Deans' stroke musings: Development of an instrument to measure attitudes, practices, and factors towards goal-setting in stroke rehabilitation

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.

Thursday, August 22, 2024

Development of an instrument to measure attitudes, practices, and factors towards goal-setting in stroke rehabilitation

Why the fuck did you have to write this up? 100% recovery is the goal for ALL STROKE SURVIVORS!

(Don't agree to anything they suggest that is not 100% recovery, not compensation; RECOVERY! Screaming may be required. They should feel incredibly uncomfortable they don't have 100% recovery protocols.)

The latest here:

Development of an instrument to measure attitudes, practices, and factors towards goal-setting in stroke rehabilitation

André Vieira

Carla Mendes Pereira

Ana Rita Goes

Goal-setting is essential for a person-centered approach to stroke rehabilitation. Understanding this challenging and heterogeneous practice can contribute to optimising rehabilitation outcomes. However, valid, and reliable tools are lacking for its investigation. This study aimed to develop a self-report measure to assess attitudes, practices, and factors related to goal-setting in physiotherapists working with stroke rehabilitation.

Materials and Methods:

A questionnaire was developed based on the literature and submitted for content and face validity with a committee of experts and physiotherapists. Selected items were considered to create scales for attitudes and practices towards goal-setting. The factor structure and internal consistency of these scales were examined.

Results:

All three dimensions had satisfactory content validity. Exploratory factor analysis yielded a two-factor structure for the Attitudes towards Goal-setting Scale (A-GS) (‘Role’ and ‘Participation’, together explaining 55% of the variance of the total score) and for Practices towards Goal-setting Scale (P-GS) (‘Procedures’ and ‘Documentation’, together explaining 56% of the variance of the total score). Cronbach alpha values and mean inter-item correlations indicated adequate internal consistency.

Conclusions:

This study provides preliminary support for the adequacy of this newly developed measure, which can be used as an assessment tool to determine physiotherapists’ attitudes and practices towards goal-setting in stroke rehabilitation and related factors.