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Goal-Setting in Rehabilitation
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Goal-Setting in Rehabilitation

A special issue of International Journal of Environmental Research and Public Health (ISSN 1660-4601). This special issue belongs to the section "Global Health".

Deadline for manuscript submissions: closed (31 May 2023) | Viewed by 7141

Special Issue Editors

Dr. Kounosuke Tomori

E-Mail Website
Guest Editor
Department of Occupational Therapy, School of Health Science, Tokyo University of Technology, Tokyo 144-8535, Japan
Interests: occupational therapy; goal-setting; shared decision-making; ICT; school-based OT
Prof. Dr. William Levack

E-Mail Website
Guest Editor
The Rehabilitation Teaching & Research Unit, Department of Medicine, University of Otago, Wellington 6242, New Zealand
Interests: rehabilitation; neurorehabilitation; goal setting; patient engagement; pulmonary rehabilitation
Prof. Dr. Kayoko Takahashi

E-Mail Website
Guest Editor
Department of Occupational Therapy, Kitasato University, Tokyo 108-8641, Japan
Interests: rehabilitation; occupational therapy; social psychology; coping; Parkinson’s disease

Special Issue Information

Dear Colleagues,

With the increasing need for client-centered practice, goal-setting has gained more attention in a rehabilitation setting. The client-centered practice involves, in part, a recognition of clients as experts in their own lives and their active involvement in goal-setting and clinical decision-making. Participating in goal setting has been associated with clients having higher satisfaction with service delivery, higher motivation for therapy, and a greater sense of ownership of their rehabilitation programs. This, in turn, leads clients to have a greater sense of control over their health condition.

However, deciding how goal setting is best implemented is complicated especially in a rehabilitation setting. The rehabilitation process is involved in a multitude of professions, and there is a range of approaches.

Rehabilitation goals are unique for each individual client, even among clients of the same age and disability. Moreover, the processes by which goals are selected can be very diverse. When describing an approach to goal selection, consideration needs to be given to who is involved in selecting goals; how goals are identified and prioritized; the recommended characteristics of the actual goals; how goals are written. Although the importance of goal setting has increased, the goal-setting process remains complex and the strategies need to be further developed.

This Special Issue intends to provide an overview of the most recent advances in goal setting research and practice in a rehabilitation setting. We welcome the submission of original research articles, systematic or scoping reviews, and case studies targeting any of these core research questions.


Dr. Kounosuke Tomori
Prof. Dr. William Levack
Prof. Dr. Kayoko Takahashi
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. International Journal of Environmental Research and Public Health is an international peer-reviewed open access monthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2500 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • goal-setting
  • rehabilitation
  • client-centered
  • shared decision-making
  • communication
  • ICTs

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Published Papers (2 papers)

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Research

13 pages, 1016 KiB  
Article
Longitudinal Process of Setting and Achieving Activity- and Participation-Level Goals in Home Rehabilitation in Japan: A Qualitative Study Using Trajectory Equifinality Modeling
by Yuki Saito, Kounosuke Tomori, Tatsunori Sawada and Kanta Ohno
Int. J. Environ. Res. Public Health 2023, 20(9), 5746; https://doi.org/10.3390/ijerph20095746 - 8 May 2023
Viewed by 2499
Abstract
This study aimed to clarify the longitudinal goal negotiation and collaboration process of achieving activity- and participation-level goals. We conducted a qualitative study using the trajectory equifinality model. Nine occupational therapists with experience in setting and achieving activity- and participation-level goals were recruited [...] Read more.
This study aimed to clarify the longitudinal goal negotiation and collaboration process of achieving activity- and participation-level goals. We conducted a qualitative study using the trajectory equifinality model. Nine occupational therapists with experience in setting and achieving activity- and participation-level goals were recruited and interviewed about their clients. We identified two phases and four pathways in the setting and attainment process for activity- and participation-level goals. Throughout the longitudinal goal-setting process, when the occupational therapist and client had difficulty discussing activity- and participation-level goals, the therapist respected the client’s expectations, explained the purpose of occupational therapy in detail, and conducted individual face-to-face interviews. When it was difficult to provide work-based interventions, the occupational therapist made flexible use of functional training, elemental movement training, occupation-based practice, and environmental modifications. The results of this study may assist in supporting clients to improve their activity and participation in home rehabilitation. Full article
(This article belongs to the Special Issue Goal-Setting in Rehabilitation)
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11 pages, 1762 KiB  
Article
Protocols and Features of Goal-Setting-Based Intervention for Frail Older Adults in Community Exercise Facilities
by Masashi Yamashita, Yuki Mashizume, Kento Yama, Shun Sasaki, Daiki Uehara and Kentaro Kamiya
Int. J. Environ. Res. Public Health 2023, 20(2), 1615; https://doi.org/10.3390/ijerph20021615 - 16 Jan 2023
Cited by 3 | Viewed by 2928
Abstract
Appropriate goal setting for frail older adults is important because it drives effective rehabilitation. However, more insights into the types and degrees of frailty and goal-setting trends should be obtained. We conducted a multicenter prospective study to qualitatively examine the relation between each [...] Read more.
Appropriate goal setting for frail older adults is important because it drives effective rehabilitation. However, more insights into the types and degrees of frailty and goal-setting trends should be obtained. We conducted a multicenter prospective study to qualitatively examine the relation between each frailty domain (physical, social, and cognitive) and the goals of 201 subjects (median age: 79, 43.8% male) who began rehabilitation at a long-term care prevention facility. Goal setting was determined by the specific, measurable, achievable, relevant, and time to goal (SMART) framework up to three months, categorized according to the International Classification of Functioning, Disability, and Health. The results showed that approximately 90% of the subjects had frailty in at least one domain, and about half had frailties in two or more domains. In total, 176 (87.6%) subjects had goals corresponding to activities and participation. The tendency to set goals to improve mobility was confirmed when the number of overlapping frailties was high, especially those in the physical and social domains. Those with milder frailties were more likely to establish goals targeting improvements in community, social, and civic life. These findings will lead to the development of practical goal-setting guidelines for frail older adults. Full article
(This article belongs to the Special Issue Goal-Setting in Rehabilitation)
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