Identification and comparison of rehabilitation goals after multiple injuries: an ICF analysis of the patients', physiotherapists' and other allied professionals' reported goals.

Full Abstract

OBJECTIVE:
To explore and compare severely injured patients' rehabilitation goals with respect to their functioning and the reported goals of rehabilitation professionals.

DESIGN:
A prospective cohort study, including longitudinal data on patients' functioning and cross-sectional data from the patients' and professionals' goal descriptions.

SUBJECTS:
Sixty-six patients (53 men, 13 women, mean age 35 (standard deviation 13.8) years) with multiple injuries with a New Injury Severity Score >15 and 76 physiotherapists and other municipal rehabilitation professionals/services.

METHODS:
Patient questionnaire and interview were applied after return home and a further questionnaire one year post-injury. Short-Form Health Survey was used for self-assessed health. A questionnaire was applied to the professionals. Rehabilitation goals were reported by patients and professionals. International Classification of Functioning, Disability and Health coding of the goals was performed.

RESULTS:
Short-Form Health Survey scores were below those of the general population. The patients' goals concerned body functions/structures (8.6%), activities (16.2%) and participation (31.7%). The professionals, mainly physiotherapists, reported few participation goals (10.7%). Agreement between the patients' and professionals' goals were poor, with kappa scores < or =0.20 for musculoskeletal functions/structures, self-care, mobility, interpersonal interactions/relationships, work and recreation/leisure. A statisticaly significant difference between patients' and professionals' goals was demonstrated for musculoskeletal functions/structures (p<0.001), interpersonal interactions/relationships (p=0.002), work (p=0.001) and recreation/leisure (p=0.002).

CONCLUSION:
The patients mainly reported activity and participation goals. There was poor agreement between patients and professionals for body functions and participation goals.

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Author information

Author/s: Soberg, Helene L (HL); Finset, Arnstein (A); Roise, Olav (O); Bautz-Holter, Erik (E);

Affiliation: Department of Physical Medicine and Rehabilitation, Ulleval University Hospital, Oslo, Norway. h.l.soberg@medisin.uio.no

Journal and publication information

Publication Type: Journal Article; Research Support, Non-U.S. Gov't

Journal: Journal of rehabilitation medicine : official journal of the UEMS European Board of Physical and Rehabilitation Medicine (J Rehabil Med), published in Sweden. (Language: eng)

Reference: 2008-May; vol 40 (issue 5) : pp 340-6

Dates: Created 2008/05/07;

PMID: 18461258, status: In-Process (last retrieval date: 11/6/2008)

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