Classifying client goals in community-based ABI rehabilitation: a taxonomy for profiling service delivery and conceptualizing outcomes

Disabil Rehabil. 2003 Feb 4;25(3):154-62. doi: 10.1080/0963828021000024898.

Abstract

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.

Publication types

  • Comparative Study

MeSH terms

  • Activities of Daily Living / classification*
  • Australia
  • Brain Injuries / diagnosis
  • Brain Injuries / rehabilitation*
  • Community Health Services / organization & administration
  • Female
  • Goals*
  • Humans
  • Injury Severity Score
  • Male
  • Outcome Assessment, Health Care*
  • Patient Care Planning / classification
  • Patient Care Planning / organization & administration*
  • Physical Therapy Modalities / classification*
  • Rehabilitation / classification
  • Rehabilitation Centers / organization & administration
  • Sensitivity and Specificity