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Published on: January 17, 2013
Patient participation in physical therapy goal setting
S M Baker1, H H Marshak, G T Rice
1Distance Learning Physical Therapist Assistant Program, Loma Linda University, Huntsville, AL, USA. smbakerpt@aol.com
Physical Therapy
|April 26, 2001
Summary
Physical therapists believe patient involvement in goal setting improves outcomes, but often do not fully implement participation methods during initial examinations. Education is needed to enhance patient engagement in physical therapy goal setting.
Area of Science:
- Physical Therapy
- Rehabilitation Medicine
- Patient-Centered Care
Background:
- Effective goal setting is crucial for physical therapy treatment planning.
- The Guide to Physical Therapist Practice emphasizes patient goal identification during initial examinations to maximize outcomes.
Purpose of the Study:
- To investigate therapists' methods for involving patients in goal setting.
- To examine therapists' attitudes toward patient participation and patient satisfaction.
Main Methods:
- 22 physical therapists audiotaped initial examinations of 73 elderly patients.
- The Participation Method Assessment Instrument (PMAI) scored therapist attempts to involve patients in goal setting.
- Surveys assessed therapist and patient perspectives post-examination.
Main Results:
- Therapists' use of participation methods varied widely (1-19 out of 21 items).
- Both therapists and patients recognized the importance of participation in goal setting for improved outcomes.
Conclusions:
- Therapists often did not fully utilize opportunities for patient participation in goal setting.
- Enhanced education for therapists and patients on participation methods is recommended for initial goal-setting activities.
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