An organizational perspective on goal setting in community-based brain injury rehabilitation

Simpson, Grahame, Foster, Michele, Kuipers, Pim, Kendall, Melissa and Hanna, Joe (2005) An organizational perspective on goal setting in community-based brain injury rehabilitation. Disability and Rehabilitation, 27 15: 901-910. doi:10.1080/09638280500030589


Author Simpson, Grahame
Foster, Michele
Kuipers, Pim
Kendall, Melissa
Hanna, Joe
Title An organizational perspective on goal setting in community-based brain injury rehabilitation
Journal name Disability and Rehabilitation   Check publisher's open access policy
ISSN 0963-8288
Publication date 2005
Sub-type Article (original research)
DOI 10.1080/09638280500030589
Volume 27
Issue 15
Start page 901
End page 910
Total pages 10
Editor D. Muller
Place of publication Abingdon, U.K.
Publisher Taylor & Francis
Collection year 2005
Language eng
Subject C1
321212 Care for Disabled
730399 Health and support services not elsewhere classified
Abstract Purpose. To use a taxonomy of goal content, developed in community-based brain injury rehabilitation to examine and compare the content of goals set within two different service settings; and to further examine the potential of the taxonomy to be a reliable and comprehensive framework for classifying goals. Method. Qualitative analysis and categorization of 1492 goal statements extracted from a community-based brain injury rehabilitation service over two time periods (1996-97, 1998-99), and cross-organizational comparison of ratings of goal classifications using a random sample of 100 goal statements drawn from this data set and the original 1765 goal statements used in developing the taxonomy. Results. Application of the taxonomy beyond the original service setting in which it was developed indicated a strong inter-rater reliability, with a high test-retest agreement reported over time. For both services, a small number of categories accounted for a substantial proportion of goals set within the two time periods, while considerable change was evident in goals between the two periods for one service. Further, both placed emphasis on individually focused goals rather than relationship or family-related goals. Conclusion. The taxonomy provides a reliable means for classifying goals and is a useful tool for exploration of the multiple influences on goal setting. Further application of the taxonomy to examine the relative influence on goal setting of client factors versus a range of organizational factors would be beneficial.
Keyword Rehabilitation
Brain Injury
Goal Setting
Community-based Rehabilitation
Cognitive Rehabilitation
Service
Practitioners
Outcomes
Patient
Model
Q-Index Code C1

 
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Created: Wed, 15 Aug 2007, 05:41:30 EST