Development of a rehabilitation goal menu for inpatients with neurological disorders: application in a Saudi Arabian context

Clin Rehabil. 2015 Oct;29(10):1002-12. doi: 10.1177/0269215514561877. Epub 2014 Dec 23.

Abstract

Objective: To develop a rehabilitation goal menu based on understanding the specific goals that are important to neurological inpatients and that fall within commonly identified rehabilitation domains.

Design: Qualitative methods (semi-structured interview, focus groups) to develop a goal menu followed by cross-sectional study to measure participants' goal rankings.

Setting: Rehabilitation hospital in Saudi Arabia.

Subjects: A total of 130 participants with neurological injury.

Main measures: Participant rankings of rehabilitation goals and self-reported level of difficulty in areas such as mobility, self-care, accessibility, productivity, and leisure.

Results: A 10-item goal menu was developed based on initial focus groups, semi-structured interviews, and literature review. The overall highest ranked rehabilitation goal was Functional Mobility/Locomotion, followed by Self-Care and Religious/Life Philosophy. Self-reported level of difficulty with mobility was strongly associated with the ranking of Functional Mobility/Locomotion as a rehabilitation goal. However, there was little correspondence between reported difficulty and priority ranking of self-care. Subsequent factor analysis of detailed goal items suggest that the goal menu could be reduced to seven items.

Conclusions: This study provided an understanding of which rehabilitation goals are important to Saudi clients with neurological disorders that could be used to facilitate their contribution to the goal-setting process.

Keywords: Goal-setting; neurological rehabilitation; rehabilitation programme.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Activities of Daily Living / psychology*
  • Adolescent
  • Adult
  • Cross-Sectional Studies
  • Female
  • Focus Groups
  • Goals
  • Humans
  • Inpatients / psychology
  • Interviews as Topic
  • Male
  • Middle Aged
  • Mobility Limitation*
  • Nervous System Diseases / complications
  • Nervous System Diseases / psychology
  • Nervous System Diseases / rehabilitation*
  • Psychometrics
  • Qualitative Research
  • Rehabilitation / methods
  • Rehabilitation / psychology
  • Rehabilitation / standards*
  • Rehabilitation Centers
  • Saudi Arabia
  • Self Care / psychology*
  • Young Adult