Aiming for a healthier life: a qualitative content analysis of rehabilitation goals in patients with rheumatic diseases

Abstract

The rehabilitation goals of the patients with rheumatic diseases were found to be wide-ranging, with healthy lifestyle as the most prominent focus. Goal content changed between admission to, and discharge from, rehabilitation stays. Implications for rehabilitation Rehabilitation goals set by patients with rheumatic diseases most frequently concern healthy lifestyle changes, yet span a wide range of topics. Patient goals vary by gender and are influenced by the profession of the health care worker involved in the goal-setting process. To meet the diversity of patient needs, health professionals need to be aware of their potential influence on the actual goal-setting task, which may limit the range of topics patients present when they are asked to set rehabilitation goals. The proposed framework for classifying goal content has the capacity to detect changes in goals occurring during the rehabilitation process, and may be used as a clinical tool during goal-setting conversations for this patient group.

MyStrengths, a Strengths-Focused Mobile Health Tool: Participatory Design and Development

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<p>The Applicability of the Patient-Specific Functional Scale (PSFS) in Rehabilitation for Patients with Acquired Brain Injury (ABI) – A Cohort Study</p>

“…Patients' goals may involve, for example, pain relief, changing of lifestyle, gaining of knowledge and disease management. 50 What is of importance to a patient can be difficult to formulate and score in the PSFS. In the primary care study in Copenhagen, the PSFS was introduced for patients receiving rehabilitation services.…”

Structured Goal Planning and Supportive Telephone Follow‐up in Rheumatology Care: Results From a Pragmatic, Stepped‐Wedge, Cluster‐Randomized Trial

“…Second, a main purpose of the goals, to provide focus and direction for the rehabilitative efforts, may have been disturbed. A previous study of the rehabilitation goals of patients who received the add‐on intervention revealed that although most patients had goals concerning a healthy lifestyle, some patients formulated a large number of goals that covered a wide range of poorly connected topics . The pursuit of multiple diverging goals scatters the attention and may lead to becoming overwhelmed or to conflicts between personally valued goals regarding the priority and direction of further efforts .…”

“…The pursuit of multiple diverging goals scatters the attention and may lead to becoming overwhelmed or to conflicts between personally valued goals regarding the priority and direction of further efforts . Such conflicts may disturb focus and motivation, hamper progress of goal‐directed activity, and thus reduce the possibility of goal achievement . Further, failure to achieve goals may again influence HRQoL .…”