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Related Concept Videos

Community Based Intervention01:30

Community Based Intervention

Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
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Several factors are considered while creating a patient's care plan. Motivation is a factor in improving communication, and patients often require encouragement to try different approaches involving significant change. It is essential to involve the patient and family in decisions about the plan of care to determine whether the suggested methods are acceptable. Consider meeting critical comfort and safety needs before introducing new communication methods and techniques. Allow adequate time for...

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Related Experiment Video

Updated: May 11, 2026

The Impact of Motor Task Conditions on Goal-Directed Arm Reaching Kinematics and Trunk Compensation in Chronic Stroke Survivors
15:00

The Impact of Motor Task Conditions on Goal-Directed Arm Reaching Kinematics and Trunk Compensation in Chronic Stroke Survivors

Published on: May 2, 2021

Implementing a framework for goal setting in community based stroke rehabilitation: a process evaluation.

Lesley Scobbie, Donald McLean, Diane Dixon

    BMC Health Services Research
    |May 28, 2013
    PubMed
    Summary

    The Goal Setting and Action Planning (G-AP) framework improved stroke rehabilitation goal attainment and professional practice. While broadly acceptable, some aspects require further development for consistent implementation in community settings.

    Related Experiment Videos

    Last Updated: May 11, 2026

    The Impact of Motor Task Conditions on Goal-Directed Arm Reaching Kinematics and Trunk Compensation in Chronic Stroke Survivors
    15:00

    The Impact of Motor Task Conditions on Goal-Directed Arm Reaching Kinematics and Trunk Compensation in Chronic Stroke Survivors

    Published on: May 2, 2021

    Area of Science:

    • Rehabilitation Medicine
    • Health Services Research
    • Clinical Psychology

    Background:

    • Goal setting is a best practice in stroke rehabilitation, but optimal intervention components and delivery remain unclear.
    • A theory-based Goal Setting and Action Planning (G-AP) framework was developed to guide goal setting in practice.
    • The G-AP framework comprises four stages: goal negotiation, goal setting, action planning & coping planning, and appraisal & feedback, all documented in a patient-held record.

    Purpose of the Study:

    • To examine the implementation, acceptability, and perceived benefits of the G-AP framework.
    • To evaluate the G-AP framework's use within a community rehabilitation team for stroke survivors.
    • To identify areas for improvement in the G-AP framework and its delivery.

    Main Methods:

    • The G-AP framework was implemented over six months with 23 stroke patients.
    • Thematic analysis of in-depth interviews with 8 patients and 8 health professionals explored views on implementation, acceptability, and benefits.
    • Descriptive analysis of patient case notes assessed the fidelity of G-AP implementation.

    Main Results:

    • G-AP implementation was largely consistent with the protocol, with minor deviations in planning and appraisal stages.
    • Stages were perceived as valuable, though goal negotiation and setting often merged, and appraisal included explicit decision-making.
    • Acceptability issues included health professional concerns about goal non-attainment and mixed patient/professional views on the patient-held record.

    Conclusions:

    • The G-AP framework was perceived as beneficial and acceptable in one community rehabilitation setting.
    • Inconsistent implementation of novel G-AP aspects was observed, highlighting the need for refinement.
    • Further development of the G-AP framework, training, and patient record is recommended, alongside evaluation in diverse settings.