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Attitudes and practices of physiotherapists towards goal-setting for stroke rehabilitation

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Goal-setting in stroke rehabilitation is poorly understood. This study examined attitudes, practices, and factors related to goal-setting in stroke rehabilitation among Portuguese physiotherapists. An online cross-sectional exploratory survey was conducted, collecting data on sociodemographic and service profiles, patient-centeredness, attitudes and practices of goal-setting, using the Patient-Practitioner Orientation Scale, and Attitudes toward Goal-Setting and Practices toward Goal-Setting Scales. Logistic regression identified factors associated with goal-setting. From 347 physiotherapists, mostly high scores were obtained for attitudes toward goal-setting. Heterogeneous practices were verified and 17 % reported no involvement in goal-setting. Working from the stroke survivor's home (OR10.218 [1.267–82.389], p=0.029) or from an inpatient rehabilitation unit (OR6.443 [1.918–21.636], p=0.003) were the strongest predictors of goal-setting, followed by positive attitudes toward goal-setting (OR1.111 [1.028–1.201], p=0.008). The identified organizational and professional characteristics should be considered to improve suboptimal goal-setting, namely by advocating the core contribution of goal-setting, disseminating best practices, and providing training.

Descrição

Funding Information: This project is funded by national funds through FCT-Funda\u00E7\u00E3o para a Ci\u00EAncia e Tecnologia, I. P. under the PhD grant 2021.05310.BD awarded to the first author. Publisher Copyright: © 2025 The Authors

Palavras-chave

Patient care planning Physical therapy specialty Stroke rehabilitation Surveys and questionnaires Gerontology SDG 3 - Good Health and Well-being

Contexto Educativo

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Licença CC

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