Abstract
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.
Original language | English |
---|---|
Pages (from-to) | 23-31 |
Number of pages | 9 |
Journal | Musculoskeletal science and practice |
Volume | 27 |
DOIs | |
Publication status | Published - Feb 2017 |
Keywords
- Goal setting
- Physiotherapy
- Patient-specific measurement instruments
- Client-centred care
- OCCUPATIONAL PERFORMANCE-MEASURE
- LOW-BACK-PAIN
- OUTCOME MEASURE
- STROKE REHABILITATION
- FUNCTIONAL STATUS
- DETAILED ANALYSIS
- PHYSICAL-THERAPY
- DECISION-MAKING
- RESPONSIVENESS
- FEASIBILITY
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Stevens, A., Moser, A., Koke, A., van der Weijden, T., & Beurskens, A. (2017). The use and perceived usefulness of a patient-specific measurement instrument in physiotherapy goal setting. A qualitative study. Musculoskeletal science and practice, 27, 23-31. https://doi.org/10.1016/j.msksp.2016.12.005
Stevens, Anita ; Moser, Albine ; Koke, Albere et al. / The use and perceived usefulness of a patient-specific measurement instrument in physiotherapy goal setting. A qualitative study. In: Musculoskeletal science and practice. 2017 ; Vol. 27. pp. 23-31.
@article{c038342d3f114c42a2e4545eae113938,
title = "The use and perceived usefulness of a patient-specific measurement instrument in physiotherapy goal setting. A qualitative study",
abstract = "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.",
keywords = "Goal setting, Physiotherapy, Patient-specific measurement instruments, Client-centred care, OCCUPATIONAL PERFORMANCE-MEASURE, LOW-BACK-PAIN, OUTCOME MEASURE, STROKE REHABILITATION, FUNCTIONAL STATUS, DETAILED ANALYSIS, PHYSICAL-THERAPY, DECISION-MAKING, RESPONSIVENESS, FEASIBILITY",
author = "Anita Stevens and Albine Moser and Albere Koke and {van der Weijden}, Trudy and Anna Beurskens",
year = "2017",
month = feb,
doi = "10.1016/j.msksp.2016.12.005",
language = "English",
volume = "27",
pages = "23--31",
journal = "Musculoskeletal science and practice",
issn = "2468-7812",
publisher = "Elsevier Science",
}
Stevens, A, Moser, A, Koke, A, van der Weijden, T & Beurskens, A 2017, 'The use and perceived usefulness of a patient-specific measurement instrument in physiotherapy goal setting. A qualitative study', Musculoskeletal science and practice, vol. 27, pp. 23-31. https://doi.org/10.1016/j.msksp.2016.12.005
The use and perceived usefulness of a patient-specific measurement instrument in physiotherapy goal setting. A qualitative study. / Stevens, Anita; Moser, Albine; Koke, Albere et al.
In: Musculoskeletal science and practice, Vol. 27, 02.2017, p. 23-31.
Research output: Contribution to journal › Article › Academic › peer-review
TY - JOUR
T1 - The use and perceived usefulness of a patient-specific measurement instrument in physiotherapy goal setting. A qualitative study
AU - Stevens, Anita
AU - Moser, Albine
AU - Koke, Albere
AU - van der Weijden, Trudy
AU - Beurskens, Anna
PY - 2017/2
Y1 - 2017/2
N2 - 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.
AB - 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.
KW - Goal setting
KW - Physiotherapy
KW - Patient-specific measurement instruments
KW - Client-centred care
KW - OCCUPATIONAL PERFORMANCE-MEASURE
KW - LOW-BACK-PAIN
KW - OUTCOME MEASURE
KW - STROKE REHABILITATION
KW - FUNCTIONAL STATUS
KW - DETAILED ANALYSIS
KW - PHYSICAL-THERAPY
KW - DECISION-MAKING
KW - RESPONSIVENESS
KW - FEASIBILITY
U2 - 10.1016/j.msksp.2016.12.005
DO - 10.1016/j.msksp.2016.12.005
M3 - Article
C2 - 28637598
SN - 2468-7812
VL - 27
SP - 23
EP - 31
JO - Musculoskeletal science and practice
JF - Musculoskeletal science and practice
ER -
Stevens A, Moser A, Koke A, van der Weijden T, Beurskens A. The use and perceived usefulness of a patient-specific measurement instrument in physiotherapy goal setting. A qualitative study. Musculoskeletal science and practice. 2017 Feb;27:23-31. doi: 10.1016/j.msksp.2016.12.005