The ICF as a common language for rehabilitation goal-setting : comparing client and professional priorities

dc.contributor.authorHarty, Michal
dc.contributor.authorGriesel, Maryka
dc.contributor.authorVan der Merwe, Aletia
dc.contributor.emailmichal.harty@up.ac.zaen_US
dc.date.accessioned2012-02-13T07:28:49Z
dc.date.available2012-02-13T07:28:49Z
dc.date.issued2011-10-07
dc.description.abstractBACKGROUND: Joint rehabilitation goals are an important component for effective teamwork in the rehabilitation field. The activities and participation domain of the ICF provides a common language for professionals when setting these goals. Involving clients in the formulation of rehabilitation goals is gaining momentum as part of a person-centred approach to rehabilitation. However, this is particularly difficult when clients have an acquired communication disability. The expressive communication difficulties negatively affect the consensus building process. As a result, obtaining information regarding rehabilitation goals from professionals and their clients warrants further investigation for this particular population. METHODS: This comparative study investigated clients and their assigned rehabilitation professionals’ perception of the importance of ICF activities and participation domains for inclusion in their rehabilitation program. Twelve clients in an acute rehabilitation centre and twenty of their corresponding rehabilitation professionals participated in an activity using the Talking Mats™ visual framework for goal setting. Each participant rated the importance of the nine activities and participation domains of the ICF for inclusion in their current rehabilitation program. RESULTS: The ICF domains which consistently appear as very important across these groups are mobility, self-care and communication. Domains which consistently appear in the lower third of the rankings include spare time, learning and thinking and domestic life. Results indicate however that no statistical significant differences exist in terms of the individual domains across each of the participant groups. Within group differences however indicated that amongst the speech-language therapists and physiotherapists there was a statistical significant difference between spare time activities and communication and mobility. CONCLUSIONS: Findings indicate that consensus is possible amongst professionals and clients even within an acuterehabilitation setting. In addition, the Talking Mats™ visual framework appears to be a valid protocol for including clients with acquired communication disabilities in the process of obtaining consensus during goal-setting.en
dc.description.librariannf2012en
dc.description.urihttp://www.hqlo.com/content/9/1/87en_US
dc.identifier.citationHarty et al.: The ICF as a common language for rehabilitation goal-setting: comparing client and professional priorities. Health and Quality of Life Outcomes 2011 9:87.en
dc.identifier.issn1477-7525 (print)
dc.identifier.issn1477-7525 (online)
dc.identifier.other10.1186/1477-7525-9-87
dc.identifier.urihttp://hdl.handle.net/2263/18103
dc.language.isoenen_US
dc.publisherBioMed Centralen_US
dc.rights© 2011 Harty et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.en
dc.subjectRehabilitation goalsen
dc.subjectInternational Classification of Functioning, Disability and Health (ICF)en
dc.subject.lcshCommunicative disorders -- Patients -- Rehabilitationen
dc.subject.lcshCommunication devices for people with disabilitiesen
dc.subject.lcshMedical personnel and patienten
dc.subject.lcshHealth care teamsen
dc.titleThe ICF as a common language for rehabilitation goal-setting : comparing client and professional prioritiesen
dc.typeArticleen

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