Deans' stroke musings: Goal setting practice in services delivering community-based stroke rehabilitation: a United Kingdom (UK) wide survey

Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Friday, September 26, 2014

Goal setting practice in services delivering community-based stroke rehabilitation: a United Kingdom (UK) wide survey

Goal setting is great but what would be even more important would be goal results. If you don't even know how badly you are missing your stroke rehabilitation goals you can never get them corrected. YOU will have to demand this as the next step since otherwise this will not get done and you as a stroke survivor will be negatively affected.
http://informahealthcare.com/doi/abs/10.3109/09638288.2014.961652

Address for correspondence:

Lesley Scobbie, MSc

, Clinical Research Fellow, NMAHP Research Unit,

Unit 13, Scion House, Innovation Park, University of Stirling, Stirling FK9 4NF, Scotland

, UK. Tel: 01786 466115. E-mail: Lesley.scobbie@stir.ac.uk

Abstract

Purpose: We investigated the nature of services providing community-based stroke rehabilitation across the UK, and goal setting practice used within them, to inform evaluation of a goal setting and action planning (G-AP) framework.

Methods: We designed, piloted and electronically distributed a survey to health professionals working in community-based stroke rehabilitation settings across the UK. We optimised recruitment using a multi-faceted strategy. Results: Responses were analysed from 437 services. Services size, composition and input was highly variable; however, most were multi-disciplinary (82%; n = 335/407) and provided input to a mixed diagnostic group of patients (71%; n = 312/437). Ninety one percent of services (n = 358/395) reported setting goals with “all” or “most” stroke survivors. Seventeen percent (n = 65/380) reported that no methods were used to guide goal setting practice; 47% (n = 148/315) reported use of informal methods only. Goal setting practice varied, e.g. 98% of services (n = 362/369) reported routinely asking patients about goal priorities; 39% (n = 141/360) reported routinely providing patients with a copy of their goals.

Conclusions: Goal setting is embedded within community-based stroke rehabilitation; however, practice varies and is potentially sub-optimal. Further evaluation of the G-AP framework is warranted to inform optimal practice. Evaluation design will take account of the diverse service models that exist.Implications for Rehabilitation

Community-based stroke rehabilitation services across the UK are diverse and tend to see a mixed diagnostic group of patients.
Goal setting is implemented routinely within community-based stroke rehabilitation services; however, practice is variable and potentially sub-optimal.
Further evaluation of the G-AP framework is warranted to assess its effectiveness in practice.