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Classifying client goals in community-based ABI rehabilitation: a taxonomy for profiling service delivery and
P Kuipers1, M Foster, G Carlson
1Acquired Brain Injury Outreach Service and Centre of National Research on Disability and Rehabilitation Medicine, The University of Queensland, Australia. pim_kuipers@health.qld.gov.au
Purpose:
To develop, confirm and trial a framework for analysing the content of goals set within community-based rehabilitation. This framework (taxonomy) is proposed as a tool to assist in service evaluation and outcome exploration.
Method:
Qualitative thematic analysis and categorization of 1765 rehabilitation goal statements in a four phase process of synthesis, refinement, verification and application.
Results:
A taxonomy of goal content was developed comprising 21 categories within five domains, utilizing 125 descriptors. The taxonomy demonstrated good inter-rater consistency and was able to discriminate between similar but related data sets comprising goal statements.
Conclusion:
Structured analysis of the content of goal setting (particularly in community rehabilitation) utilizing a framework such as the proposed taxonomy has considerable potential as a 'window' into service delivery to broaden the parameters of existing service evaluation and to more clearly link outcome exploration to intervention.