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Client Goals Project

Description
Analysis of the content and themes of the rehabilitation goals of  people with acquired brain injury within community rehabilitation

Rationale
Few mechanisms exist for the systematic evaluation of client goals in community rehabilitation

A structured goal analysis method would be an effective index of quality for community rehabilitation services and should be able to identify and track organisational differences

Participants
Clients with acquired brain injury from two community rehabilitation services

Key Features
Development of a taxonomy of goals that will facilitate benchmarking and comparison across community rehabilitation services for people with acquired brain injury

Examination of the effectiveness of the developed taxonomy for identifying organisational differences across similar community rehabilitation services

Funding 
Externally funded with the support of the Princess Alexandra Hospital Research Foundation

Conducted in association with the Occupational Therapy Department at the University of Queensland and the Brain Injury Rehabilitation Unit, Liverpool Health Service, Sydney

Research / Evaluation Strategies
Phase 1 of the study involved the structured content and thematic analysis of 1765 rehabilitation goals identified by clients within the Acquired Brain Injury Outreach Service

Phase 2 involved the structured content and thematic analysis of  400 rehabilitation goals identified by clients of the Liverpool Community Outreach Service and cross-organisational comparison of 100 goal statements randomly drawn from both services

Outputs and Outcomes
The taxonomy developed during Phase 1 of the study consisted of 21 categories of goal statements relevant to community rehabilitation of people with acquired brain injury. The taxonomy demonstrated good inter-rater reliability and was able to discriminate across goal statements.

Application of the taxonomy within a different service context demonstrated that inter-rater reliability remained high. The taxonomy could track changes in goals identified within a service undergoing organisational change as well as tracking organisational differences between two similar services.

Publications 
Kuipers, P., Foster, M., Carlson, G., & Moy, J. (2003). Classifying client goals in community-based ABI rehabilitation: a taxonomy for profiling service delivery and conceptualising outcomes. Disability and Rehabilitation, 25(3), 154-162.

Simpson, G., Foster, M., Kuipers, P., Kendall, M., & Hanna, J. (2005). An organisational perspective on goal setting in community-based brain injury rehabilitation. Disability and Rehabilitation, 27(15), 901-910.



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Last updated: 7 September 2017