A prospective interrupted time series study of interventions to improve the quality, rating, framing and structure of goal-setting in community-based brain injury rehabilitation

• Published in: Clinical rehabilitation 2015-04, Vol.29 (4), p.327-338
• Main Authors: Hassett, Leanne, Simpson, Grahame, Cotter, Rachel, Whiting, Diane, Hodgkinson, Adeline, Martin, Diane
• Format: Article
• Language: English
• Subjects: Adult; Brain Injuries - psychology; Brain Injuries - rehabilitation; Brain research; Community Health Services; Female; Goal setting; Goals; Humans; Interrupted Time Series Analysis; Intervention; Male; Middle Aged; Outcome Assessment (Health Care); Patient Care Team; Patient Participation; Prospective Studies; Rehabilitation; Self-Help Devices; Time series; Traumatic brain injury; Young Adult
• ISSN: 0269-2155; 1477-0873
• DOI: 10.1177/0269215514544040

Objective: To investigate whether the introduction of an electronic goals system followed by staff training improved the quality, rating, framing and structure of goals written by a community-based brain injury rehabilitation team. Design: Interrupted time series design. Intervention: Two interventions were introduced six months apart. The first intervention comprised the introduction of an electronic goals system. The second intervention comprised a staff goal training workshop. Methods: An audit protocol was devised to evaluate the goals. A random selection of goal statements from the 12 months prior to the interventions (Time 1 baseline) were compared with all goal statements written after the introduction of the electronic goals system (Time 2) and staff training (Time 3). All goals were de-identified for client and time-period, and randomly ordered. Results: A total of 745 goals (Time 1 n = 242; Time 2 n = 283; Time 3 n = 220) were evaluated. Compared with baseline, the introduction of the electronic goals system alone significantly increased goal rating, framing and structure (χ2 tests 144.7, 18.9, 48.1, respectively, p