data were revealed for all instruments such as administration time, instruction, training and availability. Subjective feasibility could only be analysed for the Canadian Occupational Performance Measure, Goal Attainment Scaling, Self-Identified Goal Assessment and Talking Mats. Relevant themes were that Canadian Occupational Performance Measure and Goal Attainment Scaling were time consuming and difficult for patients with cognitive problems, but they facilitated goal-setting in a client-centred approach. Talking Mats was especially feasible for patients with cognitive and communication impairments. Conclusions: A total of 11 instruments were identified, and although some had strong points, there is no single good instrument that can be recommended specifically. Applying a combination of the strengths of the available instruments within a goal-setting framework can improve goal setting and tailor it to individual patients.
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المؤلفون: Anita Stevens, Albine Moser, Anna Beurskens, Trudy van der Weijden, Albère Köke
المساهمون: Family Medicine, Promovendi PHPC, RS: CAPHRI - R6 - Promoting Health & Personalised Care, Metamedica, RS: CAPHRI - R3 - Functioning, Participating and Rehabilitation, Revalidatiegeneeskunde
المصدر: Musculoskeletal science and practice, 27, 23-31. Elsevier Science
مصطلحات موضوعية: Male, 030506 rehabilitation, Coding (therapy), DECISION-MAKING, RESPONSIVENESS, Disability Evaluation, 0302 clinical medicine, Patient-Centered Care, OCCUPATIONAL PERFORMANCE-MEASURE, 030212 general & internal medicine, Physiotherapy, Qualitative Research, media_common, Netherlands, Aged, 80 and over, STROKE REHABILITATION, Professional-Patient Relations, Middle Aged, DETAILED ANALYSIS, Negotiation, FUNCTIONAL STATUS, Female, 0305 other medical science, PHYSICAL-THERAPY, Goals, LOW-BACK-PAIN, Adult, medicine.medical_specialty, FEASIBILITY, Process (engineering), media_common.quotation_subject, Decision Making, Physical Therapy, Sports Therapy and Rehabilitation, 03 medical and health sciences, Nursing, Goal setting, medicine, Humans, Client-centred care, Set (psychology), Physical Therapy Modalities, Aged, business.industry, OUTCOME MEASURE, Patient-specific measurement instruments, External auditor, Content analysis, Physical therapy, Patient Participation, business, Qualitative research
الوصف: Objectives: Physiotherapists are encouraged to set goals together with their patients to deliver client-centred care. In practice however, this goal-setting process is poorly specified, with limited patient involvement. The Patient-Specific Complaints instrument (PSC) can support the goal-setting process. Despite its being frequently used by Dutch physiotherapists, its actual role in goal setting is unknown. The objective was to examine physiotherapy goal-setting and the use of the PSC within this process, as well as the physiotherapists' perception of the usefulness of the PSC.Methods: Consultations between physiotherapists and patients were observed and physiotherapists were interviewed. Data were analysed by directed content analysis, using a goal-setting framework as the coding scheme whose phases include: goal negotiation, goal setting, planning, and appraisal and feedback.Results: The patients' problems were comprehensively explored, with the PSC focussing on activity problems. Goal-setting and planning phases were poorly specified and mainly physiotherapist-led. The physiotherapists appreciated the PSC for patient involvement during goal negotiation and evaluation. Its perceived usefulness for goal setting and planning ranged from useful for tailoring goals to the patient's needs to not useful at all. One major reason to use it was meeting external audit obligations.Conclusions: There are some discrepancies between how physiotherapists use the PSC and how they perceived its usefulness. Physiotherapists did use the PSC in a goal-setting process, though often as a standalone tool without integration in the whole physiotherapy process, and with limited patient involvement. In this way, its full potential for goal setting is not utilized. (C) 2016 Elsevier Ltd. All rights reserved.
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URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::7941f0e2bf4ad3b69a9c04c4910eb226
https://pubmed.ncbi.nlm.nih.gov/28637598 -
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المؤلفون: Albine Moser, Albère Köke, Anna Beurskens, Trudy van der Weijden, Anita Stevens
المساهمون: Promovendi PHPC, Family Medicine, Revalidatiegeneeskunde, RS: CAPHRI - R3 - Functioning, Participating and Rehabilitation, RS: CAPHRI - R6 - Promoting Health & Personalised Care
المصدر: Patient Preference and Adherence, 10, pp. 425-34
Patient Preference and Adherence, 10, 425-34
Patient preference and adherence, 10, 425-434. Dovepress
Patient Preference and Adherence, 10, 425-434. Dove Medical Press Ltd
Patient preference and adherenceمصطلحات موضوعية: medicine.medical_specialty, Alzheimer`s disease Donders Center for Medical Neuroscience [Radboudumc 1], media_common.quotation_subject, client-centered care, Medicine (miscellaneous), Healthcare improvement science Radboud Institute for Health Sciences [Radboudumc 18], patient-specific instruments, 03 medical and health sciences, 0302 clinical medicine, Medicine, 030212 general & internal medicine, Patient participation, Pharmacology, Toxicology and Pharmaceutics (miscellaneous), Goal setting, Original Research, media_common, goal setting, business.industry, Health Policy, Perspective (graphical), Patient specific, Patient Preference and Adherence, Feeling, Content analysis, Physical therapy, Positive attitude, patient participation, business, 030217 neurology & neurosurgery, Social Sciences (miscellaneous), Qualitative research
الوصف: Anita Stevens,1,2 Albine Moser,1,2 Albère Köke,1,3,4 Trudy van der Weijden,2 Anna Beurskens1,2 1Faculty of Health, Zuyd University of Applied Sciences, Heerlen, 2Department of Family Medicine, CAPHRI School for Public Health and Primary Care, Maastricht University, Maastricht, 3Adelante Centre of Research in Rehabilitation, Hoensbroek, 4Department of Rehabilitation Medicine, Maastricht University, Maastricht, theNetherlands Background: Patient participation in goal setting is important to deliver client-centered care. In daily practice, however, patient involvement in goal setting is not optimal. Patient-specific instruments, such as the Patient Specific Complaints (PSC) instrument, can support the goal-setting process because patients can identify and rate their own problems. The aim of this study is to explore patients’ experiences with the feasibility of the PSC, in the physiotherapy goal setting. Method: We performed a qualitative study. Data were collected by observations of physiotherapy sessions (n=23) and through interviews with patients (n=23) with chronic conditions in physiotherapy practices. Data were analyzed using directed content analysis. Results: The PSC was used at different moments and in different ways. Two feasibility themes were analyzed. First was the perceived ambiguity with the process of administration: patients perceived a broad range of experiences, such as emotional and supportive, as well as feeling a type of uncomfortableness. The second was the perceived usefulness: patients found the PSC useful for themselves – to increase awareness and motivation and to informthephysiotherapist– as well as being useful for the physiotherapist – to determine appropriate treatment for their personal needs. Some patients did not perceive any usefulness and were not aware of any relation with their treatment. Patients with a more positive attitude toward questionnaires, patients with an active role, and health-literate patients appreciated the PSC and felt facilitated by it. Patients who lacked these attributes did not fully understand the PSC’s process or purpose and let the physiotherapist take the lead. Conclusion: The PSC is a feasible tool to support patient participation in the physiotherapy goal setting. However, in the daily use of the PSC, patients are not always fully involved and informed. Patients reported varied experiences related to their personal attributes and modes of administration. This means that the PSC cannot be used in the same way in every patient. Itis perfectly suited to use in a dialogue manner, which makes it very suitable to improve goal setting within client-centered care. Keywords: goal setting, patient-specific instruments, client-centered care, patient participation
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