Moving goals. Goal-work in Parkinson's disease rehabilitation.
Merete Tonnesen, Claus Vinther Nielsen, Rikke Sand Andersen
PMID 36189001WHAT IT FOUND
Goal-setting in Parkinson's rehabilitation is a fluid, shared process that continues at home and in clinics.
Spouses often co-work on goals, but patients frequently miss that reviews happen because they are un-scheduled and individual. Teams need to make goal-tracking visible to avoid confusion.
Key findings
01Goal reviews often go unnoticed by patients because they are un-scheduled and done individually rather than by the whole team.
02Spouses frequently act as co-workers in goal-setting and review, adding information and reminding patients of their goals.
03Most goals in this study were related to activity and participation, particularly walking or moving around.
STILL TO COME
How it was doneWhat they foundWhat it means for PTsWhat it means for OTs
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What it does not show
The sample of 20 patients may not represent the wider population. The study was conducted in Denmark with free healthcare, so results may not apply to systems with different access or funding. The COVID-19 pandemic disrupted some planned observations of care after the rehabilitation stay. The study describes ordinary practice rather than testing a specific goal-setting model.
Declared interests
The study was funded by a Ph.D. scholarship from Aarhus University. The authors declared no commercial or financial conflicts of interest.
The easy way to misread this
Do not assume that patients are aware of when their goals are being reviewed or that they understand the purpose of the goals. The study found that reviews were often invisible to patients because they were un-scheduled and done individually.