Using the capability, opportunity, and motivation model of behaviour to assess provider perception of implementing solution-focused goal-setting in paediatric rehabilitation.
L Crawford, H Colquhoun, S Kingsnorth and 2 others
PMID 37585268WHAT IT FOUND
Paediatric rehabilitation providers valued solution-focused goal-setting but felt least confident actually doing it, especially with children.
They said they needed more support beyond training; time, team processes and documentation were barriers.
Key findings
01Providers reported good general knowledge of solution-focused goal-setting but lower confidence and specific training to enact it, especially with children.
02Reported practical barriers included lack of time, human resources and documentation support.
03Providers strongly endorsed listening to and integrating child and family wishes, but reported lower confidence in delivering solution-focused goal-setting and less team or organizational support.
STILL TO COME
How it was doneWhat they foundWhat it means for OTs
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What it does not show
The survey was a convenience sample of providers at the surveyed hospital, so it may not represent other paediatric rehabilitation settings. The survey received 134 responses; 58 people consented but did not complete the survey, and 76 completed surveys were analysed. Ten participants were undertaking advanced solution-focused coaching certification, which may have made responses more favourable. The findings are self-reported perceptions, not observed clinician behaviour or child outcomes. The authors did not combine items into overall scores for capability, opportunity or motivation; only individual item rankings were interpreted.
Declared interests
The authors declared no potential conflicts of interest and received no financial support for the research, authorship, or publication.
The easy way to misread this
Do not read this as evidence that solution-focused goal-setting improves child or family outcomes. The study surveyed providers' perceptions of implementing it and did not measure patient outcomes.