Identifying and applying psychological theory to setting and achieving rehabilitation goals
Open Access
- 17 March 2009
- journal article
- research article
- Published by SAGE Publications in Clinical Rehabilitation
- Vol. 23 (4), 321-333
- https://doi.org/10.1177/0269215509102981
Abstract
Background: Goal setting is considered to be a fundamental part of rehabilitation; however, theories of behaviour change relevant to goal-setting practice have not been comprehensively reviewed. Objectives: (i) To identify and discuss specific theories of behaviour change relevant to goal-setting practice in the rehabilitation setting. (ii) To identify `candidate' theories that that offer most potential to inform clinical practice. Methods: The rehabilitation and self-management literature was systematically searched to identify review papers or empirical studies that proposed a specific theory of behaviour change relevant to setting and/or achieving goals in a clinical context. Data from included papers were extracted under the headings of: key constructs, clinical application and empirical support. Results: Twenty-four papers were included in the review which proposed a total of five theories: (i) social cognitive theory, (ii) goal setting theory, (iii) health action process approach, (iv) proactive coping theory, and (v) the self-regulatory model of illness behaviour. The first three of these theories demonstrated most potential to inform clinical practice, on the basis of their capacity to inform interventions that resulted in improved patient outcomes. Conclusions: Social cognitive theory, goal setting theory and the health action process approach are theories of behaviour change that can inform clinicians in the process of setting and achieving goals in the rehabilitation setting. Overlapping constructs within these theories have been identified, and can be applied in clinical practice through the development and evaluation of a goal-setting practice framework.Keywords
This publication has 47 references indexed in Scilit:
- Is goal planning in rehabilitation effective? A systematic reviewClinical Rehabilitation, 2006
- Goal setting as an outcome measure: a systematic reviewClinical Rehabilitation, 2006
- Purposes and mechanisms of goal planning in rehabilitation: The need for a critical distinctionDisability and Rehabilitation, 2006
- A Survey of Goal-Setting Methods Used in RehabilitationNeurorehabilitation and Neural Repair, 2005
- Toward a cognitive-affective model of goal-setting in rehabilitation: is self-regulation theory a key step?Disability and Rehabilitation, 2004
- Theoretical aspects of goal-setting and motivation in rehabilitationDisability and Rehabilitation, 2004
- Experiences of Occupational Therapists in Stroke Rehabilitation: Dilemmas of Some Occupational Therapists in Inpatient Stroke RehabilitationScandinavian Journal of Occupational Therapy, 2002
- Recent advances: Recent advances in rehabilitationBMJ, 2000
- Goal Planning in Stroke Rehabilitation: EvidenceTopics in Stroke Rehabilitation, 1999
- A taxonomy for goal setting in the care of persons with dementiaJournal of General Internal Medicine, 1998