结构化的目标设定和目标管理系统的可行性和实施决定因素
Eunyoung Kang1, Julie Chen2, Erin R Foster3
1Eunyoung Kang, PhD, is Postdoctoral Research Fellow, Institute for Implementation Science, School of Public Health, University of Texas, Houston; eunyoung.kang@uth.tmc.edu. At the time this research was completed, Kang was Doctoral Student, Program in Occupational Therapy, School of Medicine, Washington University in St. Louis, St. Louis, MO.
概括
一个名为MyGoals的新系统支持职业治疗师为患有慢性疾病的成年人制定客户参与的目标. 这种基于理论的系统是可以接受的,适当的,并且可用于基于社区的康复.
科学领域:
- 职业治疗是一种职业疗法.
- 康复科学是康复的科学.
- 卫生系统研究 卫生系统研究
背景情况:
- 在职业治疗中缺乏基于理论的,客户参与的目标设定和管理的基于证据的系统.
- 需要一个结构化的系统来提高目标设定和管理流程的质量.
- 客户参与实现有意义的康复目标的重要性.
研究的目的:
- 评估一个新系统的可接受性,适当性,可行性,可信性和预期性,MyGoals.
- 探索实施决定因素,潜在的积极结果和MyGoals的比较优势.
- 支持职业治疗师以理论为基础,客户参与的目标设定和管理.
主要方法:
- 混合方法可行性研究,涉及7名职业治疗师在社区环境.
- 使用干预措施可接受性 (AIM),干预适当性措施 (IAM),干预措施可行性 (FIM) 和可信度和预期问卷 (CEQ) 的定量评估.
- 通过半结构化的1:1面试进行定性探索,以收集关于MyGoals及其实施的深入观点.
主要成果:
- 我的目标在可接受性 (AIM),适当性 (IAM) 和可行性 (FIM) 方面取得了很高的分数.
- 高可信度和预期 (CEQ) 评分表明治疗师对系统潜力的信心.
- 采访数据为系统改进提供了有价值的见解,并确定了实施决定因素和积极结果.
结论:
- 我的目标是一个可接受的,适当的,可行的,可信的,对职业治疗师来说是一个有前途的系统.
- 该系统有效地指导基于理论的,客户参与的目标设定和管理,用于社区康复中患有慢性疾病的成年人.
- 我的目标提高了目标设定质量,并支持实现个人有意义的康复目标.
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